back home from toupet fundoplication of 3-7 by mintpepper

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mintpepper
Regular Member


Date Joined Feb 2012
Total Posts : 22
   Posted 3/11/2012 9:53 AM (GMT -6)   
I will start a new thread on my surgery experience (previous was fever 101, surgery scheduled for 2-29). Had the lap toupet fundoplication (270 degree wrap) with diaphragm repair (most of the stomach was in the chest) on March 7 about 11:30 a.m. I didn't get home until yesterday Mar.10 due to oxygen levels. Also couldn't pass gas or anything until I had a suppository on Mar.9. That took care of that!!

I liked the idea of the 3/4 (270) wrap for the repair. There seems to be fewer complications from it with as good results, so that is what my surgeon did. I had absolutely nothing by mouth for 2 days after. Then on the third day they took me in for a barium swallow test to make sure all looked ok and that nothing was leaking. I was afraid for what would happen if nothing went down, but it went fine-just two short swallows and it was done. They gave me all my meds by injection or dissolved in water and injected into the g-tube he had inserted in my stomach during surgery. How simple. The next morning I had some awful combination of very salty beef broth and a lemon italian ice that bloated me up and I was in pain until they came a released the pressure using the g-tube. That was very simple and now I am glad they put the tube in.

I am 68 (amost 69) and worried that my age might affect speed of recovery so we shall see how all this comes along. I have to use that plastic breathing contraption at least every hour and they hope that will resolve my oxygen level problems. I had a small pneumothorax that should resolve if I keep up with the breathing exercises. I plan to walk on the treadmill today for 10 min or so. I weighed about 151 going into surgery and this morning (5 days after) I weigh 146.6. I could stand to lose a few pounds but don't want to go much below 140. I have to have clear liquids but can advance to full liquids when I feel ready. I have thought long and hard about nutrition during this time- I bought juices (found a clear apple/carrot juice that isn't too bad) and bought some of the usual- high protein boost, carnation breakfast essentials, applesauce, pudding and lots of broth.

One thing I am going to try very soon is homemade egg drop soup. Boil a can of chicken broth, thicken slighty with corn starch dissolved in a little cool chicken broth, then stir in a beaten egg. I probably won't use any spices but you can use chives or green onion and other things to pick up taste and then probably strain it before adding the egg.. I make this fairly often anyway and that should be an easy way to get some good protein. Anyone else have any good food ideas?

I was sent home with Loritab and take as little as possible. about the only pain I have is sometimes when I breathe deep, and of course the 5 or 6 holes for the lap surgery. They all have staples which will be removed at my first appointment in about 10 days. The one that causes me trouble is on the left side and it is right in the fold of skin/fat that is created with I sit down or lean over at all. I also have a heck of a sore throat. All in all it is so true that each day brings improvement. I am just so glad to be home.
I appreciate any comments or advice. turn
 
Edit:  I added your name to your thread to make it easy for members to find.  :)

Post Edited By Moderator (stkitt) : 3/11/2012 11:36:51 AM (GMT-6)


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 3/11/2012 11:35 AM (GMT -6)   
Welcome home and it sounds like you had a excellent Surgeon who was on top of everything.  I was glad they delayed your surgery until your fever was down.  A small pneumothorax was most likely the cause of the oxygen level problem but you are home now so hopefully things will progress nicely.  
 
My hubby has a collection of those "plastic breathing contraptions" from his surgerie and hospitalizations.  cool
 
As  we age we do heal slower than the healthy younger person but hey remember the sixties are the new forties.  Although I would disagree with whoever coined that pharase.  Evil minded person. devil
 
You have great attitude and we will be here with you all the way through your healing process to help you celebrate the good and the not so good.
 
Gentle Hugs,
Kitt
~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.

www.healingwell.com

"Life is not about waiting for the storms to pass...
It's about learning how to dance in the rain."~ Vivian Greene

mintpepper
Regular Member


Date Joined Feb 2012
Total Posts : 22
   Posted 3/11/2012 3:55 PM (GMT -6)   
Have already lost 6-7 pounds. Managed to have half of a vanilla carnation essentials instant breakfast and that went over ok.

mintpepper
Regular Member


Date Joined Feb 2012
Total Posts : 22
   Posted 3/12/2012 10:51 AM (GMT -6)   
I quit taking Lortab yesterday- didn't like the way it made me feel. Just took my usual 1/2 aspirin and today pain is very slight- really the worst part is around the g-tube and now I have thrush in my mouth probably from antibiotics. I ate some yogurt last night and it seems better today but I put a call into Dr. office to see if I need to take something for it. I had part of a chocolate boost this morning and that seems to be settling ok too. All in all- good so far! yeah

Lilred08
Regular Member


Date Joined Mar 2012
Total Posts : 54
   Posted 3/12/2012 11:50 AM (GMT -6)   
Thanks for sharing your experience. I was just recently diagnosed with acid and non-acid reflux and referred to a surgeon who I will see next month. It helps to read other people's experiences. Good luck with your recovery.

mintpepper
Regular Member


Date Joined Feb 2012
Total Posts : 22
   Posted 3/25/2012 9:47 AM (GMT -6)   
Now 2 1/2 weeks post op and doing well. A little over a week ago they took staples and g-tube out. I will either never have another g-tube or they will have to put me out to remove it!!

I have now lost about 10-11 pounds but it will probably stabilize around that since I have been eating more. I made tuna casserole- blenderized a can of tuna with some mushroom soup and poured over well cooked mac and cheese. Sounds gross but actually tasted ok. Eating scrambled egg, cottage cheese, creamed dried beef over mashed potatoes (picked out the dried beef pieces but had the flavor), lots of boost, pudding, shakes. I am trying some baked fish today and maybe some scalloped potatoes.. So far no problems with eating- I just take my time with only very soft foods.

