Appendectomy Recovery: Questions on Leave and Lifting Restrictions

Appendectomy

Hello, Dr.
Hsu! I realized I missed a part.
After the surgery, the doctor told me that he removed my appendix and did not mention anything about removing my colon, stating that it was an appendiceal perforation.
I would like to ask, I had the surgery on January 30 and was discharged on February 9, but the doctor only provided me with a medical leave until February 21.
Is this medical leave reasonable? Additionally, the hospital gave me a post-operative care guide, which mentioned that I should not lift heavy objects.
When can I start lifting heavy items again? My job requires me to lift goods weighing between 8 to 15 kilograms and push items weighing 200 kilograms.
What is considered a heavy object? How many kilograms qualify as heavy? I appreciate your assistance in answering my questions.
Thank you, doctor!

Yu Yan, 30~39 year old female. Ask Date: 2014/04/03

Dr. Xu Kaixi reply Surgery

Due to the necessity of answering your question based on actual medical records and clinical conditions, I cannot provide a definitive answer.
I recommend consulting your attending physician who performed the surgery.
Generally, for uncomplicated appendicitis undergoing an appendectomy, recovery typically takes one to two weeks.
It is advisable to avoid heavy lifting for one to two months postoperatively to prevent straining the abdominal area.

Reply Date: 2014/04/03

More Info

Dear Patient,
Thank you for reaching out with your questions regarding your recovery after an appendectomy. It's important to understand the recovery process and the restrictions that may be necessary to ensure a smooth healing journey.
1. Sick Leave Duration: You mentioned that your surgery was on January 30th, and you were discharged on February 9th, with a sick leave extending until February 21st. Generally, the duration of sick leave after an appendectomy can vary based on individual recovery rates, the type of surgery performed (open vs. laparoscopic), and any complications that may have arisen. For a straightforward laparoscopic appendectomy, a week or two off work is often sufficient, while an open appendectomy may require a longer recovery period. Given that your surgery involved a perforated appendix, it is reasonable for your doctor to recommend a longer recovery period to ensure that you heal properly. If you feel that you need more time, it is advisable to discuss this with your healthcare provider.

2. Lifting Restrictions: After an appendectomy, especially if there was a perforation, it is crucial to avoid heavy lifting to prevent strain on the abdominal muscles and the surgical site. The general guideline is to avoid lifting anything heavier than 5 to 10 pounds (approximately 2.3 to 4.5 kilograms) for at least 2 to 4 weeks post-surgery. Since your job requires lifting between 8 to 15 kilograms and pushing 200 kilograms, it is essential to adhere to these restrictions until you receive clearance from your doctor. Heavy lifting can lead to complications such as hernias or delayed healing.

3. Defining Heavy Objects: The term "heavy objects" can vary from person to person, but in a medical context, it typically refers to anything that causes strain or discomfort when lifting. For your specific situation, anything over 5 to 10 pounds should be considered heavy until you have fully healed. It's also important to listen to your body; if you experience pain or discomfort while lifting, it’s best to stop and consult your doctor.

4. Follow-Up Care: Make sure to attend all follow-up appointments with your healthcare provider. They will monitor your recovery and can provide personalized advice based on your healing progress. If you have any concerns about your recovery or if you experience symptoms such as increased pain, swelling, or fever, do not hesitate to seek medical attention.

In summary, your sick leave appears reasonable given the circumstances of your surgery, and it is crucial to adhere to lifting restrictions to ensure proper healing. Always consult your healthcare provider for personalized advice and follow their recommendations closely.

Wishing you a smooth and speedy recovery!
Best regards.

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