9.5 Postoperative prostate care 

DIET 

• diet can be normal

• The best way to have a satisfactory recovery is to have a diet that contains fiber (fruits, vegetables, cereals) and plenty of fluids, approximately 2 jugs of juice or other fluid a day, to help the urine characteristics return to normal. normal and the remains of blood and clots that remain after the procedure are eliminated.

 DRUGS 

• Start the treatment with the medicines when you get home at the indicated time and according to the medical prescription

 CARE

• The user leaves with a bladder catheter for home

• You must be careful and avoid pulling on the catheter to prevent it from coming out and causing urethral trauma.

• urine should be clear

• The probe should always be connected to the cistophil or drainage bag. 

• Keep the cistophil or drainage bag below the waist. 

• The drain must be evacuated frequently to avoid bad odors. 

• When you leave the clinic, you will be assigned a control appointment by external consultation with the treating surgeon, you must attend 30 minutes before. No authorization from the E.P.S.

 GO TO THE EMERGENCY

• If abundant blood comes out of the wound 

• If you notice signs of infection or redness around the wound 

• If you have a fever 

• If you notice a large bruise around the wound

• If no urine comes out of the catheter 

• If you have bloody urine. 

• Pain in the lower abdomen and not being able to urinate.

• Accidental probe exit

1. ONCOLOGIC SURGERY

10.1 Post-operative care for gastrectomy

DIET

• The diet should be semi-soft or liquefied, such as gelatin, ground or shredded meat, soaked biscuits, mashed potatoes, etc.

• Drink plenty of fluids 

• Do not eat fatty or spicy foods, or eggs 

• Do not drink milk until the doctor authorizes it 

• Do not drink chocolate, coffee or dark drinks

• You can eat fruit, avoiding acid 

• Keep in mind that you must chew your food very well 

• You should reduce the amount of meals and increase their frequency, for example: The breakfast that is normally eaten should be divided into 3 parts and one of them eaten every two hours. 

MEDICATIONS 

Take the medications at the indicated time and according to the doctor's prescription

 CARE

• Do not exert yourself excessively

• Do not lift or move heavy objects 

• The surgical wound should remain covered and dry as much as possible until the day of the removal of stitches. If it is seen to be dirty or wet, it should be dried very well with a clean towel. 

• Upon discharge from the clinic, you will be assigned a control appointment by external consultation with the treating surgeon, you must attend 30 minutes before, authorization from the E.P.S. is NOT necessary. 

• If you have any drainage, remove it only with a doctor's order. 

GO TO THE EMERGENCY 

• If you notice a large bruise around the wound 

• If abundant blood comes out of the wound 

• If you notice signs of infection or redness around the wound 

• If you have a temperature greater than 38 degrees (fever). 

• If you see discharge of pus, thick yellow or green discharge from the surgical wound. 

• If you have severe pain that does not subside to treatment with the prescribed analgesics 

1. GYNECOLOGY 

11.1 Postoperative care laparoscopy

These are some important post-surgical indications and their post-operative control. Please read them carefully before your departure. Keep them and follow them during your home care.

• It has a main incision in the belly button and two or three additional incisions in the lateral or lower abdomen. You may have fluid coming out through these incisions for 3 or 4 more days. 

• The incisions will be covered with Micropore. Do not remove it until 2 or 3 days after surgery. After this time, remove the Micropore while bathing, leaving the incisions uncovered. Just wash them carefully with soap and water every day during your daily bath. At the time of departure you will be told if your incisions have stitches – the day and site of the stitch removal.

• When you get home after surgery, you can receive a soft diet (gelatin, coladas, broths, mashed potatoes, etc.). The next day take a normal diet (everything you have for lunch and dinner at home). Do not unnecessarily restrict your diet. 

• Avoid constipation. Drink three 8-ounce glasses of water throughout the day. If you have not had a bowel movement (stool) at night, take two tablespoons of milk of magnesia at bedtime. It is very important that you avoid constipation. Take plenty of soluble fiber and as much water as possible.

• Don't be lying at home all the time. You must get up. You should walk, ideally 30 minutes a day and, if possible, outdoors. You can go up and down stairs with help from the immediate postoperative period. You must restrict heavy physical activity until the time of your disability is complete. Carefully comply with the medication indicated in your starting formula. In addition, comply with the indicated days of your disability. 

• Request a copy of the surgical description (description of your surgery), prescription, stitch removal order, and disability before you leave and keep it with the other parts of your history. Your surgeon, the surgical secretary or the assistant in charge of your departure will give you these documents.

