Dr. Minal Patil, Surgeon GI HPB Laparoscopy

05/11/2024

Post operative care.
Post-operative care is crucial for a smooth recovery after surgery. Here's a comprehensive guide:

Immediate Post-Operative Care (0-24 hours)

1. Monitoring: Vital signs, pain, and surgical site.
2. Pain management: Analgesics, epidural, or PCA (patient-controlled analgesia).
3. Fluid management: IV fluids, electrolytes, and hydration.
4. Rest: Bed rest, avoiding strenuous activities.
5. Wound care: Dressing changes, wound inspection.
6. Medications: Antibiotics, anticoagulants (as prescribed).

Early Post-Operative Care (24-72 hours)

1. Mobilization: Gradual ambulation, physical therapy.
2. Respiratory care: Deep breathing, incentive spirometry.
3. Nutrition: Clear liquids, progressive diet advancement.
4. Elimination: Urinary catheter management, bowel movements.
5. Wound care: Continued dressing changes, wound closure.

Post-Operative Complications

1. Infection: Fever, wound redness, swelling.
2. Bleeding: Hemorrhage, hematoma.
3. Respiratory issues: Pneumonia, atelectasis.
4. Cardiovascular: Hypertension, hypotension.
5. Gastrointestinal: Nausea, vomiting, ileus.

Post-Operative Instructions (for patients)

1. Follow medication regimen.
2. Attend follow-up appointments.
3. Monitor wound for signs of infection.
4. Gradually increase activity level.
5. Maintain proper nutrition and hydration.
6. Avoid heavy lifting, bending, or strenuous activities.

Post-Operative Care at Home

1. Create a recovery space: Comfortable, quiet, and clean.
2. Manage pain: Follow medication schedule.
3. Monitor temperature, blood pressure, and pulse.
4. Maintain wound care: Follow dressing change instructions.
5. Stay hydrated: Drink plenty of fluids.
6. Follow dietary instructions.

Post-Operative Rehabilitation

1. Physical therapy: Range of motion, strengthening exercises.
2. Occupational therapy: Daily activity assistance.
3. Speech therapy (if necessary).
4. Wound care therapy.
5. Pain management therapy.

Post-Operative Follow-Up

1. Schedule follow-up appointments.
2. Monitor for complications.
3. Adjust medication regimen (as needed).
4. Remove sutures or staples.
5. Gradually increase activity level.

It's essential to follow healthcare provider instructions for personalized post-operative care.

31/10/2024

15/06/2024

Colorectal cancer
• Colorectal cancer is a disease of old age.
• Risk factors diets low in vegetable fibre and high in fat.
• If a younger person it is often associated with hereditary syndromes like peutz jegher's, hereditary nonpolyposis colorectal cancer or familial adenomatous polyposis.
• Colorectal cancer can be detected, the bleeding of a polyp, colicky bowel pain, a bowel obstruction or the biopsy of a polyp at a screening colonoscopy.
• A constant feeling of having to go to toilet or anemia might also point to this kind of cancer.
• Use of a colonoscope can find these cancers, and a biopsy can reveal the extent of the involvement of the bowel wall.
• Removal of section of colon is necessary for treatment, with or without chemotherapy. Colorectal cancer has a comparatively good prognosis when detected early.

15/06/2024

Colorectal cancer
• Colorectal cancer is a disease of old age.
• Risk factors diets low in vegetable fibre and high in fat.
• If a younger person it is often associated with hereditary syndromes like peutz jegher's, hereditary nonpolyposis colorectal cancer or familial adenomatous polyposis.
• Colorectal cancer can be detected, the bleeding of a polyp, colicky bowel pain, a bowel obstruction or the biopsy of a polyp at a screening colonoscopy.
• A constant feeling of having to go to toilet or anemia might also point to this kind of cancer.
• Use of a colonoscope can find these cancers, and a biopsy can reveal the extent of the involvement of the bowel wall.
• Removal of section of colon is necessary for treatment, with or without chemotherapy. Colorectal cancer has a comparatively good prognosis when detected early.