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Laporoscopic Post surgery
I was referred by my gyn to a oncologist for consultaiton about my pelvic mass/ovarian cysts. One is now slightly larger. My right cysts was at the start of this whole thing back in 9/08 5cm now its 8cm and the left was 6cm its the same. Now the pelvic surgeon was great he showed concern about me and my body and asked what was my expectation from the pain and I told him "to stop" and "if" that entailed removal of all my reproductive organs so be it, if something can happen that I don't need a complete hysterectomy I want to know my options. He explained to them to me. He asked me how was my pain? how often? how did I think it was effecting my quality of life? the bottom line was in his "medical opinion" to do a Laporoscopic procedure and that would "give me" more information (which would include pics) so I know exactly where my body stands with these cysts.
He also told my while he is in there he will of course take out the cysts and get a biopsy of my uterus, bladder and if he see that my tubes cannot be saved he will remove them (asking how I felt about that also). I am scarred, concerned, anxious, nervous and down right paniced from time to time. The pain never goes away it just sort dulls in my pelvic area (all the time) its annoying, irritating and sometimes I cry from the whole situation because all this happened because I got a STD back in 1990 and the scum boyfriend I had then didn't tell me he,I found out from a letter form the health clinic telling me I had chlamydia (sorry about the spelling). All these years I have had this problem and it caused me not to be able to have kids. I strayed away from my initial question .....What can I expect after the surgery? I am in college full time and I don't want to miss anything.
I just needed to vent all of these emotions out..
What a great post! I am going to print that out as I am due for laparoscopic surgery soon. I wish my doc had given something like that to me. I find I have to ask a lot of questions just to get any sort of detailed information out of him.
Here are my gyn/onc's post-op instructions for laparoscopic surgery:
"For the Patient Who Has Had Laparoscopic Abdominal Surgery
You have had abdominal surgery. The following information is intended to guide you in taking care of yourself when you get home. Included are instructions for your daily activities, what signs or symptoms you should watch for that could indicate a complication, as well as some general helpful hints.
First Week at Home
•Your activity should be as tolerated, progressing toward your activity level before surgery. You may go outdoors on nice days as soon as you would like.
•You may shower and wash you hair during the first week at home; thereafter, a tub bath or shower is fine.
•So you don't get too tired, you should limit climbing a flight of stairs to two (2) times per day. Climbing stairs will not hurt you, but because you may feel weak, you could fall easily.
•You should not have intercourse, dou che, or use tampons until your doctor indicates that is okay, usually after your first check-up.
•You have 3 or 4 small incisions on your lower abdomen. You should remove the dressings on the second day after surgery.
•Constipation will occasionally be a minor problem, usually it can be corrected with the return to your diet and normal activity level. You can help prevent constipation by drinking several glasses of water daily and eating fresh fruits and vegetables. If necessary, a mild laxative such as milk of magnesia can be used.
•You should avoid heavy lifting (more than five (5) pounds) for at least two (2) weeks. Do not lift children.
•You may use Gas-X for gas pains as directed. This is available without a prescription.
•Do not be alarmed if you have difficulty sleeping at night for the first few weeks after you return home. Remember you are not getting your usual amount of exercise during the day. It should become easier for you to sleep as your activity level returns to its normal level.
•Hiccups are common after this type of surgery. Drinking water can help resolve them.
Second Week at Home
•You should gradually increase your activities during your first two (2) weeks until you are almost at your usual level of activity.
•You may drive short distances when you are no longer taking medication for pain. (Examples: attend church, go to the grocery store, take your children to school.)
•Tiring easily is common after surgery; planned rest periods are beneficial.
•Wear clothing that is comfortable to you, but try to avoid extremely tight clothing. You may wear a comfortable girdle.
•Physical activity such as walking is good for you and will help you return to your usual level of activity. Avoid more vigorous activity such as aerobics, horseback riding, snow or water skiing, bicycle riding, and playing tennis. Dr.will let you know at your follow-up visits when you can return to your full normal activity level.
•You may use Tylenol or Motrin as directed for discomfort.
Call Your Doctor If:
•You experience more redness, tenderness, or swelling of your incision than when you left the hospital. However, your incision will remain tender and sensitive for several weeks and this is not cause for concern.
