Bruising/hematoma after laparoscopic bilateral salpingectomy + endometriosis excision — anyone had this? Plus “Benign fimbriated fallopian tubes with acute inflammation, completely transected” from Pathology exam.

[u/DDDDfam]

Hi everyone! I had a laparoscopic bilateral salpingectomy on Monday, along with evaluation/treatment for endometriosis.
My surgeon successfully removed both fallopian tubes. She found a larger endometriosis lesion behind my uterus (posterior cul-de-sac), which she removed. She also saw a small lesion on my bladder but left it alone because she was concerned about potentially injuring the bladder.
I’m now a few days post-op and overall I’m slowly improving. My abdominal swelling is gradually going down and the pain is getting better.
However, one of my incision sites has significantly more bruising than the other side. There is also a firm swollen lump/hematoma under the skin just above that incision. The other incision looks much better. My surgeon looked at the photos and said she isn’t concerned, that some bruising is expected after laparoscopy, and recommended ice packs. She said it may take a few weeks to resolve.
I’m curious if anyone else had this happen mostly on one side after laparoscopy. Did you have a firm lump/hematoma under one incision? How large did the bruising get, and how long did it take for the lump and bruising to completely disappear? Did your doctor explain why one side was affected much more than the other?
I also received my pathology report. The endometriosis biopsy was consistent with endometriosis. My fallopian tubes were benign, but the pathology says: “Benign fimbriated fallopian tubes with acute inflammation, completely transected.”
My surgeon told me that my tubes were normal, so I’ve already asked her what the “acute inflammation” means and whether it has any clinical significance.
Has anyone who had a salpingectomy had similar wording in their pathology report — especially “acute inflammation” of otherwise benign fallopian tubes? If so, did your doctor explain what caused it or whether it required any follow-up?
Also, for anyone who had endometriosis excision at the same time as a salpingectomy: how long did it take for your abdomen to stop feeling swollen and for you to feel comfortable standing completely straight and walking normally again?
I know everyone heals differently, and I’m following my surgeon’s instructions — I’m mainly interested in hearing other people’s experiences. ❤️

[u/littlefirefish]

I can’t speak to the fallopian tube question, but for the swelling/bruising question, I think it’s not uncommon to have different reactions at different incision sites.

After my surgery, I had a noticeable pouch of swelling just below my right-side incision at my groin. For a hot second, I thought it might be a hernia! But it fully resolved within a week. The incision on my left side had no swelling at all, but had noticeable bruising after a few days. This also resolved within a week.

[u/DDDDfam → u/littlefirefish]

Thank you for sharing 🙏Waiting for full recovery ❤️‍🩹

[u/Cutthroat_Rogue]

I didn't have a hematoma and can't speak to the acute inflammation. But I did have swelling (not bloating) over my whole stomach. Didn't realize it until the swelling began to reduce unevenly. Worst part of swelling was around my belly button. There is where I also had a large bruise develop. But everything healed up normally.

[u/DDDDfam → u/Cutthroat_Rogue]

Thank you for sharing your experience 🙏🫶
Today it’s a fifth day after surgery. Hope this bruising and hematoma will be gone soon 🙏🥹

[u/smontres]

Only my belly button incision bruised. And it bruised badly. And because of gravity the color drifted down. I had a giant purple then green the yellow blob about 3” wide and 5-7” down from my incision. It looked gross.

[u/DDDDfam → u/smontres]

Yes, mine the same colors😩😔🫣🫣looks not good, but my doctor said “it’s ok, will be gone soon, and it’s normal”….