Rehabilitation after surgery for varicose veins of the lower extremities. Features of rehabilitation of patients after operations of various types

Recovery after surgery depends on a number of objective factors:

• whether the operation was emergency or planned;
• the state of the general health of the woman before the operation;
• volume and complexity of surgery. The complexity of the operation determines its duration, and, therefore, the time spent under anesthesia;
• whether there was a laparoscopic or laparotomy operation or a perineal and vaginal approach was used;
• what type of anesthesia was used: endotracheal or epidural anesthesia.

There are also subjective factors - this is a woman's reaction to the need to undergo surgery on the most precious thing she has, her reproductive organs.

From my experience of working with patients, I know that an operation, for example, on the gastrointestinal tract is psychologically better tolerated than a small gynecological operation.

In laparoscopy, the operation is performed with small, delicate instruments inserted into the abdominal cavity through several small openings in the abdomen. A camera is inserted into one of them, which displays the image on a large screen. Doctors' hands move from the outside, actuating instruments inside the abdomen.

This approach can significantly reduce tissue trauma, blood loss during surgery, and the risk of adhesion formation.

Holes on the abdomen heal quickly and become invisible after 2-3 months. And no one, looking at you in a bikini, will guess that you had surgery.

The disadvantage of laparoscopy is that only endotracheal or, in simple terms, general anesthesia is used for it. That is, a special tube is inserted into the windpipe, drugs are injected that block their own breathing. During the entire operation, artificial lungs breathe for the patient. However, modern equipment allows minimizing complications from this type of anesthesia.

Laparotomy is an operation through an incision in the abdomen, which in modern medicine is carried out along the pubic hairline.

The laparotomy approach is used in operations that require the removal of a large part of the organs and in emergency situations that involve the presence of a large amount of blood in the abdomen. For example, rupture of the tube during an ectopic pregnancy.

During laparotomy, both endotracheal anesthesia and epidural anesthesia are used. As a method of choice for anesthesia, epidural anesthesia is much safer than general anesthesia.

An anesthetic is injected through a thick needle into the hole between the second and third lumbar vertebrae. The patient completely loses the sensitivity of the body below the navel. During the operation, she can be conscious or doze off under the influence of sleeping pills, but all the vital activity of the body is preserved, the lungs breathe on their own.

Gynecological operations that are carried out "from below" are operations with the omission of the pelvic organs or plastics of the perineum with the divergence of its muscles.

Operations by vaginal or perineal access are performed more often under epidural anesthesia, which contributes to good general well-being after the intervention.

Recovery is easiest after the removal of small benign ovarian tumors. The most common of these are simple serous cystadenomas, endometrioid cysts, and teratomas. The operation is performed laparoscopically and takes 30-40 minutes. This also includes gynecological cosmetology.

The patient will be at home the next day. Subject to the recommendations of the surgeon, recovery in this case occurs quickly.

It is much harder to recover from the removal of the uterus and its appendages, including, possibly, the ovaries. And here there can be various variants of events.

I have patients who say: "I'm so tired of these fibroids, bleeding, abdominal pain." And they easily pass through the removal of the uterus. They quickly and correctly recover after the operation and happily live on.

There are those who, despite the totality of disturbing symptoms and objective indicators of gynecological ill health, make a decision about an operation with great difficulty. Almost doomed. “Yes, I know that there is no other way…” And they have already tried everything: traditional and non-traditional.

And the saddest thing. The patient went to have a small ovarian tumor or myomatous node removed, and after the operation the surgeon said that "everything had to be removed."

Recovery after complex gynecological operations

First. "I won't be able to have children anymore"

This applies to individual cases. Modern gynecological surgery is aimed at organ-preserving operations. And she fights with all her might for the possibility of motherhood for women. And even if a major operation is necessary, patients of reproductive age have the opportunity to save eggs, cryoembryos, use donor eggs, surrogate motherhood.

Second. "And if I have a premature menopause?"

If the ovaries are preserved during surgery, then all physiological changes in the menstrual cycle are preserved, only menstruation is absent. Removal of the uterus does not bring menopause closer. It occurs in accordance with the biology of the organism.

If it starts to change for the worse, or if the ovaries were removed during the operation, it makes sense to discuss with the gynecologist the transition to hormone replacement therapy. Fortunately, modern pharmacology now provides a large number of fairly effective and safe hormonal drugs.

Third. "But what about sex after?"

