Post-Op Instructions
 
i.    Discharge Instructions for Anal Procedures
 
ii.    Discharge Instructions for Laparoscopic Appendectomy
 
iii.    Discharge Instructions for Laparoscopic Cholecystectomy
 
iv.    Discharge Instructions for Inguinal Hernia Repair
 
v.    Discharge Instructions for Pilonidal Cyctectomy
 
vi.    Discharge Instructions for Colon Surgery
 
Discharge Instructions for Anal Procedures
( Hemorrhoidectomy, anal fistulotomy/fistulectomy, seton placement, sphincteroplasty, anal sphincterotomy, and transanal excision of polyps)
 
Home Care
 

  • Avoid strenuous activity for 1-2 days after your procedure.
  • Take sitz baths (sit for 10 minutes in about 3 inches of warm water) at least 3 times a day and after each bowel movement.
  • Don’t worry if you have some bleeding, discharge, or itching during your recovery. This is normal.
  • Avoid constipation.
    • Use a laxative or stool softeners-
      • Colace 100mg by mouth twice daily
      • Mineral oil one tablespoon at bedtime
    • Eat more high-fiber foods.
    • Drink 6-8 glasses of water a day, unless directed otherwise.
  • Spend less time sitting on the toilet.
  • Avoid straining with bowel movements. Straining increases pressure and irritation, which can lead to pain and swelling.
  • Sexual activity as tolerated.  If it starts to hurt- stop.

When to Call Your Doctor
 
Call your doctor right away if you have any of the following:
 

  • Fever above 100.5°F
  • A large amount of drainage or bleeding
  • Trouble urinating
  • No bowel movement for more than 48 hours

 
Follow-Up
 
Make a follow-up appointment for 2 weeks after your surgery
 
Discharge Instructions for Laparoscopic 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 doctor 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.
 

Activity
 

  • Resume light activities around your home as soon as possible.
  • Don’t lift anything heavier than 15 pounds for 2 weeks.
  • Limit sports and strenuous activities for 1 or 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.
  • Sexual activity as tolerated.  If it starts to hurt- stop.

Diet
 

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

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°F or higher
  • Increasing abdominal pain
  • Severe diarrhea, bloating, or constipation nausea or vomiting

Follow-Up
 
Make a follow-up appointment for 2 weeks after your surgery
 
Discharge Instructions for Laparoscopic Cholecystectomy
 
You have you gallbladder removed laparoscopically. 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 doctor 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.
You can live a full and healthy life without your gallbladder. This includes eating the foods and doing the things you enjoyed before your gallbladder problems started. There is no need for a special diet after this surgery.
 
Home Care
 

  • Don’t drive until you are no longer taking pain medication.
  • Wash the skin around your incision daily with liquid soap and water. It's okay to shower the day after your surgery.
  • Eat your regular diet. It is wise to stay away from rich, greasy, or spicy food for a few days.
  • Remember, it takes about 1 week for you to get most of your strength and energy back.
  • You may walk indoors, outdoors, up and down stairs.
  • Make an office visit to talk to your doctor if the following symptoms don’t go away within a week after your surgery:
    • Fatigue
    • Pain around the incision
    • Diarrhea or constipation
    • Loss of appetite
  • Sexual activity as tolerated.  If it starts to hurt- stop.

When to Call Your Doctor
 
Call your doctor immediately if you have any of the following:

  • Yellowing of your eyes or skin (jaundice)
  • Chills
  • Fever above 100.5°F
  • Redness, swelling, increasing pain, pus, or a foul smell at the incision site
  • Increasing abdominal pain, constipation nausea or vomiting

Follow-Up
 
Make a follow-up appointment for 2 weeks after your surgery
 
Discharge Instructions for Inguinal Hernia Repair
 
A hernia is a tear or weakness in the wall of the abdomen. This weakness may be present at birth. Or it can be caused by the wear and tear of daily living. Hernias may get worse with time or with physical stress.
 
Activity After Surgery
 

  • After surgery, take it easy for the rest of the day.
  • Apply ice packs over your incision for 24 hours keep it on for 20 minutes and off for 20 minutes.  This reduces the swelling and inflammation and reduces the pain felt. 
  • Don’t drive while you are still taking narcotic pain medication and don’t drive for at least 2 weeks after the operation.
  • 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
  • If strips of tape were used to close your incision called steri strips, don’t pull them off. Let them fall off on their own.
  • 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:

  • A large amount of swelling or bruising (some testicular swelling and bruising is common)
  • Bleeding
  • Increasing pain
  • Increased redness or drainage of the incision
  • Fever 100.5°F, or higher
  • Trouble urinating
  • Nausea or vomiting

Follow-Up
 
Make a follow-up appointment for 2 weeks after your surgery
 
Discharge Instructions for Pilonidal Cyctectomy
 
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 there weeks after surgery. 
 
Activity After Surgery
 

  • After surgery, take it easy for the rest of the day.
  • Don’t drive while you are still taking narcotic pain medication and don’t drive for at least 2 weeks after the operation.
  • 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°F, or higher

Follow-Up
 
Make a follow-up appointment for 2 weeks after your surgery
 
Discharge Instructions for Colon Surgery
 
A colectomy is surgery to remove your colon. Your colon, also called the large intestine, is part of your bowel. A colectomy is performed to remove disease, such as cancer, polyps, divwerticulitis, and irritable bowel disease, and to relieve the symptoms you have been having, such as bleeding, blockage, and pain. Home Care and Activity
 

  • Walk on a regular basis. Start with short walks each day. Gradually increase the distance you walk and how often you walk.
  • Don’t lift anything heavier than 15 pounds for the first 6 weeks after your surgery.
  • Don’t drive for 2 weeks after surgery. Don’t drive while you are taking prescription pain medication.
  • Ask your doctor when you can expect to return to work. Most patients are able to return to work within 4 to 6 weeks after surgery.
  • Diarrhea or loose stools are common for the first week or two after surgery, but if you have watery diarrhea, call your surgeon. This may be a sign of a bowel infection.
  • Follow the Modified Fiber diet prescribed for you in the hospital. Slowly add foods until you get back to your regular diet. If a food gives you stomach or bowel problems, avoid it for a while.
  • Drink at least 8 glasses of water every day, unless directed otherwise. Remember, if you have an ostomy you need to drink more than what comes out to keep from getting dehydrated.
  • You may walk indoors, outdoors, up and down stairs.
  • Shower as needed. Gently wash your incision with liquid soap and water and pat dry.
  • Avoid tub baths until the staples in your incision have been removed.

When to Call Your Doctor
 
Call your doctor right away if you have any of the following:

  • Fever above 101.5°F
  • Diarrhea that lasts more than 3 days
  • Nausea and vomiting that won’t go away
  • Pain in your abdomen that gets worse or isn’t relieved by pain medication
  • Drainage or redness around your incision

 
Follow-Up
 
Make a follow-up appointment for 2 weeks after your surgery

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