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Surgical Services

Pre-Op Info >> Rectal Surgery

Rectal Surgery

Posted On: 2011-12-19

PROCEDURE MAY INCLUDE:
Hemorrhoidectomy
Sphincterotomy
Fistulotomy  

NUTRITION:

  • Return to normal preoperative diet.
  • IMPORTANT to have high fiber diet to include cereals with bran, whole wheat, fresh fruits and vegetables.
  • Unless otherwise restricted, drink plenty of fluids (i.e. water) to prevent constipation.
  • Avoid caffeine, high sugar beverages and alcohol usage while recovering.

MEDICATION:

  • If needed, a prescription for pain will be provided.
  • Use stool softeners and laxatives only as directed by the doctor.
  • Bulk agents are acceptable to use after surgery (Metamucil, Citrucel, etc.).

ACTIVITY:

  • Walk indoors/outdoors as much as possible.
  • May go up and down stairs.
  • Take frequent rest periods. Fatigue and tiring are normal symptoms following surgery.
  • Avoid driving while feeling most uncomfortable.
  • Lifting restrictions: Avoid heavy lifting and intense physical activity, straining for 4-6 weeks.
  • Light housework or yard work is acceptable unless otherwise instructed by the doctor.
  • The doctor will discuss return to work and/or school dates.

WOUND CARE:

  • Good hygiene encourages faster healing.
  • Sitz baths as directed by the doctor also promotes healing and provide some relief of discomfort.
  • Bloody or clear discharge in small amounts is normal, especially after bowel movements.
  • It may be helpful to protect underclothing with a light dressing (i.e. minipad).  Change pad as frequently as needed and cleanse well after each bowel movement with soap and water to prevent infection.

EXPECTATIONS OF SURGERY:

  • Although it is normal to fear the first bowel movement and the urge to delay it, waiting will only harden the stool and causes constipation. This increases the pain and likelihood of bleeding with bowel movements.
  • Follow the urge as soon as you feel it – try to have daily bowel movements. Muscle spasms in the rectal area may be experienced between bowel movements.
  • You may have a burning sensation in the bowel movements.
    Sitz baths help provide relief.
  • Minimal to moderate pain, swelling and bleeding are to be expected.

CALL SURGEON IF:

  • Excessive bleeding (dripping into stool for a period of time or soaking a minipad).
  • Temperature over 101 degrees.
  • Constipation of more than >2 days duration.
  • Severe uncontrollable pain.


IF OFFICE IS CLOSED and an EMERGENCY arises, please call 911 or go to the Emergency Department.  
 

A MISA surgeon can be reached by calling the office answering service at (309) 677-6019






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