Very often, women are worried about their sexual life after a major surgery. I will answer from my extensive experience of communicating with patients after major gynecological operations. Libido is not reduced. Moreover, the disappearance of symptoms associated with a gynecological disease, such as intermenstrual bleeding, the disappearance of the fear of pregnancy makes the sex life brighter and richer.

No man will ever feel your "internal anatomy" during sex. A partner's doubts about his feelings in sex can only begin if a woman describes in detail to him the operation she went through.

If dryness occurs in the vagina, various lubricants can be used.

The first is weakness. Often, patients complain of weakness and fatigue that persist for a long time. In order to recover faster after surgery, it is necessary to assess the degree of anemia. For this, indicators such as serum iron and the iron-binding capacity of the blood are used, and not hemoglobin as such. It is also important to donate blood for trace elements and vitamins and add to the diet those that are lacking.

A balanced diet and adequate sleep are the keys to any recovery.

Next comes the pain. Postoperative pains usually bother no more than 2-3 weeks and they are dictated by the fact that the wounds inside the body must heal. The pain is rather aching in nature, does not require the use of painkillers and intensifies after physical exertion.

For patients with a large operative volume and a weakened abdominal wall, it is recommended to wear a postoperative bandage for this time. For everyone, there is a limitation of lifting weights of more than 2-3 kg.

Postponed gynecological operations can lead to chronic pelvic pain. In the presence of, for example, a large uterine fibroids, the entire pelvis of a woman twists around her for a long time. And after the removal of the organ, the ligaments and muscles of the pelvis need to find a new balance. The body does not always have enough strength for this and with the help of pain it tells about the need for help.

Sometimes after the operation, the outflow of blood from the pelvis can be disturbed and venous congestion tells about itself with bursting aching pains.

Adhesions may also form after surgery. And they are not related to the quality of the operation, but are more determined by the genetic predisposition to adhesive processes.

In such situations, osteopathic treatment provides a good opportunity for recovery. Osteopaths are able to create a new healthy balance of the pelvis, reduce adhesions, remove venous congestion. And after 3-4 sessions, the pain goes away forever.

I would also recommend that every patient undergo at least one osteopathic session a month after the operation as a preventive measure. This will allow you to check the condition of muscles, bones and ligaments after surgery, to loosen the tension of the suture on the anterior abdominal wall. Osteopaths are able to erase the “memory” of anesthesia from the body.

Physical activity can be started 2-3 months after surgery. But in order to create a good outflow of venous blood from the pelvic cavity, to prevent the weakening of the abdominal press and the pelvic diaphragm, I would recommend starting to do the “vacuum” exercise already 2-3 weeks after the operation.

The exercise is performed strictly lying on a comfortable surface. Legs should be slightly bent at the knees. Point the chin slightly towards the chest. 2-3 full breaths are taken with the stomach. Then, as you exhale (!!), you need to draw in your stomach, imagining that you are zipping up tight jeans, pulling your navel to your spine, and your abdominal diaphragm up. Hold the breath out as far as possible. Then a smooth inhalation and 2-3 inhalations-exhalations. Repeat "vacuum".

Such a session can be performed 5-7 minutes a day. The result will be a feeling of lightness in the abdomen and a good tone of the abdominal wall. If the exercise brings pain and discomfort in the abdomen, it should be postponed for a week.

As for the restoration of the muscular corset, especially the transverse abdominal muscle after laparotomy, I would recommend starting classes strictly with an exercise therapy doctor or a medical fitness instructor. First of all, the deep muscles of the abdomen and pelvis are subject to restoration. On your own or in group classes, such a result is practically not achievable.

Separately, I would like to dwell on the recovery after operations for the prolapse of the pelvic organs. Just because they were "lifted back up" surgically doesn't mean they won't come down again. Physical rehabilitation is definitely needed, and these are not just Kegel exercises, the physiology of which I, as a gynecologist and osteopath, have great doubts about.

After such operations, jewelry work is required to strengthen the short muscles of the pelvis, adductor muscles of the thigh and the entire abdominal press. Only then the effect of the operation will last for years.

Rules of behavior.

(memo to the patient)

IN THE CLINIC

Immediately after surgery

On the day of the operation - before and after bandaging - you should not eat, but during the first 4-5 hours after the operation - drink. You can periodically take 1-2 sips of water or rinse your mouth to moisten its cavity. Five hours after the operation, you can drink water without gas.

After surgery, nausea and vomiting should be avoided. If you feel sick - inform the medical staff of the clinic. You will be prescribed medicines for nausea and vomiting. You will also be given pain medication after the operation.

