*** Note that these are all general guidelines. Please refer to post operative instructions given at the time of your discharge from the hospital.

Appendectomy

You have had your appendix removed laparoscopically. The appendix is a worm-shaped hollow pouch attached to the beginning of your large intestine. During your procedure, the doctor made two to four small incisions. One was near your bellybutton, and the others were elsewhere on your abdomen. Through one incision, the surgeon inserted a thin tube with a camera attached (called a laparoscope). Surgical tools were inserted in the other incisions. You may feel discomfort in your shoulder and chest for up to 48 hours after surgery. This is normal. It is caused by carbon dioxide (gas) used during the operation. It will go away.

Please take the analgesics prescribed for moderate to severe pain.For mild pain, Tylenol should be adequate.

No driving or operating heavy machinery while taking any narcotic medications for pain while on Opioids, like Norco, Demerol, Percocet etc.

If you have a derma bond (a glue) for dressings, you can get in the shower the day of surgery.

If you have dressings, please remove the dressings in 48 hours after surgery and leave the steri-strips for 10-14 days. You can still get in the shower. Please dab the steri-strips dry when you get out of the shower. Once you remove the dressing, if you have staples, leave them open to air.

 

Activity

  • Resume light activities around your home as soon as possible.
  • Don’t lift anything heavier than 10-15 pounds for 2 weeks.
  • Limit sports and strenuous activities for 1 to 2 weeks.
  • You may walk indoors, outdoors, up and down stairs.
  • Shower as usual.
  • Gently wash around your incisions with liquid soap and water.
  • Don’t bathe or soak in a tub until your incisions are well healed.
  • Wear loose-fitting clothes. This will help you be more comfortable and cause less irritation around your incisions.
  • Don’t drive until you are no longer taking prescription pain medication.

Diet

  • Eat a bland, low-fat diet for the first few days, and then expand to regular as tolerated.
  • Drink 6 to 8 glasses of water a day, unless directed otherwise.
  • If you are constipated, take a  OTC laxatives  such as Metamucil, Colace , Dulcolax etc.

Medications

You can resume your normal medications after surgery unless you are told not to. You will get a prescription for pain medicine. Get your prescription filled at your normal pharmacy and call our office if you have any problems with it.

 

When to Call Your Doctor

Call your doctor immediately if you have any of the following:

  • Swelling, oozing, worsening pain or unusual redness around the incision.
  • Fever of 100.5 degrees or higher.
  • Increasing abdominal pain.
  • Severe diarrhea, bloating or constipation, nausea or vomiting that lasts more than 12 hours, profuse bleeding or discharge form the wounds.

Follow-Up

If you don’t have already a follow up appointment, please call our office in a couple of days for 2 weeks follow up in our office after your surgery.

Breast Biopsy

Wound Care

The incision is covered with a clear plastic dressing with a white pad underneath it. This is waterproof and you can shower with it on. Remove it in 2-3 days and you can continue to shower. There may be some blood spotting on the white pad. This is normal. If there are steri-strips (small strips of tape) on your incision leave these on. If they fall off it’s OK. Your wound is closed with sutures under the skin that will dissolve. If you have staples we will remove these in the office later and it does not hurt. Your incision will be sore and firm. This is normal wound healing. It will begin to soften in 3-4 weeks. You may apply an icepack to the incision during the first 24 hours after surgery. You do not need to apply Neosporin to the incision but can if you wish.

Please take the analgesics prescribed for moderate to severe pain. For mild pain, Tylenol should be adequate.

No driving or operating heavy machinery while taking any narcotic medications for pain while on Opioids, like Lortab, Demerol, Percocet etc.

Activity

You should do no running or heavy exercise for several days. Other activities are fine as your soreness allows.

Diet (This does not apply if you are having a Stereotactic Biopsy)

  • After you recover from the anesthesia you can resume your normal diet. The first meal or two after surgery should be light and bland, such as a baked potato or soup.
  • Drink 6 to 8 glasses of water a day, unless directed otherwise.
    If you are constipated, take a OTC laxatives such as Metamucil, Colace , Dulcolax etc.

Medications

You can resume your normal medications after surgery unless you are told not to. You will get a prescription for pain medicine. Get your prescription filled at your normal pharmacy and call our office if you have any problems with it.

Biopsy results

We will call you as soon as your pathology results are available, usually within 5 working days.

Follow-up

You will need to call the office to arrange a follow-up visit, if one has not already been made for you. We normally see patients back in 7-14 days but will see you sooner if you have a problem.

Gallbladder Surgery

Wound Care

The incisions are covered with a clear plastic dressing with a white pad underneath it. This is waterproof and you can shower with it on. Remove it in 2-3 days and you can continue to shower. There may be some blood spotting on the white pad. This is normal. If there are steri-strips (small strips of tape) on your incisions leave these on. If they fall off it’s OK. Your wound is closed with sutures under the skin that will dissolve. If you have staples we will remove these in the office later and it does not hurt. Your incisions will be sore and firm. This is normal wound healing. They will begin to soften in 3-4 weeks. You may apply and ice pack to the incisions during the first 24 hours after surgery. You do not need to apply Neosporin to the incisions but can if you wish.

Please take the analgesics prescribed for moderate to severe pain. For mild pain, Tylenol should be adequate.

No driving or operating heavy machinery while taking any narcotic medications for pain while on Opioids, like Lortab, Demerol, Percocet etc.

