Nissen, HHR, and Gallbladder Surgery all at once??

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deleted
New Member


Date Joined Apr 2011
Total Posts : 17
   Posted 4/25/2011 6:24 PM (GMT -6)   
Hello, and thank you for this forum! I am scheduled to have my Nissen Fundoplication, a Hiatal Hernia Repair, and my Gallbladder removed all at the same time May 9th. This is my 3rd year in a row on major surgeries, I am lucky to have multiple health issues. shakehead
Anyway, my surgeon is going to "try" to do this lap. but I have had 2 prior laps, so we shall see. I am really scared from reading so many horror stories. I'm wondering how will I take my meds if it's so hard to swallow? What can I really expect as far as recovery? Will I have tubes down my nose when I wake up, etc? I'm just looking for honest answers from anyone who has been through any of these surgeries...or all of them at once as I will be. Thank You, any input is greatly appreciated. BTW I also have Duodenitis and IBS, along with severe GERD.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7185
   Posted 4/25/2011 7:43 PM (GMT -6)   
Hi tummytroubles,
Welcome to Healing Well! Sorry to hear you've had so many tummy troubles! You're definitely in the right place.

I totally understand the fear that is brought on by the scary horror stories on the internet. Keep in mind that most people who have the surgery never post online, but rather go on to live their lives happily. People who have problems are more likely to post online than those who are happy with their results.

Like you, I found this forum when I was searching out information before I had the surgery in 2009. I found the people here to be very positive, yet realistic about this procedure.

You will be able to take medications after your surgery through some adaptations...First, ask your surgeon to provide you with oral pain medication when you leave. If he refuses (they seems to be anxious to put people on liquid diets, yet insist on giving them big pills to swallow) you can cut or crush it and put it into applesauce. You can take chewable or liquid calcium. You can cut most pills, and open capsules and put them into applesauce or yogurt. You can get your doc to prescribe two smaller sized pills that when taken together equal the potency of the larger tablet. You can't chew timed release, but other types are fine. Be sure to have some liquid Tylenol or Motrin on hand for post surgery pain when you no longer need the narcotic pain relievers.

I suggest you ask your surgeon his protocol regarding NG tubes after surgery. I didn't have one, but some here did. My surgery took place in the morning, and I as released 24 hours later. Of course, if you have an open surgery you'll be in the hospital longer.

Good luck with your surgeries! Be sure to ask any questions you have...many here have experience with the surgery. I also suggest that you take a list of questions to ask your surgeon. He's the one who will be able to answer your questions best!
Best Wishes,
Denise

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 4/25/2011 7:44 PM (GMT -6)   
I had the lap nissen and HH repair together.
I asked for liquid pain meds and was able to swallow my smaller pills.
The first week you'll be sore but not major. Day one was my most painful but I only needed one injection during the 24 hrs there.
I stopped the pain meds at day three. Some people need it a little longer.
You'll swell inside and outside for 14 days that is why you need to stick with liquids during this time. Gradually you'll add firmer foods. You'll be on a exercise restriction (mainly lifting) for six to eight weeks.

When I woke up I had an oxygen tube under my nose and pressure boots on. Not to mention the breezy gown. Brrrr!

Ask away...
Joy

gerdisawful
New Member


Date Joined Apr 2011
Total Posts : 8
   Posted 4/25/2011 8:07 PM (GMT -6)   
Hi tummytroubles, *hugs for you* I cannot give any thoughts on nissen or HH but I can tell you that I had my gallbladder removed when I was 23. I was having incredibly severe stomach and back pains, was admitted to the E.R (the pain was BRUTAL), and a about a month later I had the operation. My surgeon was awesome. He also told me that he didnt really want to operate if I had an attack the night before, I can't remember why this was. But I do remember that almost anything I ate (100x more bland than I am eating for Gerd) gave me attacks. I had a small one the night before my surgery, however the surgery went just fine. It was about 2 hours I think. I was given percocet for the pain. The first few days were hell. It was so hard to get in and out of bed so the second day I switched to my chair and camped there for about 3 or 4 days. I was eating turkey sandwiches on day 3... feeling better by day 5 I think.

