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  Post-Op Care
 

Below are helpful Post-Op Instructions for care for the following procedures:

 

A.B.B.I. BREAST SURGERY  

1.   When you arrive home, you may resume your regular diet.

2.   If you have an Ace bandage around your chest, please leave it on for at least 8-10 hours. An ice pack should be placed on top of the bandage for 20 minutes every 2 hours for the first 6 hours.( Make sure the ice is not directly on the skin.)

3.   Pain medication will be prescribed for you.  Take it as needed.  You may resume driving when you are not taking the prescription pain medication, and it has been 8 hours since your sedation.

4.   You may shower the day after your surgery.

5.   If you have a gauze dressing, this should be removed prior to your shower or when your incision no longer has any drainage. Do not get the bandage wet.

6.   You may have small pieces of tape over your incision. These may be removed after five (5) to seven (7) days or when you return to the office after surgery.

7.   Although few people have problems with their incisions, you should look at yours every day.  If you should note a change; such as increasing tenderness or redness after several days, this should be reported to the nurse at our office.

8.   If you have any problems or questions, please call our office nurse.

9.   If you have serious problems and are unable to reach your surgeon, go to the nearest emergency room or call 911.

 

BREAST SURGERY 

1.   When you arrive home, you may resume your regular diet.

2.   Pain medication will be prescribed for you.  Take it as needed.  You may resume driving when you are not taking the prescription pain medication, and it has been 8 hours since your sedation.

3.   You may shower the day after your surgery.

4.    If you have gauze dressing, this should be removed prior to your shower or when your incision no longer has any drainage. Do not get the bandage wet.

5.   You may have small pieces of tape over your incision. These may be removed after five (5) to seven (7) days or when you return to the office after surgery.

6.   Although few people have problems with their incisions, you should look at yours every day.  If you should note a change; such as increasing tenderness or redness after several days, this should be reported to the nurse at our office.

7.   If you have any problems or questions, please call our office nurse.

8.   If you have serious problems and are unable to reach your surgeon, go to the nearest emergency room or call 911.

 

BREAST CANCER SURGERY 

1.   When you arrive home you may resume your regular diet.

2.   Pain medication will be prescribed for you, take them as needed.

3.   You may drive when you are not taking a prescribed pain medication and when you can respond to emergencies.

4.   You may shower or tub bathe 24 hrs. after surgery, but do not soak or submerge your incision.

5.   Do not participate in vigorous activity or heavy lifting, which would involve your surgical area until after your office visit.

6.   You will have gauze dressing over your incision.  This may be removed the day after surgery.  You may reapply a dressing if there is any further drainage.

7.   You may arrive home with one or two drains.  The drain reservoirs need to be measured and emptied each day until your office visit.  Please bring the recorded measurements with you to the office.

8.   Although few people have a problem with their incisions, you should look at yours everyday.  If you should note a change such as increasing tenderness or redness after several days, this should be reported to the nurse at our office.

9.   You should be given and appointment to see your surgeon within fourteen (14) days.  If you do not receive an appointment time from the facility, please call the office soon after you return home.

10.  If you have any problems or questions please call our office nurse. We want to make your recovery as comfortable as possible.

11.  If you should have serious problems and are unable to reach your surgeon, call 911 or go to the nearest emergency room.

 

EXCISION OF LUMPS

1.   When you arrive home you may resume your regular diet.

2.   Pain medication may be prescribed for you.  Take it as needed.  You may resume driving when you are no longer taking the prescription pain medication

3.   You may shower the day after surgery.  

4.   You may have small pieces of tape over your incision.  These may be removed after 5 days.

5.   Check your incision daily.  If you should note a change such as increasing tenderness or redness after several days, this should be reported to the nurse at our office.

6.   You will be given an appointment to see your surgeon usually 7-10 days after the surgery.  If you do not receive an appointment time from the facility, please call the office soon after you return home.

7.   If you have any problems and/or questions, please call the office nurse. If you have a problem and need to contact our office after hours, dial our office number and the physician on call will help you.

