fundoplication surgery

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fil3
New Member


Date Joined Jul 2013
Total Posts : 6
   Posted 7/7/2013 4:02 PM (GMT -6)   
I am having my fundoplication surgery tomorrow, 7/8/2013.......Any advise....What things should I not panic about and what should I worry about....Kind of nervous it will fail

Issaquah
New Member


Date Joined Jun 2013
Total Posts : 1
   Posted 7/7/2013 5:36 PM (GMT -6)   
I had the surgery on July 2, at Swedish Hospital in Seattle. Here's part of a blog on another message board that I did 2 days after surgery (July 4).
 
Surgery was pretty uneventful. I guess I was asleep. I was told it took about 2 hours. I was not given any liquid of any kind for about 24 hours post surgery. Just iv fluids and oxygen. I had a barium swallow test to verify there was no leakage or blockage before I was allowed liquids. The hospital was very aggressive toward pain control and gave my a self controlled morphine pump. On the few times that the pain got a little "extra" there was no problem giving me a little extra.
My diet now is any liquid that has a consistency thin enough to flow through a straw -- without using a straw. Temperature extremes are uncomfortable, as is trying to drink or swallow too much.
I'm still experiencing some diarrhea and only recently started passing gas. Kinda the reverse of what I expected. Pain is pretty well controlled with Tylenol but I brought home an adequate amount of liquid hydrocodone. The problem with liquid Tylenol is that you have to drink a large volume to get to the 1000mg level -- and large volumes are not good. It takes about 4 sips to get the 2 tablespoons down. Plan ahead and get adult strength liquid because most of what is on the counter seems to be child strength which requires even more volume.
The pain is strange. Part if it resembles the muscle pain from doing way too many situps. That pain that concentrates right along the bottom of your rib cage. But there is another part that reminds me of a time when I accidently got too close to a batter and got a hard hit in the ribs more towards the back -- but this is on both sides. But it is tolerable. I'm too exhausted to do anything anyway.
I need to keep working on taking deep breaths. It's not comfortable, so there is a strong tendency to breath shallowly. I'm assuming that the deep breathing is helpful for getting rid of all of the CO2 they pump into you to open up the abdominal cavity. I'm still a little "inflated". My wife says I look like I'm about 7 months pregnant but I'm too old and the wrong sex for that.
So, overall, the first day after surgery is pretty much a lost day because of the anesthesia but that's to be expected. My second day I find I'm able to move around pretty well and am learning where the limits are.
 
So, fil3, sleep well and follow the directions YOUR doc gives you. There are some variations available on the internet but your doc knows you, your situation, what he did, and what will work best for a successful outcome.
 

fil3
New Member


Date Joined Jul 2013
Total Posts : 6
   Posted 7/7/2013 5:59 PM (GMT -6)   
I am going to get my surgery with the VA and worried have to drive 2 hours for any medical issues and I am worried something may go wrong and I cant get attention when I need it........
 
So the pain is not something that is unbearable?
I just hope it works and I understand it will be a long recovery but once I am there I feel like I will panic... How is your sleep

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 7/7/2013 6:53 PM (GMT -6)   
Welcome to HealingWell.
 
You may want to read the journals of 2 of our members who frequently have great advise for people pre and post surgery.  Here are the links for you:
 
Denise's Nissen Fundoplication Surgery:
My Forum Journal

 
 
Bill's "My journey through nissens and esophageal tear"  
 
 
Make a list of all your concerns and questions before your surgery and I wish you the very best.

~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.



"The wind blows, the sun rises, the snow falls and the ocean relentlessly pounds the shore. Life rolls on with fresh new possibilities at every turn."

fil3
New Member


Date Joined Jul 2013
Total Posts : 6
   Posted 7/7/2013 6:57 PM (GMT -6)   
thanks stkitt and Issaquah

Tarachriso
Regular Member


Date Joined Mar 2013
Total Posts : 88
   Posted 7/8/2013 9:21 AM (GMT -6)   
Sorry I missed you so I hope your doing well and best of luck to you.
Tara

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 7/9/2013 5:34 PM (GMT -6)   
fil3

Hoping all went well and waiting to welcome you to the Wrapped Club!

