complex hernia

RECOVERY AND AFTER CARE

The recovery of every patient following this type of procedure is different - sometimes for exactly the same procedure the range of recovery is amazing and is one of those things we really cannot explain.

There are some patients who do not take any pain medication and have very little pain and get back to normal mobility within one or two days, whilst there are others, who need painkillers for three or four days.

We encourage you to be as mobile as possible and take pain medication if you feel it is necessary.
The wound itself may become swollen and there can be some bruising in the scrotal area in males. This is not a great cause for alarm. It is due to some blood tracking down with gravity from the wound site.

Complications following the surgery are uncommon but if you do feel that you have a complication you should let us know. The wound may be quite thickened for a week or so, and in fact there is often a ridge palpable for two or three months. This always returns to normal. Possible complications with the wound are infection or severe bleeding. These are both rare as audit of our results has shown. However, if you have any concern you should contact us and you will be reviewed.

MOBILISATION FOLLOWING SURGERY:
You are encouraged to mobilise and be as active as possible. driving is not recommended for about one week, We do not encourage any heavy lifting for some four to six weeks. The repair is strong almost from day one but we believe in being sensible. It is hard to give you actual weight measurements, which you cannot lift. However a general rule would be that you should not lift anything, which is uncomfortable.

Of course, we suggest that when you do cough, sneeze, laugh or strain you place your hand over the wound for some support. We feel we have dealt with most of the common issues following surgery. One matter, which sometimes comes up, is sensitivity to the dressings or even an allergy. You should of course let us know if you have any history of alergy prior to the procedure, but if there is excessive itch or redness or some unusual feature then the dressing can be removed and we should be notified. Occasionally in men the moisture following surgery can cause exacerbation of any fungal problems etc.

AFTE CARE

Wound Care
The laparoscopic sites will have stitches that dissolve and be covered with small paper tapes (Steristrips).
The waterproof dressings are to be removed two days after your operation.
Keep the sites clean and dry. You may remove the Steristrips after 5-6 days.

Post-operative symptoms
• Expect some soreness and pain around the incision sites for several days.
• You may also experience some shoulder tip or rib cage pain. This is due to a small amount of
  residual gas under the diaphragm. Peppermint tea, Panadol and a hot pack applied for a short
  time to the painful area may be helpful. Anti-inflammatory medication may be required.
• Some degree of abdominal bloating is normal and will settle over the next few days.

Activities
• Increase your physical activities gradually over the next few weeks.
• Avoid vigorous activities for the first weeks after your operation.
• Avoid exercises such as sit-ups or lifting heavy objects until after your first post-operative review.
• You may resume sexual intercourse after discussion with the surgeon.
• Avoid driving a car for one week, or until you are not suffering any affects from strong pain.
   relievers and feel comfortable to drive. If you have any concerns check check with your surgeon.
• You may need one to two weeks off work. This varies depending on your work activities and the
  type of surgery performed.

Follow-up appointment
You will be advised of the follow-up appointment time prior to hospital discharge. This is generally 7 – 10
days after surgery. Further follow up to be advised as necessarys.

What to look out for after discharge from hospital
In general, normal recovery means you should feel gradually better each day. Notify your surgeon if you
notice any of the following:
• Fever (greater than 38°)
• Increasing abdominal pain
• Nausea and vomiting
• Increasing tenderness and redness at the wound sites
• Increasing feeling of being unwell If you are unable to contact your surgeon, try contacting your family
  doctor or the hospital where you   had your surgery, or the nearest hospital emergency department and .
  ask the doctors there to contact the treating surgeon.

 

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