The patient is normally admitted to the hospital a day prior to surgery or o the day of surgery. After admission, the patient is examined and investigations reviewed by one of the team members also, a member of the Anaesthesia Team would conduct the pre-anaesthetic check-up. Pre-operative investigations are performed, if needed. The patient would need to be fasting overnight or for 8 hours for the surgery but can take his regulat dose of medicines with sips of water. (please follow the instructions given by the attending staff.)
Next morning, the patient is shifted to the operating theatre about an hour or so prior to the surgery. Aftersurgery, the patient is shifted to the recovry ward under the cae and supervision of our Anaesthesia Team. The patient is observed in the recovery ward normally for 2-4 hours after surgery and they shifted back to the room. Hence, the patient may come back to the room after about 5-8 hours after he/she has left the room.
Oral diet is started with sips of water when the patient returns to the room. he/she gradually progresses to drinking all liquids on the same day of surgery. The patient is encouraged to sit up, visi the toilet and move around the same day. In fact, movements are encouragedbecause this causes a dramatic reduction is pain and increases the sense of well-being.
The patient is given a normal breakfast next morning and will generally be discharged from hospital after a visit by one of the team members. On discharge, a discharge summary with the advised medication is handed over to the patient along with the date for next appointment.
Post operative instructions and information
- After the operation you will be kept in the recovery room. This period may vary form few minutes to few hours. The anaesthestist decides aboutyour shifting to room. The decision depends on many technical factors.
- Your will be sleepy immediately after the operation due to sedation give during anaesthesia and during the recovery period.
- You may have some discomfort when coming out of the effect of sedation. It gradually reduces to a tolerable level within a few minutes without any pain killer. However, ifnecessary you may ask for pain killer injections/tablets.You shouldtry to avoid these drugs because they produce drowsiness and you may sleep for a longer period which isnot desirable.
- Yu may feel nauseated in the immediate post-operative period, and you may even vomit which should not cause any worry. This generally gets over after few hours.
- You are generally allowed to have sips os water immediately after the operation and liquids on day of operation. In case of vomiting the liquid intake may be stopped and restarted after 30 minutes. The liquids may include water/ cold drinks/ milk/juices or some clear soups.
- You are allowed to have normal home cooked meals of your choice from the next morning at breakfast.
- You should have small frequent meals for few days after operation following which you can resume your normal diet gradually. This is vital because you may feel bloated and distended if the quantity fo food is in large quantities at a time.
- You should try to move the limbs can sit up immediately after operation. You should also go to the toilet on your own. There are no restrictions whatsoever for the physical movement. In fact majority of the patients will feel much better after they have started the movement. The pain also dramatically reduces once you start sitting up, moving and walking.
- There is no restriction on your physical activity. You are allowed to walk as soon as you recover from your sleep. There is no restriction on climbing of stairs, lifting weight etc. you may even drive two wheelers or car as soon as you feel fit. This infact is one of the major advantages of the laparoscopic procedure.
- You will be discharged on the same day or next day of operation unless there is some associated medical/social problems. You are advised to visitagain for follow up after 2-5 days when the dressings are removed . You should avoid wetting the dressings unless they are waterproof. After the removal of dressing, you can have normal bath with soap and water.
- In very few cases there may be some bloodly/whitish discharge from the wound in the post operative period. This should not bother your because it is generally harmless. You can wipe the discharge and apply band-aid so as to avoid staining the clothes. If it is more you ask any question tha tmay come to your mind.