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FelisCantabrigiensis t1_iude0a5 wrote

Have you asked your GP, or even the doctor who did the surgery, about this?

There may be reasons why the port-a-cath site has more inflammation, including the drugs administered through it (especially if you had chemotherapy via it).

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barefoot_yank t1_iudk200 wrote

I had cervical spinal fusion surgery and the scar (on the front of my neck) is almost unnoticeable. I asked the surgeon about this and he told he, "Many surgeons try to make a small incision, but the problem is you end up stretching the wound during surgery. I make a large incision and there's plenty of room. It's the constant stretching that screws up the wound."

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TheFuturist25 t1_iudlav4 wrote

Hi. Surgeon here. How I understand this is that for your laparoscopy the port incision was made and closed in a couple of hours. No stretching. No trauma to tissue. With a porta cath there's something foreign in your body that's gonna cause tissue reaction for as long as you got chemo. That could be the cause of your chronic pain

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needlenoise t1_iue0c02 wrote

Hi another surgeon here. There are sooo many factors that have a bearing on scarring and wound healing that it often means you can't predict the outcome. I look after a precancerous condition called VIN that can lead to the same patient having the same type of procedure repeatedly over several years. Same patient same location on the body same surgeon same procedure but the behaviour of the wounds can differ wildly. You are right that different parts of the body are more prone to scarring than others. A big issue to try to avoid is tension across a wound which can be hard to do in certain areas where the skin is under stretch such as in front of the shin or over a joint.

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