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Post-operative laparoscopic surgery

- Jun 30, 2018 -

Wound care

Laparoscopic wounds are usually 1 cm long at the navel and 0.5 cm wounds at the lower abdomen. After the surgery, a 1 cm wound is usually or simply sutured. Absorbable threads may be used or non-absorbable. Line suture, if non-absorbable sutures are used, the sutures should be removed seven days after surgery. If sutures are absorbed by the sutures, the sutures need not be removed. For 0.5 cm wounds, the use of breathable adhesive tapes is acceptable, but sometimes it is increased. The uniformity of wound healing can also be achieved with stitches and simple sutures. For the care of these wounds, it is necessary to keep the wound clean, dry and other wounds after they have completely healed (about ten days) before showering or getting wet. The most important thing is that due to laparoscopic patients, the number of days of hospitalization is very short. Therefore, after the patient returns home, he must pay attention to whether the wound is red, swollen, hot, or painful to prevent the occurrence of infection, but laparoscopic surgery is necessary. The inflammation of the posterior wound is quite rare.

Vaginal bleeding

In order to make the ovaries, fallopian tubes, and the dorsal side of the uterus clear or to provide enough space for surgery, the uterus supports (used by unmarried persons) are usually placed in the vagina to adjust the position of the uterus, so that there will be a small amount of vaginal bleeding after surgery. This is normal, but if the vaginal bleeding is more than two weeks, consult a physician if there is any abnormality. As for patients undergoing laparoscopic hysterectomy, the top of the vagina will be sutured at the end of the uterus, so the brown bleeding within two weeks is still normal. It should be noted that if you go to the house or take heavy objects within eight weeks, it is easy to cause the wound healing to cause bleeding at the end of the wound, so it should be avoided.

Daily life

Maintaining a comfortable life and doing a small amount of exercise will help the body's recovery. Patients undergoing laparoscopic tubal surgery and laparoscopic ovarian surgery should return to their normal routines two weeks after surgery, and perform total hysterectomy. The surgeon should avoid riding, riding a bicycle or sedentary in the early stage of surgery (two weeks) to avoid pelvic congestion and postoperative discomfort. Pay special attention to avoid lifting more than five kilograms or increasing abdominal burden. After eight weeks of activity, the physical strength and physical fitness will gradually increase the amount of exercise, which will reduce the discomfort caused by the temporary reduction of temporary pelvic support.

Nutritional intake

The nutritional intake after surgery is in principle the same, and more water is needed to supplement the loss of body fluids during surgery. Usually, after recovering from laparoscopic surgery, you should all be able to resume eating. At first, you should drink some warm water first. If there is no maladjustment, you can start taking liquid foods (eg, rice porridge) and return to normal diet the next day. Since the healing of wounds requires the use of proteins, high protein foods (eg, fish, lean meat, eggs, etc.) are ingested in order to accelerate wound healing and avoid irritating foods so as not to stimulate the stomach discomfort caused by gastric acid secretion ( For example: pepper, smoke, oil, coffee). The biggest difference between laparoscopic surgery and general open surgery is that because of the need to inject carbon dioxide during the operation, to facilitate the operation of the pneumoperitoneum, it is easy to have residual carbon dioxide gas in the abdomen after surgery, so postoperatively should increase vegetables and The intake of high-fiber fruits and the avoidance of gas-producing foods such as sweet potatoes, beans, onions, etc., can reduce the discomfort caused by post-operative bloating. As for larger operations, such as hysterectomy, intestinal adhesion reduction, cervical cancer eradication surgery... Because of the longer anesthesia time and longer operation time, the gastrointestinal tract absorbs more gas, which is easier to have. Abdominal swelling, so it is more appropriate to eat after 24 hours. For patients who are prone to nausea, vomiting and idiosyncratic after surgery, do not need to force themselves to eat. After the anesthesia has completely disappeared, it can be eaten. Catheter placement

Laparoscopic surgery, which is an outpatient clinic, usually does not require a catheter to be placed in the bladder through the urethra before surgery, but will be changed to anesthesia and then placed, and removed after surgery, placed in a larger laparoscopic surgery or hospitalized surgery. Usually, a catheter is placed before surgery, so as to avoid bladder injury during surgery, and it is also possible to prevent the patient from getting up immediately to relieve urine and cause pain in the wound. It can be seen that the placement of the catheter is mainly to help the postoperative patients, reducing the discomfort of postoperative movement. Therefore, as long as the patient feels that the recovery is good after surgery, you can ask the doctor to remove the catheter if you can get up and go to the toilet! Try urinary urination on your own, and if you have difficulty resolving urine, re-guide your urination. For larger laparoscopic surgeries, we are accustomed to indwelling the catheter for two hours before removing it, so that patients can be fully rested and do not have to worry about the vital matters of the toilet.

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SHENDASIAO MEDICAL

#699  East Baiyunyuan Rd, Tonglu, Hangzhou,Zhejiang, China 311500

Tel.: (86) 571-69819958

Fax:  (86) 571-69819959

Email:stella@shendasiao.com


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