I dont know if this causes medicines to loose potency but at a time when I was having problems with my teeth and afraid to swallow, I used to take my prescription (vicodin) and let them dissolve in a very small glass of water. They still took away my pain, but it tasted rather gross.

Anyway all three of your procedures at once will probably require so much more healing time but its probably a good idea to get them all done and over with at once. All the best to you. :)

amandapanda82
Regular Member


Date Joined Feb 2011
Total Posts : 46
   Posted 4/25/2011 8:17 PM (GMT -6)   
Hello. I had my lap nissen and hiatal hernia repair done on March 30th. Since then I can swallow small pills, larger ones I break apart or crush and put in sherbet. I'm not going to lie, the first couple of weeks might be rough. They were on me. I was in the "what in the world have I done to myself" phase. I'm out of that phase now. It's been a hard recovery but so far, it's been worth every second! Not having heartburn is great :D

I did not have an NG tube after the surgery, but your surgeon may have a different protocol. If you are prone to nausea make sure to leave with some good anti-nausea medication that you know will work. Trust me, that saves you a lot of trouble in the long run.

Everyone's recovery is different, but I expect that you will do just fine. Just take it day by day and know that every day gets better! Best of luck to you!

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 4/27/2011 2:41 AM (GMT -6)   
I have had 2 Nissens and the first I had an NG tube until the next morning and with the redo I didn't have one. Surgeon's preference. They were worried about scarrring from my first lap Nissen, but were able to do it that way again without much trouble scar tissue wise, but the mess from my first surgeon was another story. I was able to swallow pills on day 3 without much problems. I could feel them sit at the wrap and another drink would push it through.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09

bittersweet603
Regular Member


Date Joined May 2006
Total Posts : 93
   Posted 4/28/2011 7:22 PM (GMT -6)   
Hi Tummytroubles, guess you and I are surgery buddies..my Nissen and GB removal is on May 9th as well. I am worried and stressed just as much as you are but think that the end result will be worth not dealing with all this pain. I also have IBS and gastritis/esophagitis so I'm worried about all this as well. I'm hoping and praying it goes well for both of us.

lilfox
New Member


Date Joined Apr 2011
Total Posts : 13
   Posted 4/28/2011 9:54 PM (GMT -6)   
hi just to let you know i was lucky, my doc had me stay in the hospital 6 days, and i had the machine to push button when needed for pain,  i am 2 weeks post op and i feel fine, never was sick, can eat almost anything and the only thing i cant do is lift anything heavy or touch my toes, swelling is going down a couple of more days and i will be back to my old self i think...i was on regular food by the seventh day, even ate a bag of crunchy cheetoes...didnt need any pain meds at home just taking things easy I am a 60 yr old female and my aunt is 79 she had it done too it took her a little more time to recover she can eat anything but corn, doesnt agree with her but thats all...so here's hoping your surgery is as easy as mine was...the hardest part of the whole thing was the cathither,(spelling) was hard to pee when took it out but thats all....no pain from the surgery
yeah  

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 4/29/2011 5:30 AM (GMT -6)   
Just wanting to wish you soon to be in the "wrapped club" good luck and a speedy recovery! Can't believe May 18th will be my 2 year anniversary of my redo already.