After gastric banding surgery, it is important to start breathing actively immediately. If you want to clear your throat, you have to do it. To prevent congestive pneumonia (inflammation of the lungs), it is helpful to inflate balloons or rubber toys several times every hour.

You can get up in the evening after the operation. The first time, it is recommended to get up with the help of a nurse or relatives. If you do not feel dizzy and do not have other problems, you can walk without restrictions. Motor activity is a good prevention of the formation of blood clots in the veins of the legs and the prevention of the development of congestive pneumonia, therefore, on the first evening after the operation, you need to get up at least once.

1-3 days after surgery

Drinking is allowed the next day after bandaging. During the day you need to drink 2-3 liters of fluid. Drinks without sugar and without gas are recommended, for example: mineral water, not hot and not strong tea or coffee without sugar (it is allowed to sweeten them with any sugar substitutes). This diet should be observed for 3 days after surgery until the patient has no stool (either spontaneous or after an enema). If there is no stool, contact the clinic staff, you will be prescribed bowel stimulants or an enema.

To prevent stagnation of blood in the legs and the formation of blood clots, you should do simple exercises: while lying in bed, bend as much as possible, and then straighten your feet. Repeat this exercise several times a day.

Discharge from the clinic

Discharge of patients after endoscopic gastric banding surgery usually takes place on the 3rd day (if the operation was performed through an incision, the patient remains in the hospital for about a week).

AFTER DISCHARGE FROM THE CLINIC

Your doctor may prescribe painkillers (3-4 days) and antibiotics (up to 7 days). Do not swallow tablets whole! If you need to take a tablet, crush it and drink it with water.

Call your doctor if:

• Pain, redness, swelling in the puncture area.
• Cloudy or odorous discharge from punctures.
• Temperature above 38, two or more times.
• Tachycardia (increased heart rate over 120 beats per minute).
• Chills or sweats at night.
• Constant pain in the abdomen.
• The appearance of pain in the back, chest or left shoulder.
• Persistent nausea and/or vomiting.
• Diarrhea lasting more than 7 days.
• Hiccups lasting more than 2 hours.
• Severe weakness, disorientation, confusion or depression.
• Burning, blood in the urine, frequent urination can be signs of a bladder infection. A urine test should be taken. A course of antibiotic treatment effectively solves this problem.

Nutrition and digestion

Two weeks after gastric banding, you can start eating soft pureed food. Recommended yogurt, low-fat cottage cheese, bananas, vegetable puree. Meat, fish or chicken (whipped).

You can return to your normal diet four weeks after surgery. Try to chew your food very carefully - the time spent chewing food should increase 4 times! Maintain the habit of thoroughly chewing food for life!

Quite often, in the first time after surgery, there are violations of bowel function (gas and lack of stool). If after more than 3 days after the operation these functions do not recover on their own, it is necessary to use means to stimulate the bowels or an enema. Sometimes, the opposite situation is possible. After surgery, diarrhea (frequent loose stools) may occur. If the diarrhea is severe or lasts more than 7 days, use Imodium, if there is no effect, contact your doctor.

Hygiene

The puncture sites are sealed with sterile stickers. If the stickers remain clean, you do not need to change them, but if you notice blood stains on them, the stickers need to be changed. To do this, you can come to the clinic or, if you want, change them yourself. Wipe your hands with alcohol, peel off the old sticker, treat the wounds with alcohol, and stick new ones.

If you have a Tegaderm sticker, you can shower. If there is no such sticker, the bandage cannot be wetted.

The sutures are removed in the clinic 2 weeks after the bandage operation. After removing the stitches, you can take a bath and swim in the pool.

After gastric banding for 2 months, get out of bed without using the abdominals: gently hang your legs, and get up, helping yourself with your hands. After returning from the clinic, it is recommended to move more, walk, swim (after removing the stitches). However, motor mode should not be too tiring. Physical activity and rest should be alternated, focusing on well-being.

You can return to work a week after the operation if your work is not related to physical activity. At least 3-4 months after the operation, you can not do hard physical work, any heavy physical activity and strength sports are prohibited.

Sex

You can have sex 2 weeks after discharge. In this case, stress on the abdominal muscles should not be avoided.

AFTER THE CUFF IS INFLATED

The lumen of the bandage is adjusted by inflating the cuff. Usually, this is done for the first time in the X-ray or in the treatment room 2 months after the operation (after the bandage ring is well established in the tissues). This virtually painless procedure is done by piercing the skin with a regular thin needle. Adjustment of the bandage takes 3-5 minutes, after which the patient goes home. 2-4 adjustments are required for the final "tuning".

