Open – or – Laporoscopic Ventral or Umbilical Hernia Repair Post-op Instructions:

Choose which procedure you had below and follow instructions.

Laparoscopic Ventral Hernia Repair Post-op Instructions

 

Laparoscopic Ventral Hernia Repair Post-op Instructions

 

You have had surgery to repair a hernia in your abdominal wall (not the groin area) which was done through multiple small holes laparoscopically.

 

Incisions:

This was done through 3-4 small incisions that have been closed with absorbable sutures under the skin which you cannot see, and do not have to be removed. There are other smaller punctures where stay sutures where placed through the mesh. There is glue like dressing called Dermabond covering all of the wounds. You may shower the day after surgery, but do not submerge (in a bath, pool or ocean) for 10 days.

 

Diet:

The expectation is that you will go home the day of surgery, with a few patients requiring an overnight stay. Your diet will be advanced quickly while in the hospital. After going home, there is not a need for a special diet. There are no foods that are off limits, but I recommend eating lightly for the next 3 days.

 

Pain:

Pain after this surgery is variable, depending on multiple factors, but probably most related to the amount of adhesion take down that was required, and the size of the hernia repair. Pain is generally felt at the hernia site and around it more widely. There may be shoulder pain. The shoulder pain is referred pain from irritation of the diaphragm. There is nothing wrong with your shoulders. The pain improves quickly over the first few days after surgery. Pain while in the hospital will be controlled by IV pain medication and then oral medication. When you are discharged, you will be given a prescription for pain medication to use as needed. This is usually Norco (Acetaminophen/Hydrocodone). Use this sparingly, as it can cause constipation.

Despite this being a “minimally invasive” procedure, there can be significant pain after this operation. It is not uncommon for there to be some degree of pain at the mesh site for a month after surgery.

 

Activity:

You should be up and around soon after surgery. Hopefully out of bed the same day. When you go home it is important to walk often. You can climb stairs and be active, just avoid any significant lifting (greater than 15 lbs) for 6 weeks.

 

Issues you may have:

Constipation can occur in the post-operative period, usually due to pain medication use. I recommend using a gentle laxative like Milk of Magnesia.

“I am wiped out!” This is common. It will get better.

Call the office if you have Pain that is worsening and or associated with a fever (temperature equal or greater than 101). It is normal to have some pain, and even a low grade fever can be common. Take the pain medication, or tylenol. Be careful not to combine prescribed pain medication that contains tylenol, and OTC tylenol, or at least be sure not to take more than 4000mg in a day.

 

 

OPEN Ventral Hernia Repair Instructions

You have had surgery to repair a hernia in your abdominal wall (not the groin area) which was done through an incision at the hernia site.

Incisions:
This was done through an incision that has been closed with absorbable sutures under the skin which you cannot see, and do not have to be removed. There is glue like dressing called Dermabond covering the wound. You may shower the day after surgery, but do not submerge (in a bath, pool or ocean) for 10 days.

Diet:
The expectation is that you will go home the day of surgery, with a few patients requiring an overnight stay. Your diet will be advanced quickly while in the hospital. After going home, there is not a need for a special diet. There are no foods that are off limits, but I recommend eating lightly for the next 3 days.

Pain:
Pain after this surgery is variable, depending on multiple factors, but probably most related to the amount of adhesion take down that was required, and the size of the hernia repair. Pain is generally felt at the hernia site and around it more widely. The pain improves quickly over the first few days after surgery. Pain while in the hospital will be controlled by IV pain medication and then oral medication. When you are discharged, you will be given a prescription for pain medication to use as needed. This is usually Norco (Acetaminophen/Hydrocodone). Use this sparingly, as it can cause constipation.
It is not uncommon for there to be some degree of pain at the mesh site for a month after surgery.

Activity:
You should be up and around soon after surgery. Hopefully out of bed the same day. When you go home it is important to walk often. You can climb stairs and be active, just avoid any significant lifting (greater than 15 lbs) for 6 weeks.

Issues you may have:
Constipation can occur in the post-operative period, usually due to pain medication use. I recommend using a gentle laxative like Milk of Magnesia.
“I am wiped out!” This is common. It will get better.
Call the office if you have Pain that is worsening and or associated with a fever (temperature equal or greater than 101). It is normal to have some pain, and even a low grade fever can be common. Take the pain medication, or tylenol. Be careful not to combine prescribed pain medication that contains tylenol, and OTC tylenol, or at least be sure not to take more than 4000mg in a day.
Wound infection is rare. There can be bruising around the incision site, but if there is increasing redness, tenderness or drainage from the incision site, call the office.