Recovery After Hernia Surgery

After undergoing hernia surgery, proper postoperative care is crucial for a smooth recovery and to ensure the best possible outcome. Following the guidelines provided by your surgeon and healthcare team will help promote healing and minimize the risk of complications. Here are some important considerations for postoperative care after hernia surgery:

1. Wound Care:

• If your hernia was performed robotically or laparoscopically, you will have between 3 and 6 small skin incisions. They are closed with resorbable sutures and covered with water-proof glue. The glue will lift off from the edges and fall off on its own in a few weeks. Keep the incisions clean and dry.
• Showering is possible even the day of surgery. Gently pat the incision dry after washing, being careful not to rub or irritate the area. We recommend patients do not take a bath, swim or use a hot tub for 7-10 days after surgery.
• Avoid applying creams, lotions, or ointments to the incision site unless specifically instructed by your surgeon.
• Some people may have sensitivity to glue and notice redness or skin irritation around the incisions. If that is the case, we recommend peeling off the glue to remove the offending factor. Steroid ointment may help reduce the skin irritation, but only use it after consulting with your surgeon.
• For people who underwent open surgery, a larger incision may be present. If there are drains or staples, those will be removed at the first postoperative appointment, 1-2 weeks after surgery.

2. Pain Management:

• We use nerve blocks at the time of the operation to reduce postoperative pain. Nonetheless, some amount of pain is expected after hernia repair. Pain usually gets better as you heal. We recommend our patients to be active, by walking, doing deep breathing exercises, changing positions and sitting up in the chair. These will speed up the postoperative recovery.
• If medications are needed, start with over-the-counter pain relievers, like Ibuprofen (Motrin, Advil) or Acetaminophen (Tylenol). Take these medications with food and do not use more than 3,000 mg Tylenol per day.
• For persistent or more intense pain, you may use the narcotics prescribed at the time of surgery. Narcotics do constipate, and we recommend adding stool softeners if they are used. Alternate narcotics with non-narcotic pain relievers.
• Apply ice packs to the surgical site to help reduce swelling and alleviate discomfort. You can apply the ice pack for 20 minutes on, then 20 minutes off during the first 3 days after the operation. Use a thin towel between the icepack and your skin to prevent frostbite.

3. Support garments:

• Support garments, such as hernia belts or trusses, and abdominal binders, are often recommended by surgeons to provide additional support and reduce strain on the repaired area after hernia surgery. These garments provide gentle pressure to the surgical area, helping to reduce swelling, minimize discomfort, and support the healing tissues. They also assist in maintaining proper posture, which can relieve strain on the incision site and prevent further complications. While they can be beneficial, it’s important to follow your surgeon’s specific instructions regarding their use, as individual needs may vary. Some patients may find that they do not require a support garment at all, while others may benefit from wearing one for a specific period of time.

4. Physical Activity and Rest:

• Gradually resume normal daily activities, such as walking, and light exercise. There is no weight lifting limit after surgery. Instead, we encourage our patients to be active, but tailor activities to their comfort levels: “If it hurts, don’t do it”.
• Take frequent breaks and avoid prolonged sitting or standing to minimize strain on the incision area.
• Most patients can return to work within 1 or 2 weeks after surgery. If your job is physically demanding, more time off may occasionally be necessary. These individual needs will be discussed at the follow-up appointment.

5. Diet and Nutrition:

• Maintain a healthy, balanced diet to support the healing process. Include foods rich in fiber to prevent constipation, as certain pain medications and reduced physical activity can contribute to this issue.
• Stay adequately hydrated by drinking plenty of fluids.

6. Follow-up Appointments:

• We encourage all our patient to schedule an appointment within 2 weeks from the operation. Additional postoperative may be necessary on a case-by-case basis. These visits are essential for monitoring your recovery, ensuring the incisions are healing properly, and addressing any concerns or questions you may have.

7. Signs of Complications:

• Pay close attention to your body and watch for any signs of complications, such as excessive bleeding, severe pain, redness, swelling, pus, or fever. Contact your surgeon immediately if you experience any of these symptoms.

Remember, every patient’s recovery may vary, so it’s essential to follow the specific postoperative instructions provided by your surgeon. By adhering to these guidelines and seeking prompt medical attention when necessary, you can optimize your recovery and return to your daily activities as soon as possible.

If you have any questions or concerns about your postoperative care, do not hesitate to reach out to our office for guidance and support.