• You should request a follow-up appointment with the specialist who performed the procedure approximately 10-15 days after surgery. You must arrive at this control appointment 10 minutes before the assigned time to comply with the administrative requirements of entering the system. Attend with comfortable clothes. 

• If you have any additional symptoms during the postoperative period (pain, fever, bleeding, diarrhea, intolerance to food or medication, among others) consult the emergency service. 

NOTE: If you have concerns about what is written here, do not hesitate to clarify them with the clinic staff before you leave.

11.2 Postoperative recommendations for exploratory laparotomy

These are some important post-surgical indications and post-operative control. Keep these and follow them during recovery:

• If you have an incision in the abdomen (it can be longitudinal or transverse). This incision will be covered with Micropore. Do not remove the Micropore until 3-5 days after surgery. After that time, remove the Micropore while bathing, leaving the incision uncovered. Just wash it carefully with soap and water every day during the bath. At the time of departure they will indicate the day and the place for the withdrawal of the points. In addition, you must be waiting for the order to be delivered

• When you get home after surgery, receive a soft diet (gelatin, laundry, broth, etc.). From the next day take normal diet. Do not unnecessarily restrict the diet.

• Don't be lying around the house all the time. Get up, walk, ideally 30 minutes a day and in the fresh air. You can go up and down stairs with help from the moment of departure. Restrict heavy physical activity until the time of disability is complete.

• Carefully comply with the medication indicated in the output formula. In addition, comply with the indicated days of disability.

• Control will be assigned with the specialist who performed the procedure approximately 15 days later. Don't forget to claim these orders.

• If you have any additional symptoms in the postoperative period, such as any of the following, immediately consult the emergency service: 

• Fever (temperature higher than 38°C taken with a thermometer in the axillary region)

• Abundant and/or bad-smelling vaginal bleeding 

• profuse and continuous diarrhea

• Paleness or severe dizziness when standing up or walking around

• Abdominal pain

• Severe pain in the vaginal area or surgical site

• Abdominal distension

• Urinary retention (not being able to urinate)

• Pain or redness of the surgical wound

• Leakage of any abnormal discharge (blood or pus) from the wound or vagina 

• If you have concerns about what is written here, do not hesitate to clarify them with the medical or paramedical staff of the clinic.

• The medical control will be carried out in a specialized external consultation.

• Please arrive 20 minutes before the appointment, enter the system, and attend with comfortable clothes.

11.3 Post-conization recommendations

You have undergone a cone biopsy, a surgery that consists of partially resecting a large fragment of the cervix (cone biopsy). 

In the postoperative period keep in mind: 

• Remove the vaginal lock after 24 hours (if it has been left previously). 

• Be attentive if there is postoperative bleeding and immediately consult the emergency room.

• Watch for foul-smelling vaginal discharge and consult. 

• Be attentive to the characteristics of the menstrual cycle after surgery. If it is abnormal, consult.

• If you have severe postoperative pain, consult. 

• Request a control appointment in 10 days with the specialist and to attend this you must bring a pathology report 

• When you get home after surgery, receive a soft diet (gelatin, laundry, broth, etc.). From the next day take normal diet. Do not unnecessarily restrict the diet. 

• Don't be lying around the house all the time. Get up, walk, ideally 30 minutes a day and in the fresh air. You can go up and down stairs with help from the moment of departure. Restrict heavy physical activity until the time of disability is complete.

• Carefully comply with the medication indicated in the output formula. In addition, comply with the indicated days of disability. 

• If you have any additional symptoms in the postoperative period, such as any of the following, immediately consult the emergency service: 

• Fever (temperature above 38°C taken with a thermometer in the axillary region) 

• Abundant and/or bad-smelling vaginal bleeding 

• Paleness or severe dizziness when getting up or walking around 

• Abdominal pain 

• Severe pain in the vaginal area or surgical site

• Bloating 

• Urinary retention (not being able to urinate) 

• Exit of some abnormal secretion (blood or pus) through the vagina. 

• If you have concerns about what is written here, do not hesitate to clarify them with the medical or paramedical staff of the clinic.

11.4 Post hysterectomy recommendations 

These are some important post-surgical indications and post-operative control. Keep them and follow them during recovery.

1. If the hysterectomy was abdominal, there is an incision in the abdomen (it can be longitudinal or transverse). This incision will be covered with Micropore. Do not remove the Micropore until 3-5 days after surgery. After that time, remove the Micropore while bathing, leaving the incision uncovered. Only wash it with soap and water during daily bathing. At the time of departure they will indicate the day and the place for the withdrawal of the points. In addition, you must be aware that the order is served.

