Post Operative Instructions
The physicians and staff of Virginia Beach Surgery wish you well in your recovery. We hope the following information will be helpful to you as a general guide, however if you have any specific questions, please call our office for more assistance.
You must call the office if:
You have a temperature of greater than 101
You are experiencing increasing wound pain
You are experiencing increasing wound redness
You are experiencing increasing wound drainage
You are experiencing prolonged nausea and vomiting
For emergencies, call 911 directly.
Examples would include:
Significant chest pain
Shortness of breath
Sudden paralysis or loss of sensation
When in doubt, call 911 first!
Unless otherwise directed by your surgeon, keep your bandage/dressing in place for 24 hours. After the first 24 hours you may remove the bandage. You may see steri-strips (butterfly tapes) directly over the incision, please leave these in place. You can expect these steri-strips to loosen and separate after 2 weeks; when they become loose, you may remove them yourself. If your incision has any drainage please apply another dressing, on a daily basis, until your wound is dry.
Cold pack/Heating pad use
You may apply a cold pack to incision sites every 4 hours for 20 minute periods to reduce pain, swelling and bruising. After 48 hours post surgery you may switch to a heating pad at low or medium settings to further aid in healing and pain reduction. These instructions may be modified by your surgeon at time of discharge
After you have removed your bandage, you may take a quick shower the day following your surgery. Please avoid any hot tubs, prolonged baths, and swimming pools for two weeks. Do not swim in the Ocean or Bay until you have been approved to do so by your surgeon.
Generally, a light diet is recommended after surgery, you may return to your regular diet as your condition improves. Diabetics must be careful to balance their food intake with their diabetic medication.
It is common to feel fatigued after an operation, so do not be surprised if you cannot immediately return to your normal lifestyle. Gentle exercise, such as walking, is beneficial and encouraged in moderation. You may climb stairs at any time you feel comfortable enough to do so, but do not climb stairs if you are, in any way, unsteady on your feet. If your activities are causing you increasing pain, you must stop and rest. The following guidelines may be modified by your surgeon at time of discharge from the hospital, but in general:
If you have had laparoscopic surgery, please avoid any strenuous activities for two weeks; during this time do not lift or carry more than 20lbs.
If you have had major "open" surgery on the abdomen, then please avoid any heavy lifting or straining (20lbs max) for 6 weeks.
If you have undergone limb surgery, you may walk on, or use, the extremity within your pain tolerance, or as directed by your surgeon at time of discharge.
You should never drive your car while taking narcotic pain medication! These medications seriously, and adversely, affect your judgment and response times, so please drive responsibly. You should also refrain from driving until you are not hampered by painful movements, in that way you can quickly respond to emergency driving situations. This will generally be two weeks for most major operations.
Take all your medications as directed at the time of your discharge from the hospital. At time of discharge, you will be given an appropriate pain medication prescription. Use your pain medication as needed to control your pain, and remember, do not drink alcoholic beverages while taking prescription strength pain medication. If you can take them, agents such as Motrin or Aleve can provide excellent pain relief, equal to narcotics, without the sedating side effects.
Requests for prescription refills should be called into the office between 9am and 4:30pm Mon-Fri. This is particularly important for pain medications, as after-hour and weekend requests for narcotics cannot legally be granted. While we respect our genuine patients’ need for pain medicine, new strict state laws, prompted by the opioid crisis, prohibit narcotic pain medication refills from being called directly to the pharmacist. All of these require electronic prescriptions which are only available during regular office hours. Please call the office early in the day. Late day requests may have to wait until the next business day. Please note that new laws also severely limit the number of pills and duration of therapy that can be prescribed. Similarly, lot prescriptions are not allowed to be filled or reissued.
When calling for prescription refills please have available the name and telephone number of your pharmacist, this will allow us to give you quicker service.
In most cases, call your family doctor for questions regarding your routine and usual, medications.
Post Operative Appointments
Please call the office the day after your discharge to arrange for your postoperative visit if one was not schedule pre-operatively. Please identify yourself as a post-op patient so that we may accommodate you on our schedules. If you require any tests prior to your visit, please notify our staff when you call, so they can make the appropriate arrangements.
If you have any drains or tubes when you leave the hospital, please follow the directions you were given before discharge. In general, on a daily basis, write down the amount of drainage present over the previous 24-hour period. Then bring this record for your surgeon to review at your next office visit.
Care At Home
Occasionally you may require a nurse or therapist to visit you at home. This may be to administer medication, or assist you in wound care and recovery or to monitor your condition. This is usually arranged prior to your discharge, and you should be contacted by the visiting service within 24 hours of arriving home. If you have not been contacted within 48 hours, please call our office for further assistance.
You may experience some menstrual irregularity after surgery, usually early onset of your period. This is normal and comes from the stressful effects of the operation. You should return to your normal cycle after completing your first postoperative period.
If you are taking oral contraceptives, you should continue to take them on your regular schedule.
If you have had breast surgery, you may be more comfortable wearing a bra than by going without one, but do what seems to be most comfortable for you personally. You may wish to consider wearing a sports bra. In addition, it is very common to develop extensive bruising and a lump under the incision after a breast biopsy. This is not unusual and will resolve by itself over the next few weeks.
Mastectomy patients should refrain from wearing a bra until you have seen your surgeon in the office. While your drains are still in place, please do not use your arm excessively; this helps to minimize the fluid output through the drain. After your drains have been removed, we will start your arm exercises to bring your arm motion back to normal.
Patients with a new diagnosis of breast cancer should NOT take any oral contraceptives or any hormonal treatments without first consulting with your physician. This includes over the counter supplements
As you recuperate from your surgery, please carefully follow your surgeons’ instructions regarding activity. This is important to allow good healing and to prevent a recurrence of the hernia.
For those patients with groin (inguinal) hernias we want you to know that bruising and swelling is common near your incision, and for our male patients this may markedly extend into the penis and scrotum. Please do not be alarmed by these developments, as they will resolve with time leaving no residuals.
Varicose Vein Patients
If your surgery was performed in the office, continue with the instructions for wearing compression hose for two weeks and activity limitations provided to you at the time of the procedure.
For those patients who have had surgery at a surgical center or hospital, you may remove your bandages 48 hours after your surgery. Please leave any steri-strips or butterfly tape in place and take a quick shower if you so desire. After showering, you will probably be more comfortable if you rewrap your legs with ace bandages. Remember to start your wrap at the toes and work back up to the thighs keeping steady, even pressure on the bandage. You should continue to use the ace wrap for support, as long as it provides comfort to you, after that point you no longer need to wear them. You do not need to wear the ace wrap to bed. You will also find that elevating your legs will be most comfortable for you. Walking and light exercises are not harmful, but heavy exercising may cause more bruising to develop.
As you recuperate, you can expect mild swelling and extensive bruising to develop in the legs. This is normal, and wearing the ace wrap as well as elevation of the legs are helpful in this regard. You may also experience a pulling sensation or tightness and possibly feel a thickened cord along the course of the varicose veins that were removed. This again is not unusual and will resolve as your healing continues.