8.  If you have an emergency and cannot reach your surgeon, call 911 or go to the nearest emergency room.

 

HERNIA REPAIR 

1.   You may experience significant pain following your surgery.  You will be given a prescription for a strong pain medication.

2.     Swelling and bruising may develop in the area of your incision and, in a male; this may extend down into the scrotum.  Ice may be applied to the area if necessary.

3.     You may go up and down stairs if necessary and walk as desired.

4.     Showering is permitted the day after surgery.  Do not soak the incision in a bath until five (5) days after surgery.

5.     If you have tape on your incision, it may be removed after five (5) days or it can be left on until your office visit.

6.     You will be given an appointment to see your surgeon within seven (7) to fourteen (14) days.  If you do not receive an appointment time from the facility, please call the office soon after you return home.

7.     You may use an athletic supporter if you feel that will help your discomfort.

8.     You may drive when you are able to handle emergencies and are not taking a prescription pain medication.

9.     If you have any problems or questions, please call the office nurse. We want to make your recovery as comfortable as possible.

10.  If you have serious problems and are unable to reach your surgeon, call 911 or go to the nearest emergency room.

 

INSERTION OF HEMED / LINES / PORTS 

1.   When you arrive home you may resume your regular diet.

2.   Pain medication may be prescribed for you.  Take it as needed.  You may resume driving when you  are no longer taking the prescription pain medication.

3.   You may shower the next day but do not get incision and dressing wet unless otherwise instructed by  a Home Health Care Nurse.

4.   You will be given an appointment to see your surgeon usually 7-10 days after surgery.  If  you do not receive an appointment time from  the facility,  please call our office soon after you return home.

5.   Home Health Care Nurse will instruct you on the care and maintenance of your line.

6.   Notify Home HealthCare Nurse if dressing becomes wet and /or loose.

7.   If you note a change such as increasing tenderness or redness after several days, this should be reported to the nurse at our office.

8.   If at any time you have any problems or questions, please feel free to call our office nurse.

9.   If you cannot reach your doctor, call 911, or go to the nearest Emergency Room.

 

MINOR SURGERY 

1.   When you arrive home you may resume your regular diet.

2.   Pain medication will be prescribed for you.  Take it as needed.  You may resume driving when you are no longer taking the prescription pain medication.

3.   You may shower the day after surgery.

4.   If  you have gauze dressing, this may be removed when your incision no longer has active drainage.

5.   You may have small pieces of tape over your incision.  These may be removed after five (5)- seven (7) days.

6.   Although few people have a problem with their incision, you should look at yours every day.  If you should note a change such as increasing tenderness or redness after several days, this should be reported to the nurse at our office.

7.   You will be given an appointment to see  your surgeon usually within fourteen  (14) days.  If you do not receive an appointment time from the facility, please call the office soon after you return home.

8.   If you have any problems or questions, please call our office.

9.   If you have an emergency, call our office. If you cannot reach your doctor, call 911, or go to the nearest Emergency Room.

 

VEIN STRIPPING SURGERY 

1.   When you arrive home you may resume your regular diet.  Keep flat or in a recliner for the first 24 hours except to go to the bathroom. The ace bandages may be loosened if they seem too tight.

2.   Pain medication will be prescribed for you.  Take it as needed.  You may resume driving when you are no longer taking the prescription pain medication and can respond to emergencies. 

3.   Continue to elevate your feet while sitting and try to rest often.

4.   On the 3rd day after surgery, you may remove ace wrap and dressings and then re -apply the ace wrap for comfort.  You may be up as desired and may shower after all dressings have been removed.

5.   You may have small pieces of tape over your incision.  These may be removed after (5) days.

6.   Although few people have a problem with their incisions, you should look at yours every day after the dressings have been removed.  If you should note a change such as increasing tenderness or redness after several days, this should be reported to the nurse at our office.

7.   You will be given an appointment to see your surgeon usually within fourteen (14) days.  If you do not receive an appointment time from the facility, please call the office soon after you return home.

8.   If you have any problems or questions, please call our office nurse. If you have a problem and need to contact our office after office hours, dial our office number and the physician on call will help you.