Tummytroubles and Bittersweet- I had my gallbladder removed about 1.5 years before my first nisssen and if I could have had them all done at once I would have jumped at the chance. Actually the gall bladder part was simple, but would have been 2 less scars. If you are dealing with IBS the gall bladder and nissen can cause some havoc with the plumbing for a while. Depending on which way yours acts up. If it D it may get worse for a while, but if it's constipation it may help that out for a while any way. If D becomes a problem Questran or Colestid worked great for me to bulk things up again. questran is a powder, but colestid is a pill and doesn't work quite as well, at least for me. Just some info just in case.I had my gall bladder removed in the fall of '05 and really haven't had to use either for a couple years now. just get by with Imodium when needed now.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09

deleted
New Member


Date Joined Apr 2011
Total Posts : 17
   Posted 4/29/2011 9:50 PM (GMT -6)   
Denise, Joy, Gerdisawful, Amandapanda, Bill, Lilfox...Thank You so much for your replies! It's very good to hear everyone's experiences, it will help me to know what to expect. Bittersweet, I will be thinking of you as I go into surgery and hoping all goes well for you. Bill thank you for the advice on the plumbing issues. My IBS is more C since my last surgery this past October. Having to take fiber and colace every day/night. So hopefully it will end the need for that and maybe I'll balance out. Before that surgery it was IBS-D, so one can hope, LOL. LIlfox, I do remember the catheter feeling from my last surgery as well. That was a total vaginal hysterectomy. In Oct '09 I had my appendix removed. It's been 3 years of misery but these digestive problems are the worst. I'm lucky to be out of bed at all anymore, it's agony. Though ya'll know this already. UGH. I was wondering if I would have the catheter again, (it's kinda nice not having to try to make it to the bathroom with those boots to get off and on). I am 45 btw, so Lilfox, I am going to be thinking of you when I am recovering for my inspiration! :) Thank you ALL again, for advice and support. I'm not sure what questions to ask, I just know I have a million "what ifs, what about's, etc)... so I appreciate ANY shared experiences. My pre-op is Monday, getting nervous.

deleted
New Member


Date Joined Apr 2011
Total Posts : 17
   Posted 4/29/2011 10:16 PM (GMT -6)   
I'm back, I just read about a barium swallow after surgery? *GASP* Is that the norm? I just had one a few weeks ago, I cannot imagine trying to swallow all that stuff and those pop rock like things after this sort of surgery. (faint)

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7185
   Posted 4/30/2011 12:02 AM (GMT -6)   
Hi tummytroubles,
Some surgeons routinely do barium swallows following surgery, while others do not. I didn't have one, and was given a tray the next morning...no problem. Ask your surgeon if this is routine for him/her. If he says yes, then express your concerns and see what the response is.
It's definitely not routine for all. Hope it's not for you!
Denise

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 4/30/2011 4:43 PM (GMT -6)   
I didn't have one, they just took an xray in post-op.
Joy

bittersweet603
Regular Member


Date Joined May 2006
Total Posts : 93
   Posted 4/30/2011 5:25 PM (GMT -6)   
I was also curious about the barium after surgery, I know it was torture when I had it as well because my gb decided to act up just at that time. I almost threw up on the table. I know my surgeon said after surgery they go back in with a scope down your throat to check it all out and an xray, perhaps this takes place of the barium..either way I would ask too. I have alot of questions and nervs still but will be thinking of you Tummytroubles, and we will have to post our recoveries afterwards.

deleted
New Member


Date Joined Apr 2011
Total Posts : 17
   Posted 5/1/2011 2:12 AM (GMT -6)   
Oh I hope we don't have to do the swallow! That was really hard to do, and yes, I thought I would throw up a few times. It was soooo much to drink, than the pop rocks, than more stuff, even a piece of cookie. I felt like I was going to explode! Denise, Joy, and everyone who's been through this, thank you again. I'm getting really anxious now as well. Bittersweet, we will swap surgery stories soon :) Hopefully we will have a smooth recovery. And NO swallows! UGH!

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 5/1/2011 12:33 PM (GMT -6)   
I was very nervous as time grew closer for me too.
The night before I didn't want anything to eat. However the morning of everything moved so quickly I have very little time to be nervous. Just think... you'll get to sleep through the hardest part. :)
Joy

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7185
   Posted 5/1/2011 6:41 PM (GMT -6)   
Hi tummytroubles and bittersweet,
If you both had great difficulty with your barium swallow, please inform your surgeons about your concerns. Since many surgeons do not require a barium swallow, perhaps your surgeons will be trusting and not do a routine X-ray.