We have at least 1 member who had their nissen with the VA and did great. I had to travel over 2 hours for me redo.


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

fil3
New Member


Date Joined Jul 2013
Total Posts : 6
   Posted 7/10/2013 8:04 PM (GMT -6)   
Day one I spent it mostly drugged , My shoulder pain was very bad, and didn't have any food to eat..
Day two, I started eating liquids, full liquids and then puree food, but the puree food caused me very bad pain and nausea..
Today is day three, and I am on a full liquid diet... I tried doing it without the pain meds but it was a bad mistake.......shoulder and neck pain is finally getting better, I was discharged home, but it still hurts to swallow

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 7/10/2013 10:14 PM (GMT -6)   
Hi fil3,
Welcome to the yeah yeah yeah Wrapped Club! yeah yeah yeah It's definitely normal that it hurts to swallow.  I remember just not wanting to swallow--even my own saliva.  It's totally typical, and certainly understandable if you think about what your poor stomach and esophagus have been through. 
 
You just have five little slits, but your insides have undergone major surgery, and you've got to expect a few weeks of some pain.  Once you're past the initial surgical pain, you'll do just fine. Take whatever meds you need to stay comfortable, but if you're like most, you won't need the narcotic meds very long.
 
If you're having shoulder pain issues, be sure to get up and walk. The more you walk, the less your shoulder will hurt.  You may find you need the narcotic meds at bedtime even when you're fine during the day.  Pain seems to be more obvious when it's dark and quiet.
 
If you can surrender to your recovery and follow its lead, you'll find it much easier.  You can't rush this recovery, no matter how hard you try.  Your body will take its own sweet time to heal.  Remember that it takes a full 6 months for most of the healing and a year for the rest, so patience is definitely a virtue as you recover.
 
Be sure to ask any questions that come up!  We'll do our best to answer questions and provide support and encouragement...
Happy healing,
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

fil3
New Member


Date Joined Jul 2013
Total Posts : 6
   Posted 7/11/2013 7:24 PM (GMT -6)   
Today is day 4 and I don't need much pain meds, but it hurts to burp and still pain with swallowing, the constipation is full on, but they gave me meds for constipation so I hope they help...... I have little pains that come and go but nothing that is unbearable.

This forum has helped me out a lot in not panicking ...Thanks you all for the support and info

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 7/11/2013 9:17 PM (GMT -6)   
Hi fil3,
That's what we're here for!  The constipation is brought on by not eating or drinking much and the narcotic pain meds that make your bowels sluggish.  The meds should do the trick.  Once you're off the narcotic pain med, things will improve.
 
Glad the pain is improving.  Did anyone tell you that the wrap will become increasingly more swollen, usually peaking around the two week mark?  (there is some variation in when swelling peaks, but that's a ballpark estimate).  My surgeon told me to expect my swallowing to get worse before it gets better.  Once swelling peaks, it will begin to subside, and you'll be on the road to recovery.
 
Happy healing!
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

fil3
New Member


Date Joined Jul 2013
Total Posts : 6
   Posted 7/11/2013 9:43 PM (GMT -6)   
no they did not mention the swelling, being for significant later, but now I know what to expect, I had a bunch of interns caring for me so I didn't get to talk to the doctor much..... They seemed a little lost at times...but they all have to learn sometime so I didn't complain..

Tarachriso
Regular Member


Date Joined Mar 2013
Total Posts : 88
   Posted 7/12/2013 8:28 AM (GMT -6)   
I was the teaching case at my Job I work for the hospital s so trust me I understand not only embarrassing but all the Interns I like to think of them as the Doctors puppets. However, if you have concerns or questions make sure you ask your Doctor. It does get better before it gets worse. I was on liquid Percocet I had my surgery on Monday and by Thursday I was feeling so weird and drugged all I wanted to do was sleep so I tried stopping the Percocet and I took children’s Tylenol by Friday and I became myself again. It does take time and you will experience things that seem out of the ordinary but asking questions one here is very helpful I wish I found this before I had my surgery I found it after 2 weeks and it really helped. Wishing a Good recovery for you. Stay well.
Tara
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