Postoperative Instructions for Laparoscopic Nissen Fundoplication Follow-up Please contact our office at to schedule a follow-up appointment for 10 – 14 days after release from the hospital.
Diet Repair of your paraesophageal or hiatal hernia requires some diet restrictions after surgery. During that right time, you can try or experiment with eating soft, mushy foods like tuna, mashed potatoes, eggs, cottage cheese, and thick soups.
The good reason for liquids is that there will be some swelling where your hernia was repaired. You may notice that swallowing feels a little tight also. This will boosts as the swelling goes down.
With time, you shall be able to digest foods normally. Also, do not drink carbonated beverages for three weeks following surgery. Some patients find that their appetite is poor or that foods do not taste good after surgery.
This is a normal result of the stress of surgery and manipulation in the belly. Your appetite should return in several weeks. If you do not eat, this is OK; the most crucial thing is to drink liquids. If you find you are nauseated or unable to take in liquids persistently, contact our office and let us know.
Some patients also find that they have diarrhea or loose bowels for the first days after their hernia repair. In the vast majority of cases, the bowel function normalizes with time. Wound Care It is OK to shower starting 36 hours after surgery around. If you have little patches of white gauze on the incisions, take off the gauze before showering.
You should see little pieces of tape called steri-strips attached to your skin directly. It is OK to get these little tapes wet in the shower. The tapes will start to peel up on the ends 7 -10 days after surgery – at this point they have done their job and it is OK so that you can peel them the rest of the way off if you wish. You do not have to have them on when you come for your postoperative visit.
We try to close your incisions to leave the smallest possible scar. Do not put any ointment or other medication on your incisions: it will not improve or speed up healing. Medications You shall be given a prescription for an oral pain medicine. This medicine can be constipating and we recommend taking Milk of Magnesia two tablespoons; a day while taking the pain pills to avoid constipation twice.
You will receive a prescription for an anti-nausea medicine usually Phenergan also. You should only take this pill if you feel nauseated. It is important to avoid retching and vomiting or you could disrupt the repair of your hernia postoperatively. Unless your surgeon otherwise advises you, you should continue all of your pre-operative medications on the same schedule and dose.
Activity There are no significant restrictions on activity after surgery, That means it is OK to walk, climb stairs, have sexual intercourse, mow the lawn, or exercise, as as it does not hurt long.
In fact, returning to normal activity as quickly as possible will most likely enhance your recovery. Try to avoid heavy lifting greater than 20 – 30 pounds for several weeks, if possible. For a week or two following the surgery You may also feel easily fatigued. These factors shall put some limitations on your activity, but you shall not cause any damage, if some soreness is experienced even. Everyone returns to work at different times.
As a rough guide, most people take at least one to two weeks off just before returning to work. If you need particular documentation for your job, call the working office. Driving Assuming the surgery laparoscopically is done, you will usually be released to drive when you have not needed the narcotic prescription pain medications for two days.
When to call Call your surgeon’s office if any of the following occur: Fever to As long as you are not nauseated or having stomach pain, this variation is acceptable. Remember that it is very common to pass much more gas from your rectum; this is because you will not be able to belch really. Make an Appointment Call to schedule your appointment with a hernia expert at a UH location near to you.