You don't want to vomit post surgery, and the barium swallow makes that risk greater, it should be avoided.

Just a thought!
Good luck with your surgeries!
Denise

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 5/1/2011 8:36 PM (GMT -6)   
The barium swallow test I had after surgery wasn't done with a lot of barium. I only had to take a couple small drinks. More like sips. The first time they used the regular shake up stuff, but the redo I had the thinner stuff. Both times they did it with me standing. Some surgeons do it to be sure there is nothing leaking before they let you eat and drink.
Believe me you don't want a leak.....had a leak 4 days after my redo and just recently had a tear in my esophagus that leaked into my chest. Both of those were the worst pain I have ever had. The leak after my redo wasn't the wrap area, but was from them taking the one done incorrectly apart.

Take care,
Bill devil
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7185
   Posted 5/1/2011 9:28 PM (GMT -6)   
There you have it from someone with lots of experience! It's a modified barium swallow taking into account what you've been through. Still, I'd discuss your concerns with your surgeons.
turn

deleted
New Member


Date Joined Apr 2011
Total Posts : 17
   Posted 5/4/2011 9:19 PM (GMT -6)   
Thank You Bill, Joy, and Denise. It really helps to know what to expect, or at least have an idea. I had my pre-op on Monday, and it was really thorough. Even did a chest X-ray. Have never had such a lengthy thorough pre-op before. Not sure if I'm more nervous or more relieved about it all now. Just very anxious. I have to call the Hospital Friday afternoon for my report time for the Hospital on Monday. They said I would be admitted for a day or two if able to do it laparoscopically. I am really dreading that shoulder pain. I have a torn rotator cuff and pinched nerve in my right shoulder and neck, and I remember how excruciating that shoulder pain was when I had my appendix removed. I have stocked up on gas x strips, broths, yogurt etc. Any other suggestions for diet? I was told by my surgeon I will be on a liquid diet for the first 2 weeks. I've been eating everything I can lately LOL but paying for it so should probably stop doing that. Thanks again for all your advice. Bittersweet, how are you doing?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7185
   Posted 5/5/2011 6:15 PM (GMT 0)   
Hi tummytroubles,
From what I've read, the cause of the shoulder pain is the gas that is pumped into the abdomen to create a better field of view, as well as the irritation to the diaphram muscle due to stitches.

I was advised, and found it extremely helpful, to walk as a way of alleviating the pain. I walked as much as possible right away--a night nurse suggested I walk the halls whenever I got out of bed to go to the bathroom. I walked laps all the time, following her orders. At home I began by walking from room to room (it was February, and snowy outside). After a week or so, I walked slowly on my treadmill. Now you could get outside to walk.

I can tell you that the more I walked the less pain I had.

Good luck with your surgery! We'll be waiting to welcome you to the Wrapped Club when you check in after it's done!
Denise

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 5/5/2011 6:08 PM (GMT -6)   
Maybe you can ask the surgeon to drain off the gas for you? My surgeon did this and I had no pain.
Joy

bittersweet603
Regular Member


Date Joined May 2006
Total Posts : 93
   Posted 5/8/2011 1:27 PM (GMT -6)   
Tummytroubles I just wanted to say goodluck tomorrow, I have been a nervous wreck and my stomach has been suffering because of my nerves but I will happy to get it over with tomorrow. My surgery is at 945 am..and my birthday is the day after, so I hope that by then I will be able to enjoy a little ice cream with some friends and family in the hospital but I wont push it if I can't. I have been doing as you said you were, and eating everything I can in sight! I have been paying for it but I just want to make sure I can have one last taste of everything starchy before I get wrapped.

I will be thinking of you and will keep you updated on progress, as I hope you will do too about yourself..goodluck!!

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 5/8/2011 6:12 PM (GMT -6)   
I wouldn't try ice cream, but a popcicle is okay. I had one just hours after surgery for first meal. :)
Joy
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