Pre and Post Surgical Instructions

Pre and Post Surgical Instructions

Day Before Your Surgery

The day before your surgery, please eat a clear liquid diet, examples of which are: broth, Jell-O, popsicles, water, tea, coffee, Gatorade, and all juices (try to avoid orange juice).

Nothing to eat or drink after midnight prior to surgery, or 8 hours before your surgery (in the event that your surgery is scheduled later in the day.)

Bring any medications you take on a regular basis with you to the hospital. Do not take them on the morning of or 8 hours before your surgery.

If you are taking NSAID’s (i.e. Ibuprofen, Motrin, Aleve, Aspirin), you will need to discontinue this seven (7) days prior to surgery. Discontinue herbal supplements as well 7 days prior.

Bowel/Body Prep

** If your doctor instructed you to do a bowel-prep, then

  • Drink Magnesium Citrate starting at 4:00 p.m.-5:00 p.m. the night before surgery. It tastes best poured over ice or in juice/soda. Use Fleets enemas until bowels run clear
  • Once you start going to the bathroom, drink plenty of water or Gatorade so you will not become dehydrated.
  • If you will be undergoing vaginal or lower abdominal surgery, do not shave you may trim.

You’re ready to go! I’ll see you in the holding area in the morning or afternoon of your surgery. Please do not hesitate to contact us with any questions.

Post-Operative Risks

There is a risk of blood clot formation after surgery, and this more frequently occurs in the legs, but can occur in the lungs. This can be a life threatening condition. Prevention of complications includes use of sequential compression stocking (SCD’s) and TED hose at the time of surgery, early walking the day after your surgery, deep breathing exercises, coughing, and use of an incentive spirometer to encourage deep breathing. Pre-operative medical conditions such as diabetes, high blood pressure, lung disease, and heart disease increase the risk of surgery and post-op complications, as does advanced age.

Please call us if you have a fever over 100.5 F consistently at home, pain worsens or is not controlled by medications, excess discharge or concerns for wound infection, heavy vaginal bleeding, nausea or vomiting, leg pain or swelling, or new shortness of breath.

Immediately after Major/In-Patient Surgery:
* You will wake up with a catheter in your bladder and possibly a pack in your vagina, as well as the compression stockings, on your legs.

On the first day after your surgery the packing and catheter usually come out. The nurse may check to see if you have emptied your bladder all the way with an ultrasound scan or by passing a catheter after you have tried to void. For patients who cannot empty their bladder completely, we will reinsert the catheter or begin voiding trials. Your diet is generally started as only liquids and advanced as you are able. Most often, you can be switched from IV pain medications to oral medications. Also, you will be encouraged to sit in a chair, go for some short walks, and generally increase your activity. Most patients go home 1 to 2 days after the surgery. It is likely you will be prescribed estrogen cream to aid in healing.

Post Prolapse Surgery

Week 1

  • Rest at home; you should not be responsible for making meals for others, or major care of children, or relatives.
  • Get up and around the house and it is ok to climb stairs if necessary; do not become overtired, take an afternoon nap.
  • You may shower, not bathe.
  • Stick to a simple diet (light foods and liquids) until your first bowel movement, and then you may eat what you like.
  • Refrain from intercourse approximately 4-6 weeks or released by M.D.
  • Use either the prescription for pain, or Tylenol or Advil (ibuprofen) equivalent for pain.

Weeks 2 and 3

  • You should be seen during this period for a post-op follow up appointment
  • Increase your activity as desired, but avoid all major housekeeping chores.
  • Walking inside or outside is encouraged, but do not become overtired.
  • Rest for one hour each afternoon, listen to your body.
  • Spotting or vaginal discharge is common.

Weeks 4-12

  • Discuss return to work with your doctor, and increase your activity level.
  • It remains important not to become overtired or to perform any heavy lifting, strenuous exercise or physically demanding duties for a total of 12 weeks from the date of the operation. Healing is not complete for 12 weeks (3 months) from the time of surgery.
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