Activity

  • Resume light activities around your home as soon as possible.
  • You should do no lifting over about 30 lbs for one week. After that you can gradually increase lifting as your soreness allows. You can drive a car as soon as you are comfortable, usually in 3-4 days. You can walk and do other activities as your soreness allows.
  • Limit sports and strenuous activities for 1 to 2 weeks.
  • You may walk indoors, outdoors, up and down stairs
  • Shower as usual.
  • Gently wash around your incisions with liquid soap and water.
  • Don’t bathe or soak in a tub until your incisions are well healed.
  • Wear loose-fitting clothes. This will help you be more comfortable and cause less irritation around your incisions.
  • Don’t drive until you are no longer taking prescription pain medication.

Diet

  • After you recover from the anesthesia you can resume your normal diet. The first meal or two after surgery should be light and bland, such as a baked potato or soup.Eat a bland, low-fat diet for the first few days, and then expand to regular as tolerated.
  • Drink 6 to 8 glasses of water a day, unless directed otherwise.
  • If you are constipated, take a OTC laxatives such as Metamucil, Colace , Dulcolax etc.

Medications

You can resume your normal medications after surgery unless you are told not to. You will get a prescription for pain medicine. Get your prescription filled at your normal pharmacy and call our office if you have any problems with it.

Follow-up

You will need to call the office to arrange a follow-up visit, if one has not already been made for you. We normally see patients back in 7-14 days but will see you sooner if you have a problem.

Hernia Surgery

Wound Care

The incision is covered with a clear plastic dressing with a white pad underneath it. This is waterproof and you can shower with it on. Remove it in 2-3 days and you can continue to shower. There may be some blood spotting on the white pad. This is normal. If there are steri-strips (small strips of tape) on your incision leave these on. If they fall off it’s OK. Your wound is closed with sutures under the skin that will dissolve. If you have staples we will remove these in the office later and it does not hurt. Your incision will be sore and firm. This is normal wound healing. It will begin to soften in 3-4 weeks. You may apply an icepack to the incision during the first 24 hours after surgery. You do not need to apply Neosporin to the incision but can if you wish.

Please take the analgesics prescribed for moderate to severe pain. For mild pain, Tylenol should be adequate.

No driving or operating heavy machinery while taking any narcotic medications for pain while on Opioids, like Lortab, Demerol, Percocet etc.

 

Activity

You should do no lifting over about 15 lbs for two weeks if your surgery was performed laparoscopically or for 4 weeks if your surgery was performed as an open procedure (not laparoscopic ). After that you can gradually increase lifting as your soreness allows. You can drive a car as soon as you are comfortable, usually in 3-4 days. You can walk and do other activities as your soreness allows.

Diet

  • After you recover from the anesthesia you can resume your normal diet. The first meal or two after surgery should be light and bland, such as a baked potato or soup.
  • Drink 6 to 8 glasses of water a day, unless directed otherwise.
  • If you are constipated, take a OTC laxatives such as Metamucil, Colace , Dulcolax etc.

Medications

You can resume your normal medications after surgery unless you are told not to. You will get a prescription for pain medicine. Get your prescription filled at your normal pharmacy and call our office if you have any problems with it.

Follow-up

You will need to call the office to arrange a follow-up visit, if one has not already been made for you. We normally see patients back in 7-14 days but will see you sooner if you have a problem.

Pilonidal Cystectomy

You have had a pilonidal cyst removed. Prior to surgery you were quoted a 50/50 chance of initial wound healing. If your incision opens which happens 50% of the time you will need to pack your incision for two to three weeks after surgery.

Please take the analgesics prescribed for moderate to severe pain. For mild pain, Tylenol should be adequate.

No driving or operating heavy machinery while taking any narcotic medications for pain while on Opioids, like Lortab, Demerol, Percocet etc.

Activity After Surgery

  • After surgery, take it easy for the rest of the day.
  • Don’t lift anything heavier than 15 pounds until your doctor says it’s okay.
  • Don’t mow the lawn, use a vacuum cleaner, or do other strenuous activities until your doctor says it’s okay.
  • You may walk indoors, outdoors, up and down stairs.
  • Avoid constipation:
    • Eat fruits, vegetables and whole grains.
  • Drink 6-8 glasses of water a day, unless otherwise instructed.
  • Use a laxative or a mild stool softener if your doctor says it’s okay.
  • Sexual activity as tolerated. If it starts to hurt – stop.

Bandage and Incision Care

Remove any gauze bandage in 48 hours – you may replace a dressing if there is any drainage noted.
You will have sutures in place.
You may shower in 48 hours.
Wash your incision with liquid soap and water. Pat it dry. Don’t use oils, powders or lotions on your incision.

When to Call Your Doctor

Call your doctor immediately if you have any of the following:

  • Bleeding
  • Increasing Pain
  • Increased redness or drainage of the incision
  • Fever 100.5 degrees Fahrenheit or higher
  • Follow-Up

Please make a follow-up appointment for two weeks after your surgery if this has not already been done for you.

 

GENERAL WEIGHT LIFTING RESTRICTIONS

  • No lifting more than 10-15 pounds for 2 weeks for laparoscopic cases, like cholecystectomy, lysis of adhesions, appendectomy, Nissen Fundoplication, laparoscopic colon resection, laparoscopic inguinal hernia repair, etc.
  • No lifting more than 10-15 pounds f0r 4 weeks for open inguinal hernia repair, umbilical hernia repair,ventral hernia repair, incisional hernia repair, exploratory laparotomy etc.