If, after inflating the cuff, vomiting occurs in response to even a small amount of solid food, further adjustment may be required, in which the diameter of the ring on the stomach increases. By increasing or decreasing the lumen of the ring, the doctor achieves the optimal weight loss regimen. The adjustment is repeated each time the weight loss is suspended.

Nutrition after cuff inflation

After the gastric band is placed, the patient must develop new eating habits. The following principles must be observed:

1. There are small portions.
2. Chew food very carefully.
3. You can not eat and drink at the same time (you can drink before a meal or 1–1.5 hours after a meal).
4. The volume of liquid is unlimited (up to 2-3 liters of liquid per day). However, you need to take into account the calorie content of sweet drinks (fruit juices, smoothies, tea with sugar, etc.).
5. Do not lie down after eating.
6. For a full intake of nutrients, you need to eat at least 5 times a day.
7. Avoid foods such as ice cream, chocolate, milkshakes. Stop taking sugary carbonated drinks (Pepsi, cola, sprite, etc.).
8. Gradually expand the diet, given that some foods may not be well tolerated. These foods include: tough meats, pasta, some vegetables and fruits, mushrooms, sausages and ham, drinks containing a large amount of carbon dioxide.

Rehabilitation after laparoscopy is much faster and easier than after strip surgery. The modern minimally invasive method of endoscopic surgery can significantly reduce the time of tissue and organ regeneration. Thus, discomfort after laparoscopy is minimized.
However, recovery after laparoscopy is still necessary. Its duration depends on the type and complexity of the operation, the individual characteristics of the patient. Some feel good after a few hours, for others the process stretches for a couple of weeks.

The first 3-4 days after laparoscopy are the most critical. Most patients spend these days in the hospital.
After the operation, sutures and an aseptic bandage are applied to the injection sites of laparoscopes. Wounds are treated every day with a solution of brilliant green or iodine. The sutures are removed on the 5th - 7th day.
To restore the tone of the abdominal muscles, stretched from the introduction of carbon dioxide into the abdominal cavity, a bandage is needed. Sometimes a drainage tube is installed to drain the ichor. After a couple of days, an ultrasound examination of the pelvic organs is performed to track the dynamics of healing.
The postoperative bandage is applied for 2-4 days. It cannot be removed. It is recommended to rest on your back. If the patient feels well, he is not disturbed by stitches and a drainage tube is not installed, he can sleep on his side. Lying on your stomach is strictly prohibited.
The first hours are the hardest. The patient moves away from the action of anesthesia and is half asleep. Chills, a feeling of coldness are possible.

Also often there are:

• moderate pulling pains in the lower abdomen;
• nausea;
• vomit;
• dizziness;
• frequent urge to urinate.

These are normal postoperative symptoms that go away on their own. If pain is severe, anesthetics are indicated.

Additional Information! A normal symptom also includes discomfort in the throat - it appears as a result of the introduction of an anesthetic tube. In addition, on the 2nd day after laparoscopy, pain in the shoulder and cervical region often occurs - the sensations are explained by gas pressure on the diaphragm.

After laparoscopy, recovery is quick and easy. Usually the patient's health is satisfactory, and complications are rare. Basically, they are provoked by the patient's non-compliance with the doctor's recommendations.

How long to stay in the hospital and temporary disability

The recovery period for each after laparoscopy is different. Some may go home as soon as the anesthesia wears off. Others take 2-3 days to recover.
However, doctors strongly recommend spending the first day in the hospital. This is the most critical period in which complications can develop.
How long you can get up is determined individually. Usually after 3-4 hours the patient can walk a little. Movements should be as careful and smooth as possible. Walking is necessary - this normalizes blood flow and the waste of carbon dioxide, prevents thrombophlebitis and the formation of adhesions.
But the main mode should be bed. Most of the time you need to lie down or sit. After a couple of days, when you can get up without fear, walking along the hospital corridors or in the courtyard of the clinic is recommended.
Usually, patients are discharged after 5 days if there are no complications and complaints. But full recovery takes 3-4 weeks. Not only the scars should heal, but also the internal organs should heal.
Sick leave is issued for 10-14 days. If complications are noted, then the disability sheet is extended on an individual basis.

Features of nutrition in the recovery period

The first day after the laparoscopy operation, it is forbidden to eat. When the anesthesia wears off, you can drink clean still water.
You can eat after the operation on the second day. Food should be liquid and at room temperature. Low-fat broths, yogurts, kissels, fruit drinks, compotes are allowed.

