Postoperative period and recovery after adenomectomy
Last reviewed: 23.04.2024
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In the period after the operation, antibiotic therapy should be used. In most cases, it is necessary in order to minimize the risk of postoperative infection, to prevent infection with hospital infection strains. They also allow to avoid the risk of development of purulent-septic complications, since the area of the operation intervention is rather large, accordingly, the risk of contamination of the body with infectious agents increases.
Also, many patients are shown to be treated with anesthetics, since pain may persist for a long time. In this case, the degree of pain syndrome is determined by many factors and depends on the general state of the body. In most cases, enough funds such as promedol, analgin.
In the first few days after the operation, washing of the bladder with furacillin is applied. To carry out the washing, a special tube (drainage) is used, which during the operation is left in the cavity of the bladder. To her, a dropper with a solution of furacillin is attached. Outflow of the drug is carried out using a catheter located in the urethra. The importance of such manipulation is due to the need for prophylactic effects on the bladder vessels, which prevents the risk of developing blood clots in the bladder, and does not allow the clogging of its clots.
When the operation is performed under general anesthesia, immediately after it is completed, the patient is transferred to the intensive care unit. Usually the patient is there for several hours, which makes it possible to monitor the patient's condition, and take timely measures to prevent further development of blood circulation. Once in a few days, a change of sterile dressings is carried out. Approximately on 7-8 days after the operation, the joints are removed. After this, further observation and treatment of the wound surface is carried out.
The catheter is usually removed on the 10th day after the operation. Before removing the catheter, it must be washed with furacillin or saline. This will allow the patient to immediately urinate after the catheter is removed.
In most cases, adenomectomy is carried out in elderly people, so they often have stagnant phenomena. This is due to a sedentary lifestyle. Often occurs pneumonia of a stagnant nature, various disorders of peristalsis and motor skills, stool disorders. Therefore, these patients are treated with early activation, during which the patient is advised to get out of bed early, start walking, and perform various types of movements. In addition, patients with a risk of developing stagnant phenomena are encouraged to exercise. Well proven therapeutic exercise, breathing exercises.
Patients, especially those who are at risk, are encouraged to follow a diet. Food should contain a large number of proteins and fiber. It is necessary to minimize the use of products containing a large number of substances that contribute to the formation of gases, bloating. It is important to observe a sufficient drinking regime. Liquids are required much more than under normal conditions. This is especially important when there is still a catheter in the bladder, but no less important and immediately after it is removed. The need for copious eating is due to the need to ensure the prevention of urethral complications. In particular, it is important to prevent urethral stricture, in which its narrowing is formed all along.
Aftercare
Removal of prostatic adenoma is considered as a complex operation, which requires a recovery period. So, patients should be under the care of a doctor for a long time after the operation. The need for this observation is maintained for at least 5 to 7 days, depending on the state of health, the patient's state of health and the degree of manifestation of his pathological symptoms. Today, good high-tech equipment is used, so the need for blood transfusion disappears. Great responsibility rests with the surgeon who performed the operation. So, he must provide control of the urine output, as well as blood circulation indicators. If necessary, special equipment is used to determine vital signs and their constant monitoring.
The postoperative period implies the need to follow a diet. Basically, the first day requires a liquid diet. The patient should try to get up, at the same time first try to get up at least four times a day. After the patient began to take a sitting position, you can start getting up from bed. In order to reduce postoperative pain, it is necessary to administer anesthetic drugs, in particular, morphine, promedol. Advantage is given to the intravenous route of administration.
Approximately on the second day after the operation, it is already possible to remove the catheter. At the same time, the decisive sign that indicates the need for such removal is the absence of blood in the urine. If the patient feels relatively good, you can start eating on a regular diet. To combat pain syndrome, it is recommended to use painkillers. The drug depends on how pronounced the pain syndrome, as well as from concomitant diseases. With severe pain, mainly intravenous or intramuscular route of administration is used. With moderate pain syndrome, drugs are used in the form of tablets.
On the third day you can remove the drainage. So, if the amount of released liquid does not exceed 75 milliliters, you can remove the drainage. Gradually the level of activity of the patient should increase. It is advisable to apply various physical exercises, breathing practices, relaxation. All this will help you recover quickly. After the patient is discharged, it is necessary to visit a surgeon or urologist. In full, working capacity can be restored in about 1-1.5 months after the operation.
[Care after adenomectomy in the first day
Within a few days after the operation, the patient must observe a liquid diet. Also o should start to move gradually. First you need to take a sitting position at least 4 times a day. To reduce postoperative pain, it is necessary to use pain medications. Usually they are administered intravenously.
Treatment of patients after adenomectomy
After the operation, the patient is prescribed a special therapy, which is aimed at maintaining the normal state of the body. In doing so, it prevents the risk of infection and inflammation and also allows you to quickly prevent pain syndrome. It is also important that such therapy allows you to recover faster after surgery. Regeneration of tissues is faster. In general, post-operative treatment includes traditional medication. Also, the patient needs special care, compliance with the diet. As a drug therapy, antibiotic treatment is most often used. This makes it possible to prevent the risk of infection, prevents purulent-septic and inflammatory processes. Also, therapy includes the mandatory use of pain medication to prevent the risk of developing a painful syndrome of a sustainable nature.
It is mandatory to wash the bladder with furacilin. This prevents the formation of blood clots and reduces the risk of further inflammation. Also, furatsilin prevents clogging of the tubules by blood clots and inflammatory exudates.
In the morning and evening, a dressing is shown. Approximately on the 7th day, seams should be removed. The catheter was removed 10 days after the operation. For patients over the age of 45, the main therapy is aimed at overcoming stagnant phenomena. It is important for them to choose a special set of physical exercises. Also prescribe special drugs that prevent the risk of motor and peristalsis. It is recommended to get out of bed as soon as possible, move more, walk.