9.   If you cannot reach you doctor, call 911, or go to the nearest Emergency Room.

 

LAPAROSCOPIC HERNIA REPAIR 

1.   You will be given a prescription for pain medication.  Take it as needed.

2.   You may resume driving when you are not taking a prescription pain medication.

3.   Stay on liquids until any nausea is gone.  Then eat light, easily digestible food for the first few days after surgery.  If the nausea becomes severe, or continues for > 24 hrs. call the office nurse for instructions.

4.   Your activity is not restricted, however, you may want to avoid lifting heavy objects (> 20 lbs.) for several days after surgery.  Increase your activity as your comfort allows.

5.   Remove any gauze dressing the day after surgery.  You may then shower or bathe and reapply a dressing if needed for drainage.

6.   The small pieces of tape on your incisions may be removed after seven (7) days or left on until your office visit.

7.   You may experience shoulder pain after surgery for a few days.  This will improve with time.

8.   Constipation can be a problem.  Dulcolax Suppositories or Fleet enemas can be used as needed.  These are available at pharmacies without a prescription.

9.   You will be given an office appointment to see your surgeon in five (5)  to fifteen (15) days.  If you do not receive an appointment time from the facility, please call the office soon after you return home.

10.  Many patients return to work within two (2) weeks after having laparoscopic surgery.  If you or your employer have any questions, please call our office.

11.  If you have any problems or questions, please call our office nurse.  We want to make your recovery as comfortable as possible.

12.  If you have an emergency, call our office. If you cannot reach your doctor, call 911, or go to the nearest Emergency Room.

 

LAPAROSCOPIC GALLBLADDER SURGERY 

1.   You will be given a prescription for pain medication.  Take it as needed.

2.   You may resume driving when you are not taking a prescription pain medication.

3.   Stay on liquids until any nausea is gone.  Then eat light, easily digested food for the first few days after surgery.  If the nausea becomes severe, call the office nurse for instructions.

4.   Your activity is not limited.  Increase your activity as your comfort allows.

5.   If you have a dressing, it may be removed to shower or bathe and then reapply a dressing if needed for drainage.  Leave the small tapes in place at least five (5) days or until your office visit.

6.   You may experience shoulder pain after surgery for a few days.  This will improve with time.

7.   Constipation can be a problem.  Dulcolax Suppositories or Fleet enemas can be used as needed.  These are available at pharmacies, without a prescription.

8.   You will be given an office appointment to see your surgeon in five (5) to fifteen (15) days.  If you do not receive an appointment time from the facility after surgery, please call the office soon after you return home.

9.   Many patients return to work within two (2) weeks after having laparoscopic surgery.  If you have any questions, please call our office.

10.  If you have serious problems and are unable to reach your surgeon, call 911 or go to the nearest emergency room.

 

LAPAROSCOPIC NISSEN FUNDOPLICATION 

1.  You may be staying over night in the facility after your surgery.

2.   You will be given a prescription for pain medication.  Take it as needed.

3.   You may resume driving when you are not taking a prescription pain medication.

4.   Stay on full liquids for the first two (2) weeks after surgery.  Advancement of diet will be discussed at your post-op appointment.

5.   Your activity should be limited until your surgeon sees you back in the office.  Increase your activity as your comfort allows.

6.   If you have a dressing at your navel, remove it the day after surgery.  You may shower or bathe and reapply a dressing if needed for drainage.  Leave the small tapes in place.

7.   The small pieces of tape on your incisions may be removed after seven (7) days or left on until your office visit.

8.   You may experience shoulder pain after surgery for a few days.  This will improve with time.

9.   Constipation can be a problem.  Dulcolax Suppositories or Fleets enemas can be used as needed.  These are available at pharmacies without a prescription.

10.  You will be given an office appointment to see your surgeon in five (5) to fifteen (15) days.  If you do not receive an appointment time from the facility, please call the office soon after you return home.

11.  Many patients return to work two (2) weeks after having laparoscopic surgery.  If you or your employer have any questions, please call our office.

12.  If you have any problems or questions, call our office nurse.  If you have serious problems and are unable to reach your surgeon, go to the nearest emergency room or call 911.