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  • POST-OPERATIVE HERNIA INSTRUCTIONS · POST-OPERATIVE HERNIA INSTRUCTIONS 1. Take your usual medications (blood pressure, diabetes, blood thinners, etc.) the evening of your surgery
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4501 Birch Street, Newport Beach, CA 92660 OFFICE: 949.221.0136 FAX: 949.387.1136 [email protected] www.californiaherniaspecialists.com POST-OPERATIVE HERNIA INSTRUCTIONS 1. Take your usual medications (blood pressure, diabetes, blood thinners, etc.) the evening of your surgery day unless otherwise directed. 2. You should follow a light diet such as soup and crackers for the first 12-24 hours after surgery. You can resume a normal diet but one high in fiber the day after surgery. Be sure to include a lot of fluids daily. 3. Applying ice to your hernia location and incisions for 20 minutes on and 20 minutes off is strongly recommended for at least 48 hours. Ziploc bags with crushed ice or frozen peas are commonly used along with a towel between the bag and your skin. Icing more frequently and for a longer duration is fine. 4. Having ice bags in a small cooler next to your bed while sleeping can allow you to change ice packs when waking during the first 1-2 nights. 5. The patients who ice the most have the least amount of pain and swelling after their surgery. Many patients who have elevated pain levels or uncomfortable swelling and bruising did not use ice regularly after surgery. 6. Many patients will experience a significant amount of swelling and bruising after surgery (especially groin hernia surgery, both open and laparoscopic). Sometimes this can take several days before appearing. The amount of swelling (often in the scrotum/testicle area) can be the size of a softball or larger. The bruising can be the color of dark purple or black. Again, this is completely normal and expected. Icing, scrotal support and reclining will help. The swelling and bruising frequently resolves as quickly as it appears but can also last several weeks. This is expected. 7. Many patients will feel a firm lump and hardness around the surgery site. This may make it feel as if your hernia is still there. This is normal. 8. Medical glue (Dermabond) will be applied over your incisions. You may shower in 24 hours. However, do not submerge your incision (bath tub, pool, jacuzzi, ocean) for 2 weeks. Do not scrub the skin glue; it will flake off over 2-3 weeks. 9. Approximately 7% of patients will not be able to urinate by the evening after their surgery. This can happen even if you are able to urinate immediately after surgery. If you are unable to urinate after about 6 hours, or when you feel increasingly uncomfortable, you should go to your nearest Emergency Room to have your bladder catheterized. Emergency Rooms are used to this and will easily take care of you. 10. Most patients will have this bladder catheter in place for 48 hours and then remove it at home. Often, if requested, the Emergency Room will give you a small syringe and show you how to remove the catheter yourself at home. It is extremely easy and can be done by most patients without any difficulty. 11. Please follow the recovery chart that was provided to you for instructions on post-surgery activities. However, as a quick reminder: a. Walking and climbing stairs immediately after your surgery to get into your home or to your second-floor bedroom is fine.

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  • 4501 Birch Street, Newport Beach, CA 92660 OFFICE: 949.221.0136 FAX: 949.387.1136

    [email protected] www.californiaherniaspecialists.com

    POST-OPERATIVEHERNIAINSTRUCTIONS

    1. Takeyourusualmedications(bloodpressure,diabetes,bloodthinners,etc.)the

    eveningofyoursurgerydayunlessotherwisedirected.2. Youshouldfollowalightdietsuchassoupandcrackersforthefirst12-24hours

    aftersurgery.Youcanresumeanormaldietbutonehighinfiberthedayaftersurgery.Besuretoincludealotoffluidsdaily.

    3. Applyingicetoyourhernialocationandincisionsfor20minutesonand20minutesoffisstronglyrecommendedforatleast48hours.Ziplocbagswithcrushediceorfrozenpeasarecommonlyusedalongwithatowelbetweenthebagandyourskin.Icingmorefrequentlyandforalongerdurationisfine.

    4. Havingicebagsinasmallcoolernexttoyourbedwhilesleepingcanallowyoutochangeicepackswhenwakingduringthefirst1-2nights.

    5. Thepatientswhoicethemosthavetheleastamountofpainandswellingaftertheirsurgery.Manypatientswhohaveelevatedpainlevelsoruncomfortableswellingandbruisingdidnotuseiceregularlyaftersurgery.

