Day Surgery Unit患者手册

Hernia Repair
Day Surgery Unit
St Georges Hospital
NHS Trust
•Do not drink alcohol or operate machinery (including kettles and cookers) for 48 hours to allow the anaesthetic to wear off.
•Keep gently moving around.
•You can shower or have a shallow bath the following day. Do not soak the wound, try and keep it dry.•Ideally the dressing should stay on for 10 days.
•You can do any activity you feel comfortable with.
•You must not drive a car for at least 48 hours; and you must make sure that you can do an emergency stop comfortably before you resume.•You should take up to 2 weeks off work depending on the type of work; for instance if your work is heavy take 2 weeks off but if you work in an office 1 week may be enough.
•It is important not to get
constipated, as straining can be very uncomfortable. So make sure that you eat plenty of fresh vegetables and fruit, and if necessary, take some laxatives to prevent constipation.
Emergency problems
If you have any problems overnight after you return home, call the Day Surgery Unit advice service on 07956 571 308 to speak to the day surgery practitioner.Contact your GP after the first 24hours if:
•your wound looks red and swollen,plus a discharge and you feel feverish.
•the wound does not stop bleeding within 24 hours.What are the risks?
There are risks associated with any operation and these include the following:
Bruising – there is a risk of bruising around the operation site. But some patients develop quite dramatic bruising and swelling, which in men may extend to the scrotum and the penis. It tends to come on gradually and will go down after a few days.Infection – again there is a small risk of infection but we take precautions to prevent it.
Urinary problems – just occasionally,any previous urinary problems may be made worse after the operation.
Recurrence – there is a small risk of the hernia returning.
Loss of feeling –a number of people find that the skin around the operation scar is numb or sensitive to touch afterwards. This will usually settle down, but it can take several months and sometimes it never fully recovers.Please speak to your specialist
doctor before your hernia operation if you have any worries about these risks or less common risks.
Any further questions?
Please ‘phone the Day Surgery Unit
on 020 8725 0420
(Monday – Friday, 8am – 6pm).
WP001AUG01DSU/HE/1
This information leaflet is for patients who are having an operation to repair a hernia. It explains what it is, what is involved and any significant risks that there may be.
What is a hernia?
A hernia is caused by a weakness in the abdominal wall (a layer of muscle that surrounds the abdominal organs) that allows a small part of the intestines or surrounding tissues to bulge through it. You may feel it as a lump and if it is big enough you can see it. It may be uncomfortable, especially when there is extra pressure such as standing, sneezing or coughing.
Treating a hernia
These alternative treatments will be discussed with you:
To wear a truss (a support).
Treatment by operation.
Some hernias do not need treatment.What preparation do you need?
Please check your Day Surgery
leaflet
•If you are having a general
anaesthetic or sedation
(when you are asleep or sedated)
you will have a pre-operative
assessment (medical check-up) with
a practitioner. You must follow the
eating and drinking restrictions.
•If you are having a local
anaesthetic you will not need to
have a pre-operative assessment.
You can eat or drink as normal.
On the day of your operation
•Please go to the Day Surgery Unit
on the date and time agreed.
•A receptionist will check your details
with you.
•Theatre admission staff will go
through your medical details with
you and you may be asked for a
urine test.
•The doctor will explain what
happens and ask you to sign the
consent form to confirm that you
understand the operation and agree
to go ahead with it. You will also talk
to the anaesthetist.
What is involved?
•You will normally have a general
anaesthetic. If you have a local
anaesthetic, it will be given by
injection.
•The surgeon will make an incision
(cut) over the hernia and repair it by
replacing the bowel back behind the
abdominal wall. The abdominal wall
may be strengthened by inserting a
small piece of synthetic mesh.
•Sometimes this operation is
performed using keyhole surgery; in
this case the surgeon will make 3
very small incisions and repair the
hernia using a telescope.
•You will probably have dissolvable
stitches and the wound(s) covered
by small paper strips and a
dressing. In some cases non-
dissolving stitches may be used
which will need to be removed at
your GP surgery 10 days later.
•You may have a drip, (a needle with
a tube attached to fluids), in the
back of your hand for a few hours
after the operation.
•Again, some patients may have a
tube (a drain) inserted for a few
hours, to allow excess fluids to drain
from the wound
•The operation takes about 30
minutes to an hour.
After the operation
•You will recover in the recovery
room in the Day Surgery Unit.
•You will be offered a snack and hot
or cold drink as soon as you feel like
it.
•If you feel sick or have any pain,
please ask the practitioner for
something to relieve it.
•You may feel numb around the
wound for up to12 hours because of
an injection of local anaesthetic. If
your leg feels numb, please let the
recovery practitioner know.
Going home
•You can go home as soon as the
Day Surgery Unit practitioner has
checked you. Most patients go
home the same day; occasionally
some may need to stay overnight.
•You must make sure that you
have a responsible adult to take
you home and stay with you for
the first 24 hours.
•You will be given a supply of
painkillers (take regularly for the first
48 hours) if you need them.。