Post-Surgery Guidelines: Managing Abdominal Pressure After Biliary Surgery - Surgery

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Issues related to abdominal pressure?


Hello Doctor, I had a liver transplant in 2000 and my gallbladder has been removed.
This year, I had common bile duct stones and underwent abdominal surgery on October 31, where the doctor performed a biliary-enteric anastomosis.
I have a few questions:
1.
Am I not allowed to lift heavy objects or bend over for three months? If so, how much weight is considered heavy?
2.
With the New Year approaching, I have been organizing my home and occasionally lifting heavy items.
Could this lead to a hernia?
3.
I still feel numbness around the incision site, and sometimes I experience sharp pain.
Is this normal?
4.
Should I avoid sitting or walking for long periods, as it may increase abdominal pressure?
5.
Is it safe to use an enema for constipation?

Wenwen, 40~49 year old female. Ask Date: 2022/12/19

Dr. Chen Jiaming reply Surgery


1.
For a large incision from a cesarean section, it is recommended to use a abdominal binder three months postoperatively to prevent incomplete healing of the internal muscle fascia layer.

2.
If the internal wound does not heal properly, it can lead to weak points in the fascia layer, increasing the risk of incisional hernia in the abdominal wall.

3.
After a cesarean section, patients often experience a tingling sensation at the incision site, as well as sharp pain with changes in weather (temperature or humidity).

4.
The decision regarding prolonged sitting or walking should be based on the healing and pain status.

5.
Yes, it is permissible.

Reply Date: 2022/12/19

More Info


After undergoing biliary surgery, particularly following a procedure like the one you described, it is essential to adhere to specific post-operative guidelines to ensure proper healing and minimize complications. Here’s a comprehensive overview addressing your questions and providing additional insights into managing abdominal pressure after surgery.

1. Heavy Lifting and Bending: It is generally advised to avoid lifting heavy objects and bending over for at least three months post-surgery. The exact weight limit can vary based on individual circumstances, but a common guideline is to avoid lifting anything heavier than 10-15 pounds (approximately 4.5-7 kg) during this period. This restriction helps prevent undue strain on the abdominal muscles and the surgical site, which could lead to complications such as hernias or delayed healing.

2. Risk of Hernia from Lifting: Engaging in activities that involve lifting heavy objects, especially if done improperly or without adequate support, can increase the risk of developing an incisional hernia. This is particularly true if the internal wounds have not healed sufficiently. If you find yourself needing to lift items while preparing for the holidays, consider using proper lifting techniques (bending at the knees rather than the waist) and, if possible, ask for assistance to minimize the risk.

3. Post-Surgical Sensations: It is not uncommon to experience sensations such as numbness or tingling around the surgical site, as well as occasional sharp pains. These symptoms can result from nerve irritation or damage during the surgery. While some discomfort is expected, if the pain becomes severe or persistent, it is advisable to consult your healthcare provider to rule out any complications.

4. Sitting and Walking: Prolonged sitting or standing can increase abdominal pressure, which may not be ideal during the recovery phase. However, moderate walking is encouraged as it promotes circulation and aids in recovery. If you must sit for extended periods, try to take breaks to stand and move around, which can help alleviate pressure and discomfort.

5. Managing Constipation: Constipation can be a common issue after surgery due to changes in diet, reduced physical activity, and pain medications. If you are experiencing constipation, using a stool softener or laxative may be beneficial. Enemas can be used, but it is best to consult your doctor before proceeding with this method to ensure it is appropriate for your situation.

In summary, following biliary surgery, it is crucial to be mindful of your activities to promote healing and prevent complications. Avoid heavy lifting and bending, manage your pain and discomfort, and maintain a balance between rest and gentle activity. If you have any concerns about your recovery or experience unusual symptoms, do not hesitate to reach out to your healthcare provider for personalized advice and support. Your health and recovery are of utmost importance, especially after significant surgical procedures.

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