Postoperative care of laparoscopic surgery patient

Do you need an accompany person?

The care for the patient is as with any other operation, but significantly less, compared to the classic operations. All necessary care will be provided by the medical staff in full and there is no necessity for the stay of relatives in assisting the recovery process of the patient. It is not forbidden of course, but it should always be made only at a time that will not disturb the rights of the other patients in the room / ward and does not violate the house rules of the ward / hospital.

Mobility regime after surgery
Movement is very important for the recovery of each person after surgery. It prevents greatly very serious, even life-threatening conditions and complications in the postoperative period. Therefore, the first steps are made 2-4 hours after surgery. The sooner you get moving alone - so-called "active movement", the faster you'll be in shape for returning home. When you are not in a position to move actively on your own, then we turn to the so called "passive movement", mostly by physical therapist. It is considerably more inefficient. The main orientation is the seventh postoperative day. Usually, this is the time for the removal of skin sutures. Until then the patient must be able to self-service, to take care of his basic needs and to move straight. Once this is achieved, it means that the movement regime is adequate. When we talk about laparoscopic surgery patients, this period is shortened considerably and often for patients that do not practice physical work it is an orientation for returning to work, and not for self- service. When it comes to physical workers or active athletes and sportsmen patients usually return to the respective activity in between 30 and 45 postoperative days. The principle of gradual load is important In terms of sex - a key indicator is the desire: once there is a persistent thought, it means that the recovery process runs properly.

Eating after your hospital discharge
Your doctor or operator/surgeon will take care to explain you and your family with what, when and how to eat when you go home. In recent years there has been a significant change in the concept of nutrition of operated patients and it is expressed in transition to follow the principles of nutrition, not as it was before to choose specific products and foods. The idea is that each patient finds out "his" diet, and is not put to ultimate schemes of meal. Generally speaking, there are very few operations, after which the patient must strictly adhere to a diet. Anyway, at your hospital discharge you will receive specific instructions that will have good results in your particular case.

Temporary disability after laparoscopic surgery
The period of temporary incapacity is generally considerably shorter than that of operations performed in the classic method. This is one of the main advantages of laparoscopic operations. At discharge, you will receive a sick leave for your hospital stay and as well as for the time needed for postoperative recovery according to the assessment of the operator / up to 30 days /. Only the GP has the right to continue your temporary incapacity to work and will issue the next patient's sick leave, based on medical history and duly formed opinion of the operator. It is important to note that he is not obliged to comply fully with the opinion of the surgeon.

Work reassignment after laparoscopic surgery
The method of the operation does not affect the vocational changing. It is determined by the disease and the scale of operation.

During the post-operative recovery
The recovery time is very specific for each patient. Factors that influence the recovery are very different in nature: objective / type and volume of the operation; age; comorbidities; postoperative complications ... / subjective / type of nervous system and perception of the world discrepancy between expected and actual, / and unexpected / unlock of a psychiatric disease after surgery due to stress; previously unplanned long hospital stay /. Overall recovery time from laparoscopic surgery is half of that compared to a classical one.

Follow-up of operated patients with cancer
Here, the main concern is to the operator, the GP and the cancer therapist.

The surgeon – operator
At discharge, patients receive their medical records, in which are marked attached surgical treatment, course of the disease, postoperative recovery, recommendations for hygienic diet (HDR) and drug treatment, date for removal of skin sutures, histological results and the decision of the /oncology commission for dispensary in the oncology centers and further treatment. After treatment according to the clinical pathway the patient is entitled to two control examinations within one month from the date of discharge. The visits are according to the desire of patient and desirable from the position of the surgeon in order to assess the postoperative course of the process. The first controlling examination is performed by the operator or physician advisory officer in reception hours of the operator, usually on the 7th postoperative day. Skin sutures are removed after an exam of the operational wound complications. The second control examination is carried out until the 30 day after discharge. Then the final result of the operation is assessed. If on the first control examination the patient has not received the final medical history, on the second visit he will receive it, to be able to present it to his GP. Surgeons, generally welcome the annual check-ups in order to establish late postoperative complications and emerging conditions as a result of the operation.

General Practitioner (GP)
He has the care for a direct long term follow-up. At the first meeting with him after your hospital discharge you have to give him your medical history. In this way he will be fully informed about the status and the care you need, appointed by your surgeon. Sometimes after surgery imposing lengthy dressings, periodic blood tests or referral to a specialist who will take care of the newly found diseases during your hospital stay.
In cases of oncology disease the GP can not take over the functions of oncology therapist. The latter is in charge of monitoring and assessing the need for further treatment.

Oncology therapist
Provided that the patient has proven oncology disease it is required a monitoring in oncology dispensaries of residence for up to 10 years / different for different diseases / in control of clinical, laboratory and instrumental indexes. The first step is the registration of the patient in oncology dispensary. Such dispensaries can be found only in several regional cities. They are used according to the patient’s residence. Your operator will direct you at your discharge. In case that you need ongoing chemotherapy or radiotherapy these centers will take care for this.

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