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AI HOON GOH
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from Singapore asked a question

Is it normal to develop a keloid in the navel after laparoscopic surgery? (photo)

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Gastroenterology Skin, Hair & Nails Colorectal Surgery

I had my laparoscopic surgey 1 year ago. After which, I realised my belly button developed a keloid. Occasionally I also feel some mild pain upon touching. Is it normal to develop a keloid in the navel after laparoscopic surgery?

DOCTOR’S ANSWER (2)

Dear Ms Goh,

It is certainly possible to develop a keloid at the site of a laproscopic wound.  Keloids can occur at almost any site where there is an injury but there are some sites which are more keloid prone, and these include the chest, back, jawline and earlobe.

 A keloid is due to abnormal and excessive wound repair at the site of injury. Some individuals may be more prone to developing keloids. 

Keloids are generally harmless but they can be itchy or painful and can be cosmetically bothersome. Treatments like intralesional steroid injections can help to decrease the size and symptoms of a keloid. 

Consult Doctor
0 332 views 0 Doctors agree 30 Oct 2018
0 0

Hi Ai Hoon,

Yes, actually, as long as there is a wound, there is a possibility for keloids to form, even on small wounds like laparoscopic wounds.

Some risk factors that will increase the likelihood of keloid formation include:

1. wounds forming at high risk sites, like chest, back, upper arms, ear lobes - usually these are sites where the wounds are subjected to high tension

2. genetic predisposition - some individuals are just more prone to develop keloids

3. wound infection- an infected wound theoretically has a higher risk of keloid formation

Previously, treatment modalities like surgical excision, and even radiation therapy have been tried on keloids. In my opinion, direct intra-lesional steroid injections offer a simple, hassle-free solution to adequately manage keloids and reduce their size without drastic measures.

However, it is important to keep your expectations in perspective before commencing on keloid treatments, as the main aim of the treatment is to reduce the size of the keloid, not removal of the keloid. Additionally, it is not uncommon for keloids to recurr after treatment has completed.

The occasional mild pain that you feel is a common accompanying symptom of keloids. other symptoms may include itch, burning sensation, hardening of the scar. Conservative management like pain-relief medications, creams, and lifestyle modifications like avoidance of tight belts may alleviate these symptoms.

Hope that helps.

Best Regards

Dr Heng

Consult Doctor
0 329 views 0 Doctors agree 30 Oct 2018
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