    6. Manypatientswillexperienceasignificantamountofswellingandbruisingaftersurgery(especiallygroinherniasurgery,bothopenandlaparoscopic).Sometimesthiscantakeseveraldaysbeforeappearing.Theamountofswelling(ofteninthescrotum/testiclearea)canbethesizeofasoftballorlarger.Thebruisingcanbethecolorofdarkpurpleorblack.Again,thisiscompletelynormalandexpected.Icing,scrotalsupportandrecliningwillhelp.Theswellingandbruisingfrequentlyresolvesasquicklyasitappearsbutcanalsolastseveralweeks.Thisisexpected.

    7. Manypatientswillfeelafirmlumpandhardnessaroundthesurgerysite.Thismaymakeitfeelasifyourherniaisstillthere.Thisisnormal.

    8. Medicalglue(Dermabond)willbeappliedoveryourincisions.Youmayshowerin24hours.However,donotsubmergeyourincision(bathtub,pool,jacuzzi,ocean)for2weeks.Donotscrubtheskinglue;itwillflakeoffover2-3weeks.

    9. Approximately7%ofpatientswillnotbeabletourinatebytheeveningaftertheirsurgery.Thiscanhappenevenifyouareabletourinateimmediatelyaftersurgery.Ifyouareunabletourinateafterabout6hours,orwhenyoufeelincreasinglyuncomfortable,youshouldgotoyournearestEmergencyRoomtohaveyourbladdercatheterized.EmergencyRoomsareusedtothisandwilleasilytakecareofyou.

    10. Mostpatientswillhavethisbladdercatheterinplacefor48hoursandthenremoveitathome.Often,ifrequested,theEmergencyRoomwillgiveyouasmallsyringeandshowyouhowtoremovethecatheteryourselfathome.Itisextremelyeasyandcanbedonebymostpatientswithoutanydifficulty.

    11. Pleasefollowtherecoverychartthatwasprovidedtoyouforinstructionsonpost-surgeryactivities.However,asaquickreminder:

    a. Walkingandclimbingstairsimmediatelyafteryoursurgerytogetintoyourhomeortoyoursecond-floorbedroomisfine.

  • 4501 Birch Street, Newport Beach, CA 92660 OFFICE: 949.221.0136 FAX: 949.387.1136

    [email protected] www.californiaherniaspecialists.com

    b. Youmayresumelightdailyactivitiesbeginningthedayaftersurgerygraduallyincreasingastolerated.

    c. Refrainfromheavylifting(>20#’s)until3weeksaftersurgery.d. Youmaydriveifyouarenottakingprescriptionpainmedications,you

    cancomfortablywearaseatbelt,andyoucansafelymaneuveryourcarandapplybrakes.

    e. Ifyourjobdoesnotrequirestrenuousactivity,youmayreturntoworkassoonasyoufeelcomfortable,usually3-4days.

    f. Youmayresumesexualactivitywhenitiscomfortable.12. Itiscommontoexperienceconstipationwhiletakingopioidpainmedications

    aftersurgery.Increasedfluidintakeandtakingastoolsoftener(suchasSenokotS)willusuallyhelporpreventthisfromoccurring.Amildlaxative(MilkofMagnesiaorMiraLAX)shouldbetakenaccordingtopackagedirectionsiftherearenobowelmovementsafter48hours.

    13. Youwillhavereceivedintravenousopioidpainmedicationsduringyoursurgery.Thisalonecancausepatientstoexperienceconstipation.

    14. Somepatientscomplainthatconstipationwastheirworstpost-surgeryissue.Pleasetakepreventingitseriously.

    15. Wewouldlikeafollowupwithyouapproximately3weeksafteryoursurgery.Thiscaneitherbeinourofficeoroverthephone,whicheverismoreconvenientforyou.Patientswhoaredoingwelloftenfindthataphonefollowupisallthatisneeded.Ifyouprefertoseeusinperson,pleasebesurethatyoucallussoonafteryoursurgerytoensureaconvenientappointmenttime.

    16. Ifyouhavedisabilityorfamilyleaveforms,youmustbringthemtotheofficeforprocessingbeforeorafteryoursurgery.Pleasedonotgivethemtoyourdoctor.

    WHENTOCALLYOURDOCTOR:

    1. Continuedbleedingfromanincision2. Persistentnauseaandvomiting(afterthefirst24hours)3. Feverover101.5(F)(afterthefirst48hours)4. Increasedpain,redness,ordrainagefromanincision(after3-4days)

    Ourstaffisavailabletoansweryourquestionsduringregularbusinesshours.Pleasedon’thesitatetocalltospeaktooneofourmedicalassistantsornursesforclinicalconcerns.Ifyouhaveamedicalemergencygotothenearestemergencyroomorcall911.Asurgeonfromourofficeisalwaysoncall.


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