 2. If the hysterectomy was vaginal, you will have a few stitches in the genital area. These stitches fall out on their own and do not need to be removed. Just wash them with soap and water every day in the daily bath. Be sure to keep the surgery area very dry.

 3. When you get home after surgery, receive a soft diet (gelatin, laundry, broth, etc.). From the next day take normal diet. Do not unnecessarily restrict your diet. 

4. Don't be lying in the house all the time. Get up, walk, ideally thirty (30) minutes a day and in the fresh air. Go up and down stairs with assistance from the moment of departure. Restrict heavy physical activity until the time of disability is complete. 

5. Carefully comply with the medication indicated in the output formula. In addition, comply with the indicated days of disability.

 6. They will be assigned a control with the specialist who performed the procedure approximately 15 days later. Don't forget to claim this order. 

7. If you have any additional symptoms in the postoperative period, such as any of the following, immediately consult the emergency service: 

• Fever (temperature higher than 38° C taken with a thermometer in the axillary region) b. Abundant and/or bad-smelling vaginal bleeding 

• profuse and continuous diarrhea

• Paleness or severe dizziness when getting up or walking around 

• Abdominal pain 

• Severe pain in the vaginal area or surgical site

• Bloating 

• Urinary retention (not being able to urinate)

• Pain or redness of the surgical wound

• Leakage of any abnormal discharge (blood or pus) from the wound or vagina

• If you have any additional questions or concerns about what is written here, do not hesitate to clarify them with the medical or paramedical staff of the clinic.

• The medical control will be carried out in a specialized external consultation. 

• Please arrive 30 minutes before the appointment, enter the system, and attend with comfortable clothes. 

1. Post-mastectomy and lymph node dissection recommendations

After the removal of these nodes, there are some instructions and measures that are essential to, first of all, recover shoulder mobility, which can sometimes be affected, and, in turn, prevent possible subsequent complications, such as limitation of the range of motion. movements, arm infections, edema, etc.

These recommendations and exercises must be carried out early and progressively on the arm and shoulder corresponding to the operated armpit.

• You must try, while sitting, to keep your arm resting high.

• Avoid hanging your arm, especially with some weight.

• Try not to sleep on the operated arm.

• Avoid any overload or effort with that arm.

• Take care of the skin meticulously (neutral soap, moisturizing creams...).

• Try to epilate with cream or electrically. You must be careful when cutting your nails and doing manicures.

• Avoid the application of irritants (colognes, deodorants with alcohol, etc.).

• Do not use objects that compress (rings, bracelets, watches, tight sleeves...).

• Wear a bra with a wide strap, avoiding pressure on the shoulder.

• Avoid blood draws on that arm.

• Use a thimble when sewing.

• Avoid heat on the arm: sun, oven, iron, hot water, etc.

• Sports and leisure: on the beach or in the countryside, use high sun protection: avoid high temperatures.

• Be careful with thorny plants and insect bites.

• Avoid sports that require sudden movements with the arm (tennis, golf, judo...).

• Swimming is recommended.

If any wound or insect bite occurs, an antiseptic should be applied urgently on it and take the above measures to the extreme. If, despite these cares, inflammatory signs appear (redness, heat, swelling in any area of the arm), notify or see your doctor.

 The first day after surgery:

• Open and close the hand on the affected side.

• Move your fingers in all directions.

• Make movements as if cleaning the windows, to the right and to the left with the elbow bent.

• Comb your hair without bowing your head.

• Touch the ear on the opposite side without tilting the head.

• Make the fingers walk through the pairs as far as possible with the affected arm, trying to reach a little higher each day.

• Stomach Stretched Relaxation Position: Place your hands up and level with your head.

• Seated relaxation position: Place your forearm on a pillow.

• Underarm pillow position: If your arm feels tired, stretch for a moment and place your forearm on one or more pillows. You can also use this position to sleep 

Feeding

• The diet should be rich and varied, you should not skip any meals, eat calmly, maintain your weight without losing weight or gaining weight, in periods when you lose your appetite eat more often and in small amounts.

• The diet should basically consist of foods rich in fiber, such as fresh vegetables, fruits and whole grains.

• Avoid excess fat. Try to drink 1.5 to 2 liters of water or non-alcoholic drinks, eat little salt and consume coffee in moderation, because both products cause edema.

• To prevent bone decalcification, it is advisable to eat dairy products, such as yogurt, cheese and skimmed milk.

Body care

body hygiene

Your skin may be drier and rougher after treatments.

To remove the keratin that is on the outside of the skin, scrub your body dry and gently with a horsehair or natural fiber glove and shower afterwards.