Painwise , this 68 year old is just about back to normal. Incisions are healed and the only problem is fullness in midsection when leaning over. I am not used to having my stomach in the proper place, so it will take some time I suppose. I have been driving for about a week(cleared by surgeon) and other than the slowed down eating, feel pretty much normal. No stomach issues whatsoever, no nausea, hardly any gas and I feel really fortunate. Of course it is early yet- hope I don't develop any of those things. I am very careful about the weight of what I am lifting, too. turn turn

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 3/26/2012 12:50 AM (GMT -6)   
mintpepper-

I had the peg/pej tube for feeding when my esophagus tore. The removal was horrid. I too will not have another removed with out some type of sedation. Hopefully I never have to have one again.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

mintpepper
Regular Member


Date Joined Feb 2012
Total Posts : 22
   Posted 3/26/2012 12:58 AM (GMT -6)   
My tube had a collapsible bumper (not a balloon) and there is no way they should have tried to remove it the way they did. I was in agony for two solid hours before it let up at all, and then I felt like I had a gunshot wound or something for several days afterward.Any pain from surgery was inconsequential after that.

mintpepper
Regular Member


Date Joined Feb 2012
Total Posts : 22
   Posted 4/12/2012 10:59 AM (GMT -6)   
about 5 weeks post op now- still doing very well. Most days I can't tell I've had any surgery. Lately I have noticed that I don't have much energy and now have lost about 13-14 lbs. I don't have much appetite and now I'm trying to get more protein into the diet. I made some salmon quinoa patties last night that weren't too bad. I don't eat much meat anyway, but can eat most anything as long as I chew it well.( no bread-toast only and no raw veggies). I started taking one of my medications by capsule instead of liquid and it went down ok!!

I tapered off on my omeprazole and now take nothing. I seem to be doing fine so far without it (one week) so I guess I will just be a little careful about what I eat and take a tums if necessary. I made some mild chili the other day and used tomato sauce and a can of tomatoes and beans and was able to tolerate that too. I haven't tried any other spicy foods yet.

For those contemplating surgery- for me the worst part was the worry beforehand about not being able to eat etc. My experience has been so much better than I thought it would be (so far). Obviously everyone heals and reacts to procedures in different ways, but I have been fortunate to not have nausea or extreme gas. I am 68 and so far have healed nicely. I had the toupet fundoplication(270) so that may partially be why I have been able to swallow fairly easily and can burp when I need. All in all, it is good!!
yeah

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 4/12/2012 11:11 AM (GMT -6)   
Hi Mintpepper,
Sorry I haven't been on your thread sooner! 
Congratulations on your surgery. 
You're now a full-fledged member of the
Healing Well yeah yeah yeah Wrapped Club! yeah yeah yeah
Your posts are already helping others looking for information.
 
I'm with you...I also found the worry and anticipation much worse than the recovery.  I didn't have a Toupet wrap...rather a 360 full wrap, but mine was made loose enough to allow little burps so I didn't suffer much from bloating. 
 
It sounds like you're doing just great!
Thanks again for taking the time to share your experience.
Happy healing!
Denise

sunny146
New Member


Date Joined May 2012
Total Posts : 1
   Posted 5/14/2012 7:44 AM (GMT -6)   
Hello Mintpepper....I will meet with my surgeon tomorrow to schedule the toupet fondoplication. The diagnostic tests have been tough- had to have them twice as two different docs wanted the tests done on their computers. Thanks for your running dialog. I am a little nervous about it but feel better having read your comments. Thanks for sharing.

mintpepper
Regular Member


Date Joined Feb 2012
Total Posts : 22
   Posted 6/14/2012 11:00 PM (GMT -6)   
I am now 14 weeks (3 1/2 mo) post op and still doing very well. I can eat everything I did before surgery and have had no problems with swallowing. Have had a very little bit of stomach upset but we have piles of tomatoes from our garden and I have been eating at least 4 tomatoes every day. I take nothing for reflux so things must be pretty good to withstand so many tomatoes!! I am still down 10 lbs from pre-surgery weight and am eating normally so I think that weight will stay off. I have no regrets about having this surgery- hope others also have a successful surgery and recovery period.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 6/15/2012 6:42 AM (GMT -6)   
Hi mintpepper,
 
Thanks so much for checking back in and letting us know how you're doing.  So often people who post online have problems, and it can create the impression that everyone does.  It's heartening to people who are just recovering to hear your story.
 
Don't be a stranger!
Thanks again,
Denise

New Life In Kissimmee
Regular Member


Date Joined Sep 2012
Total Posts : 32
   Posted 9/9/2012 9:16 AM (GMT -6)   
Mintpepper:
 
Words cannot begin to express how truly grateful I am that I found your post. I have been absolutely TERRIFIED regarding this surgery. I am 41 years old and I've been dealing with acid reflux since I was 14. I have tried every PPI and Antacid on the market. I'm now on a combination of Dexilant 60MG and Carafate Suspension which seems to have provided me with some level of quality of life. That said, the years have NOT been kind to my Eusophagus nor stomach. I've gone through that HORRIBLE test (manamotry) and gastric emptying scan and countless Endoscopy.
 
They found that the lower 40% of my Eusophagus is so bad that they are removing it along with the repair of a 7cm hiatal herniation. So my Toupet Fundoplication is scheduled for 10/17/2012 (I have a wedding at the end of September and I am trying to hold on until then but I may wind up having it done sooner because I continue to deteriorate much quicker than I thought).
 
After reading your post, I feel SO much better about having this done. THANK YOU and I am sincerely glad that you're doing so well!!!
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