•You have drainage from your incision.
•Your temperature is greater than 100.4 degrees.
•You have problems with constipation not relieved by taking a mild laxative such as milk of magnesia.
•You experience severe abdominal pain.
•You have persistent nausea, vomiting, or diarrhea.
•You have any problems with urinating such as hesitancy, frequency, pass small amounts, or burning.
Return Appointments
•Please be sure to keep your return appointment with our office. If you are unable to come on the scheduled day, call the office as soon as possible and arrange for another appointment."
I can say that you will be walking slow like a 90 year old initially and you should do so with a small pillow. If you cough or sneeze, hold the pillow to your stomach to prevent tearing at stitches and extreme pain. Getting to classes may be impossible so some type of alternative arrangement may be required. Carrying books, laptop, etc. will be restricted to weights under 5 pounds for 2 or more weeks depending on how you feel, but definitely 2 weeks.
"For the Patient Who Has Had Laparoscopic Abdominal Surgery
You have had abdominal surgery. The following information is intended to guide you in taking care of yourself when you get home. Included are instructions for your daily activities, what signs or symptoms you should watch for that could indicate a complication, as well as some general helpful hints.
First Week at Home
•Your activity should be as tolerated, progressing toward your activity level before surgery. You may go outdoors on nice days as soon as you would like.
•You may shower and wash you hair during the first week at home; thereafter, a tub bath or shower is fine.
•So you don't get too tired, you should limit climbing a flight of stairs to two (2) times per day. Climbing stairs will not hurt you, but because you may feel weak, you could fall easily.
•You should not have intercourse, dou che, or use tampons until your doctor indicates that is okay, usually after your first check-up.
•You have 3 or 4 small incisions on your lower abdomen. You should remove the dressings on the second day after surgery.
•Constipation will occasionally be a minor problem, usually it can be corrected with the return to your diet and normal activity level. You can help prevent constipation by drinking several glasses of water daily and eating fresh fruits and vegetables. If necessary, a mild laxative such as milk of magnesia can be used.
•You should avoid heavy lifting (more than five (5) pounds) for at least two (2) weeks. Do not lift children.
•You may use Gas-X for gas pains as directed. This is available without a prescription.
•Do not be alarmed if you have difficulty sleeping at night for the first few weeks after you return home. Remember you are not getting your usual amount of exercise during the day. It should become easier for you to sleep as your activity level returns to its normal level.
•Hiccups are common after this type of surgery. Drinking water can help resolve them.
Second Week at Home
•You should gradually increase your activities during your first two (2) weeks until you are almost at your usual level of activity.
•You may drive short distances when you are no longer taking medication for pain. (Examples: attend church, go to the grocery store, take your children to school.)
•Tiring easily is common after surgery; planned rest periods are beneficial.
•Wear clothing that is comfortable to you, but try to avoid extremely tight clothing. You may wear a comfortable girdle.
•Physical activity such as walking is good for you and will help you return to your usual level of activity. Avoid more vigorous activity such as aerobics, horseback riding, snow or water skiing, bicycle riding, and playing tennis. Dr.will let you know at your follow-up visits when you can return to your full normal activity level.
•You may use Tylenol or Motrin as directed for discomfort.
Call Your Doctor If:
•You experience more redness, tenderness, or swelling of your incision than when you left the hospital. However, your incision will remain tender and sensitive for several weeks and this is not cause for concern.
•You have drainage from your incision.
•Your temperature is greater than 100.4 degrees.
•You have problems with constipation not relieved by taking a mild laxative such as milk of magnesia.
•You experience severe abdominal pain.
•You have persistent nausea, vomiting, or diarrhea.
•You have any problems with urinating such as hesitancy, frequency, pass small amounts, or burning.
Return Appointments
•Please be sure to keep your return appointment with our office. If you are unable to come on the scheduled day, call the office as soon as possible and arrange for another appointment."
I can say that you will be walking slow like a 90 year old initially and you should do so with a small pillow. If you cough or sneeze, hold the pillow to your stomach to prevent tearing at stitches and extreme pain. Getting to classes may be impossible so some type of alternative arrangement may be required. Carrying books, laptop, etc. will be restricted to weights under 5 pounds for 2 or more weeks depending on how you feel, but definitely 2 weeks.
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