Dr. Aslam BabaSurgical Gastroenterologist

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After major abdominal and cancer surgery

Care at home after major abdominal surgery, including cancer surgery of the stomach, bowel, liver or pancreas. Print this sheet, fill in the boxes before you leave hospital, and keep it on the fridge.

About this surgery

Care at home

Major abdominal surgery, including cancer surgery of the stomach, bowel, liver or pancreas

Dr. Aslam Baba
Surgical Gastroenterologist
+91 99851 88851

Patient name

Date of surgery

Stitchesdissolve on their own  /  remove on

Follow-up visit on

Call +91 99851 88851 if you have

  • Fever of 100.4°F (38°C) or more
  • Redness, swelling or discharge from the wound
  • A sudden change in the amount or colour of drain fluid
  • Loose stools for more than three days
  • Poor eating with continued weight loss

Go to the nearest emergency department now if you have

  • Severe pain, a swollen abdomen, or vomiting that does not stop
  • Not passing gas or stools, with bloating
  • Chest pain or difficulty breathing
  • Painful swelling of one calf
  • Bleeding from the wound or in vomit or stools, or yellow eyes
Ten deep breaths every hour while awake
Walk a little every few hours from day one
Hold a pillow over the wound when you cough
No heavy lifting until your surgeon says so

The first day at home

  • After you go home, rest, but do not stay in bed all day. Walk around the house several times a day.
  • Do the breathing exercises you were taught: deep breaths and a cough, ten times every hour while awake.
  • If you were given blood-thinning injections, take them on time for as many days as advised.

Wound care

  • Keep the wound clean and dry. Bathe as advised, then pat the wound dry.
  • Staples or stitches are usually removed 10 to 14 days after surgery, at your follow-up visit.
  • If you go home with a drain, empty it and write down the amount each day. Bring this record to your visit.
  • If you have a stoma, follow the separate stoma guide you were given.

Pain

  • Take your painkillers on time, especially before walking.
  • Hold a pillow over the wound when you cough or get up.

Eating and drinking

  • Eat small meals five or six times a day rather than three large ones.
  • Include protein at every meal, such as dal, eggs, curd, paneer, fish or chicken, to help healing.
  • Your appetite may be poor for a few weeks. This is common and improves slowly.
  • Follow any special diet you were given after stomach or pancreas surgery.

When can I

WalkingFrom day one, more each day
BathAs advised, usually once the wound is dry
Light houseworkAfter about two to three weeks
DrivingUsually after four to six weeks, when you can brake hard without pain
Lifting heavy thingsAvoid for at least six weeks
WorkUsually after six to eight weeks, depending on the operation and further treatment

These are usual times. Your own times may be different; follow what you are told at discharge.

My medicines

MedicineDoseWhenFor how many days

Your biopsy report will be explained at your follow-up visit. Many patients then need chemotherapy or other treatment, planned with the oncologist.

My recovery checklist

  • Walking several times a day
  • Breathing exercises every hour
  • Blood-thinner injections completed
  • Drain record kept, if any
  • Stitches or staples removed
  • Biopsy report and next treatment discussed
Dr. Aslam Baba, Surgical Gastroenterologist · +91 99851 88851 · draslambabagastro.com/after-surgery/major-abdominal-surgery

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