What preparations I should make before the surgey ?

  • It is important to follow the advice on your admission letter
  • You will be advised when to stop eating and drinking  ,you should not eat or drink for six to eight hours before the procedure.
  • If you are taking  any medication on a daily basis, discuss this with your surgeon as you may need to take some or all of the medication on the day of surgery with a sip of water. If you take aspirin, blood thinners or arthritis medication, discuss this with your surgeon.
  • Patient should have shower the evening before or the day of your operation. Cleaning of umbilicus ("belly button") with antiseptic soap, water, and a earbud  is important.
  • Vaginal  Preparationor removal of pubic hair is usually not  required.
  • Nail polish, make-up and jewelry should be removed the night before surgery.
  • If it’s a minor procedure ,there is no requirement of enema .But if its an major surgery you may be given peglec powder  in 2 litres of water the previous evening to empty the bowel .You may pass motion many times Though this is  unpleasant, this procedure minimizes the risk of surgical complications from bowel injury during your surgery.
  • Report of all the investigations should be present .
  • You should report to the hospital at the correct time as advised

Immediately Before Surgery

  • After you check in at the hospital, the nurse will call you into the changing room.
  • You will take off all your clothing and put on a patient gown, robe and slippers.
  • A doctor will complete a questionnaire about medications, allergies, your health status and other information prior to your surgery.
  • An informed, written consent shall be taken.Please ask any questions and express any concerns you may have.
  • Immediately prior to surgery, you will be asked to empty your bladder.
  • Glasses, contact lenses, dentures and jewelry should be removed.
  • Valuables should be left in the safekeeping of the person who accompanies you or should be left at home.

In the Operating Room

The anesthesiologist or one of the nurses will walk you into the operating room. You will be given medication that will make you drowsy and possibly make your vision blurry. Shortly after this, you will drift off to sleep.

What should I expect after the operation?

Following the operation, you will be transferred to the recovery room, where you will be monitored carefully until all the sedatives and anesthetics have worn off. Even though you may feel fully awake, the effects of any anesthetic may persist for several hours. Once you are able to walk and get out of bed unassisted, you may be discharged. Because the effects of anesthesia can linger for many hours, it is necessary to have someone accompany you to the office or hospital and drive you home after the procedure. You can expect some soreness around any incision site; this is normal. Your pain should improve daily even though you may need to take a pain reliever. Your surgeon will instruct you on the use of pain relievers and may give you a prescription for pain medication. Most patients are able to shower the day after surgery and begin all normal activities within a week.

How will the pain be after the operation?

You should experience much less pain after laparoscopic surgery than you would expect after a conventional operation. The procedure will not, however, be entirely pain free. At the time of going home you may still be feeling some lower abdominal discomfort and possibly some shoulder tip pain. Such discomfort is likened to a period pain and should be relieved by the medication you have been given by the hospital or by simple remedies such as paracetamol or aspirin. The pain may seem more severe at some times than others but it should progressively improve with time. Please contact your doctor if the pain gets suddenly or progressively more severe. Pain after keyhole surgery should never get worse and you should seek help if it does.

What are gas pains ?

You may experience some gas pains from residual carbon dioxide that may remain in your abdomen following the procedure. This pain usually presents as shoulder pain or sharp pain underneath your diaphragm. The pain is usually transient and will disappear in a day or two. It helps if you get up and move around while you are having this pain, and also if you drink either hot water or hot tea with fresh lemon. Heat, massage and exercise can also help to alleviate this pain.

How soon can I start eating after surgery?

If the surgery is uneventful, feeding can be started on the same day once the patient has recovered completely from the effects of anaesthesia, usually after 4-6 hrs ,provided no procedure has been performed on the bowel. In general, start with clear liquids (juices, soups or both) later you may advance your diet if there is no vomiting. Eat light, easily digested food for a day or two.

When will I go home after the operation?

You will be allowed to go home a few hours after the minor laparoscopic surgeries, if there are no complications. You should have emptied your bladder and not been in severe pain or actively bleeding. After uterus removal or any other major procedure you can be discharged on the next day .

Will I have any vaginal bleeding ?

The amount of vaginal bleeding you may expect after laparoscopic surgery varies according to the type of procedure performed. Please ask what to expect following your particular operation. After a hysterectomy and similar operations it is not unusual to have a moderate vaginal loss. This should never be heavier than a period and should get progressively lighter with time. Please get help if bleeding from your vagina or the abdominal wounds gets unexpectedly heavier or if you have unpleasant vaginal discharge.

Will I be able to pass urine without problems ?

It is not unusual to experience some difficulties in starting to pass urine after laparoscopic surgery and it may sometimes be uncomfortable to pass urine for a while after surgery. If this does not quickly settle you may have an infection which would benefit from antibiotics. Please contact your doctor for treatment.
Please get help if you develop a fever and urinary problems, particularly if associated with severe pain in the back.

How will my bowel function after the surgery?

Most women have some difficulty returning to a normal bowel function after any type of surgery. Constipation and infrequent bowel movements are common after laparoscopic surgery. This should rapidly improve once you return to a normal diet.
Please get help if you develop severe constipation, diarrhoea or colicky pain, particularly if associated with vomiting.


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