surgery coming soon

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Hebert
New Member


Date Joined Mar 2014
Total Posts : 10
   Posted 3/3/2014 10:39 PM (GMT -6)   
I have had abdominal problems since I was a child and am now almost 50. 2 1/2 years ago I had a sigmoid colectomy due to diverticulitis. Since that time my heart burn has been getting worse (though something I have fought with for many years). Recently I have been aspirating in my sleep which has been happening a couple time per week. My MD has said I need a fundoplication and am currently going through the tests. Had an EGD with dilation last week ( which also showed a hiatal hernia) and going for upper GI and esophagus motility studies next Monday. I am nervous but anxious to get this over with.
 
 
Some questions I have
1) Where I had a colectomy a couple years ago (Laparoscopic)  is it likely the MD will be able to do this procedure laparoscopic also or will I have to have the open procedure?
2) how long does the surgery take with the hiatal hernia repair included?
3) How long is the hospital stay (I have seen 2 to 5 days and would lie it to be as short as possible)?
4) about how long will be needed off from work (sedentary position)?
 
I am very nervous but also have to say waking up in the middle of the night aspirating is far more scary and also scares my wife. Any advice on what to expect and how I can prepare is greatly appreciated.

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 3/4/2014 7:18 AM (GMT -6)   
Hebert

Welcome to Healing Well.

Boy have you come to the right place!

1) Should be fine as long as you don't have any severe scarring. I I had 4 abdominal surgeries before they did my last redo as an open and that was because I had just recovered from a torn esophagus surgery and he expected a lot of scarring.

2) Usually takes 1.5 to 2.5 hours.

3) Some surgeons do this as a same day surgery and some keep us a couple days. IT all depends on how you are doing after wards with drinking and pain control. Don't rush if you need a day ir so.

4) With a desk type job some have gone back in a week or 2, but again it really depends on how well you are doing with pain and eating and such.

There really alot of things to list about things with the surgery. If you can look at the resources page and look at the many recovery journals we have on the forum you will get a lot of answers. If you have any questions afterwards please ask, we are here to help.

A couple things though. This surgery can have a long recovery that has setbacks. Things like how soon the swelling goes down to how well you stay hydrated and how many calories you get in play a part.

Remember this is major surgery and you will be worn out for a while. Lots of people only go back to work part time for a week or so until they get a little more energy.

Walking is very good after surgery. Expect shoulder pain and a sore throat after surgery. Walking and time help this. Also ice and heat help with the swollen and painful areas.

When you eat, chew everything very well. To a liquid if possible. No soft bread or solid meats for several weeks, but toast and ground meat is okay. Also no straws or carbonation for a couple months or so. When the wrap is swollen gas can be an issue. Some people get good results with gasX, but some of it will have to go out the back door.

You also may feel like you are refluxing again either right away or a couple months into recovery. This is usually from either the wrap being swollen or irritated when you start to advance you diet. This is normal, but annoying and most doctors either don't know about this or won't tell us.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

Hebert
New Member


Date Joined Mar 2014
Total Posts : 10
   Posted 3/4/2014 9:15 AM (GMT -6)   
Bill,
 
     Thanks so much for the information. I am really nervous about the surgery but at the same time I just anxious to get it over with. Looking over some of the recovery journals it looks like the swelling may be the worst part of the recovery. I should have all the pre op testing completed next week (EGD, Upper GI and esophagus motility studies) and I am hopeful that I can get the surgery completed before the end of the month if possible. I will complete a journal of my surgery as well.
 
Brian

Retired Seabee
Regular Member


Date Joined Feb 2013
Total Posts : 129
   Posted 3/4/2014 10:30 PM (GMT -6)   
My surgery took 3 hours--since I am old the surgeon probably had to hack through years of rust and barnacles. I had an additional 2-3 hours in the recovery room. I spent two days in the hospital at my request. My wife has moderate Alzheimer's and she really couldn't help me much or remember the Doctor's instructions. If you are interested, I posted a large reply today to an earlier post about my general observations of the whole process and the sucess of my own HH repair and NF. That post was: Nissan Fundoplication Questions--Would Love to Hear as Many Answers as Possible!

This was my first ever operation and in fact it was the first time I ever was in the hospital over nitght. I was likewise nervous right up to several days before the operation. I got myself in the best possible physical shape in the months prior to surgery and about a week before the date, I asked them for a tranquilizer--they gave me one valium to be taken the morning of surgery. I also had everybody and his brother praying for me at my church.

As I explained in that earlier post I had really studied this thing. Somehow, during the last few days leading up to the scheduled date I decided that I had done my homework and prepared as much as possible. So I turned the whole thing over to the Surgeon and God. I still have the valium they gave me because I didn't need it. I hope that you are able to relax and let the surgeon do his thing and that your recovery turns out as well as mine. God Bless

Hebert
New Member


Date Joined Mar 2014
Total Posts : 10
   Posted 3/10/2014 10:04 AM (GMT -6)   
Had my upper GI with Barium swallow today in prep for the surgery. Study showed a moderate hiatal hernia that did not retract even when laying down. Radiologist told me this could be due to a short esophagus which potentially could make the surgery more difficult. seems like one more thing to worry about. With the short esophagus does this reduce the chance of completing the surgery laproscopically?
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