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Recommendations for follow-up care at home​

You have undergone surgery at Isala Treatment Centre. In this leaflet, we give you some advice for the follow-up care at home. During a personal interview, the nurse will encircle the advice that is relevant for you.

Wound care

  • You may shower after 24 hours / 48 hours / three days, short showers and not too hot.
  • Do not take a bath / swim, as long as the sutures are still there.
  • Showering from the shoulders down / hold a cup on the ear.
  • Keep the wound dry for 2 weeks.
  • No swimming for the first 6 weeks.
  • Dissoluble sutures.
  • Sutures are removed during the after-care appointment / by the family doctor, after
    days.
  • Replace the plaster after 24 hours, if necessary, with a clean bandage; once the wound is dry, there is no need to keep a plaster on the wound.
  • In the case of oral surgery, the wound can bleed a bit afterwards. Fold a piece of gauze and bite on it firmly for 30 minutes. Do not rinse and do not use cotton wool.
  • Starting the day after the procedure: rinse the mouth four times daily with salt water. For this, dissolve a teaspoon of salt in a cup of lukewarm water. Sometimes, an oral rinse will be prescribed.
  • Remove pressure bandage after
    days / leave it on until follow-up appointment.
  • After the surgery, support the wound area during an increase in pressure, such as defecating and coughing, either with your hand or a support cushion.
  • Please take into account a blue discolouration and possible slight swelling in the wound area and scrotum / labia majora.
  • The operation can cause your cheek or lip to swell up considerably. This is a normal phenomenon.

Pain relief

  • Take Paracetamol: 4 x daily 1000 mg. at fixed times (7am-12 noon-5pm-10pm). Once you have no more pain, you should stop taking the Paracetamol.
  • If not sufficiently effective: Paracetamol 1000 mg. in combination with 1 tablet Ibuprofen 400 mg. (Up to 4 times daily). This combination may be used for up to three days. Ibuprofen should not be used in combination with Diclofenac (Voltaren) or Arcoxia.
  • According to prescription.
  • Your own pain medication.

Blood thinning medications

  • Ascal / Acetosal: resume the day after surgery.
  • Acenocoumarol (Sintrommitis), Phenprocoumon (Marcoumar): restart according to specifications of thrombosis service.

Diet

  • no restrictions;
  • high fibre;
  • follow guidelines as described on attached list;
  • after dairy products, rinse with cold water (in connection with mucus formation);
  • extend dietary intake as guided by symptoms. Not too hot and go from liquids to solid foods.

Moving around (mobilisation)

  • Basically, no restrictions.
  • Weight-bearing based on the pain level.
  • For effective wound healing, take care with surgical field.
  • For the first 3 days, place the affected hand / foot up high on a cushion, should not pinch. After three days, depending on the pain, let the hand/foot hang down a bit more.
  • Use a sling for
    day/days.
  • Weight-bearing using crutches for
    day/days.
  • Mobilise as directed by the physical therapist.
  • Wear a good, supportive bra after surgery, keep bra on during the first night/for
    weeks wear 24 hours/day

  • No under-wire bra
  • Immobilise according to instructions.

In case of shoulder repair surgery:

  • Arm may be taken out of immobiliser for showering and dressing.
  • Do not lift arm and do not turn outwards.
  • Arm is allowed to swing.

  • No heavy lifting for
    weeks.
  • Mobilise using postoperative orthopaedic shoe for
    weeks
  • Limit lifting of arms
  • Other recommendations

Complications/problems?

You should contact:

  • in case of haemorrhaging;
  • in case of fever above 38.5º Celsius;
  • in case of severe, abnormal pain;
  • if you do not trust the situation.

Contact

For complications as a result of the procedure, please call the outpatient clinic of your specialist during office hours. For complications as a result of the procedure, please contact -outside office hours- the Isala reception desk and they will connect you to the Emergency Department. This can be reached at (038) 424 5000.

  • General surgery (038) 424 6295
  • Plastic surgery (038) 424 5636
  • Ear, nose and throat surgery (038) 424 2384
  • Orthopaedics (038) 424 5656
  • Oral surgery (038) 424 2881

The employees of the Isala Treatment Centre wish you a speedy recovery.

23 november 2018 / 7147

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