It is advisable to use soaps with a high PH (5 or 5.5) because they protect against dryness and irritation of the skin.

Sunbaths

You should especially protect yourself if you have received radiotherapy treatment. Your doctor will advise you, but it should always be for short periods of exposure and with high protection factors that must be renewed often.

Dresses and accessories

In general you can wear the same clothes as before, but you should avoid dresses that compress your arm.
 

PREPARATION FOR USERS FOR SURGERY

BEFORE THE INTERVENTION

IN THE DAYS PRIOR TO THE INTERVENTION

Remember not to take any medication that contains aspirin

At least 8 days before surgery, in case of any pain, just take Dolex or acetaminophen

Report any change in health, cold, shortness of breath, high blood pressure, pain or burning to urinate. 

Warn if you take any medication to regulate blood pressure, heart, diabetes, depression, mental illness, birth control pills, any herbal infusions, complexes and vitamins or blood clotting. Discontinue gingo biloba. vitamin E and aspirin

If you are undergoing treatment for hypertension or hypothyroidism, continue it

The results of your preoperative studies must have been previously reviewed by your anesthesiologist to confirm that your state of health allows you to undergo surgery. bring the results to the anesthesia office. 

Bring the medications you take or a list of them indicating name and dose. You should not smoke for at least two weeks before and two weeks after the intervention

DAY BEFORE SURGERY 

Prepare exams and x-rays, eat light meals, ideally rice soup and pasta. 

Avoid alcoholic beverages and vegetables, remove nail polish, take a full bath at night with a new soap paste, wash your nails well and do not shave.

If you are sick call to cancel your surgery

DAY OF YOUR SURGERY

 Take a bath again.

Keep fasting, do not take anything by mouth 8 hours before surgery, you can only have breakfast if your surgery is in the afternoon and it was authorized. 

If you take medication for the intervention, take the pill with a drink of water, do not drink juices or dairy products.

You must attend with an adult who accompanies you and be aware of the information that the doctors give you,

Wear comfortable clothing that can be easily put on and off 

When you arrive at the clinic, you go to the surgery scheduling office to be admitted with the schedule, the informed consents of the specialist who scheduled it and the anesthesiologist, duly completed and signed.

In the surgical preparation area, you will change into a long gown, without underwear

Do not bring metal objects, rings, earrings, bracelets, watches, or valuables, the clinic is not responsible for them.

Keep your personal belongings locked in the assigned place.

An identification bracelet will be placed on you and your area to operate will be marked as a security measure for you.

A vein will be channeled and medication will be administered to keep you calm. If you use a dental prosthesis, give it to your companion.

AFTER THE SURGICAL INTERVENTION

Upon awakening, you will be monitored in the recovery area by a trained nurse, there you will be given medication to control pain and, depending on your surgery, you will go home or be hospitalized. 

After the intervention your mouth will be a little dry, you can moisten your lips, but you cannot drink anything for a few hours.

Ask the staff any questions you may have.

You will not be able to take anything for the first few hours to avoid vomiting, you may feel nauseated. 

You will be drowsy, you cannot drive a vehicle, do not make important decisions.

You may feel constipated and flatulence. 

May have inability to urinate, sometimes may require a catheter

It is not uncommon to have a few tenths of a fever between one and two days

The presence of your companion is mandatory throughout your stay from admission to discharge. You must remain in the waiting room in case your treating physician requests it and will also provide you with the necessary information about the procedure. You can get up as soon as you are allowed, but with help, do not try to get up alone without a companion you may experience dizziness or fainting

The anesthesiologist is the one who will discharge you and at this time you will be given instructions for home and the respective care according to your procedure.

 Alert signs or consultation

profuse bleeding

Redness and intense pain in the surgical area It may be the beginning of an infection.

Difficulty breathing severe chest pain, persistent dizziness, headache, inability to urinate, and fever.

wound care

The opening of the skin can generate the entry of germs. 

Infections can cause pain, fever, or redness. Inflammation or suppuration if not treated in time can cause complications, notify or consult immediately

Wash your hands very well frequently.

wash your wound very well with soap and water once a day during your daily bath, dry yourself with a clean towel, giving small pats, put on clean clothes every day.

Post-operative care

Before leaving the clinic, you will be told the treatment that you should follow at home and the day you have to go to the check-up appointment you can shower from the second day, avoiding rubbing the intervened area, you can remove the gauze, not the micropore, use a a towel for your exclusive use, you must avoid exertion and recreational activities for a period of three to  six weeks

On the first day, do not drive vehicles and do not make important decisions, do not drink liquor, do not smoke, do not take hallucinogens.