On the third day include:

• porridge on the water;
• fermented milk products - kefir, cottage cheese, yogurt, low-fat cheese;
• easily digestible fruits and berries without peel - apples, bananas, apricots, strawberries, melons and others;
• steamed vegetables - zucchini, peppers, carrots, eggplants, beets, tomatoes;
• seafood;
• boiled eggs;
• whole wheat bread;
• dietary meat and fish in the form of minced meat dishes.

By the end of the week, restrictions are reduced to a minimum. Within a month, in the recovery mode after laparoscopy, exclude from the diet:

1. Fatty, spicy, smoked food. The meat is baked, cooked in a double boiler or slow cooker. Soups are made without frying. Prohibited sausages, fatty fish, canned food, marinades, pork. Preference is given to chicken, rabbit, turkey, veal.
2. Products that provoke gas formation. Exclude legumes (beans, peas, lentils), raw milk, muffins (white bread, buns, any homemade cakes), confectionery.
3. Alcohol and carbonated drinks. It is allowed to drink weak tea, fruit drinks, compotes, mineral water without gas. It is better to refuse juices, especially store-bought ones, as they contain citric acid and sugar. For a month, any alcoholic beverages are completely prohibited. Also, after laparoscopy, it is desirable to exclude coffee - starting from the second week, you can only drink weak coffee without cream.

Important! As for cigarettes, doctors have no consensus. Some categorically prohibit smoking for 3-4 weeks, as nicotine and heavy metals slow down regeneration and provoke bleeding. Others believe that a sharp rejection of a bad habit and the resulting withdrawal syndrome, on the contrary, can aggravate the patient's condition.

During the entire rehabilitation, especially in the first few days, nutrition should be fractional. You need to eat in small portions 6 - 7 times a day. It is necessary to monitor the regularity and consistency of the stool.
Make up a balanced and complete diet. Food should contain all the necessary vitamins, minerals, elements. The exact diet is selected by the attending physician, taking into account the specific disease and the individual characteristics of the patient.

What can be taken and why

Surgery is only one of the stages of therapy. Therefore, after laparoscopy, medical treatment is indicated. Usually written out:

1. Broad spectrum antibiotics. Necessary to prevent the infectious and inflammatory process.
2. Anti-inflammatory, enzymatic and wound healing medicines. They are needed to prevent scars, adhesions and infiltrate - a painful seal that forms at the site of surgical intervention. For this purpose, after laparoscopy, the ointment "Levomekol", "Almag-1", "Wobenzym", "Kontraktubeks", "Lidaza" is most often prescribed.
3. Immunomodulatory drugs - "Immunal", "Imudon", "Likopid", "Taktivin".
4. Hormonal preparations. Shown to normalize the hormonal background, if laparoscopy was performed in women due to gynecological diseases - adnexitis (inflammation of the uterine appendages), endometriosis (abnormal growth of cells of the inner layer of the uterus), with hydrosalpinx (obstruction of the fallopian tubes),. Longidase, Klostilbegit, Duphaston, Zoladex, Visanu are prescribed in the form of suppositories, injections for injections, less often tablets and oral contraceptives. You need to drink OK after laparoscopy within six months.
5. Vitamin complexes. Recommended for general body support.
6. Painkillers. "Ketonal", "Nurofen", "Diclofenac", "Tramadol" and others. Discharged for severe pain.
7. Means based on simethicone. Needed to eliminate gas formation in the intestines and bloating. Most often, "Espumizan", "Pepfiz", "Meteospazmil", "Disflatil", "Simikol" are prescribed.

Also, after laparoscopy, you can drink drugs that reduce blood clotting and prevent the formation of blood clots - Aescusan, Aescin. They are necessary to prevent thrombosis.

Basic rules of conduct during the rehabilitation period

After discharge from the hospital, the patient must strictly observe the following recommendations after laparoscopy:

• treat the stitches with antiseptics every day and change the dressings;
• do not try to remove the seams on your own or violate their integrity in any other way;
• do not remove the bandage until the abdominal muscles recover - usually it is worn for 4, maximum 5 days;
• means for resorption of scars can not be used earlier than 2 weeks after laparoscopy;
• alternate rest with physical activity - walking, household chores;
• a month after the operation, follow the diet developed by the doctor;
• take prescribed medications in accordance with the prescribed course - a couple of weeks or several months;
• drink vitamin complexes;
• wear comfortable clothes that do not squeeze, do not overtighten or rub.

To speed up recovery, to prevent the appearance of scars and adhesions, physiotherapy is indicated after surgery. Most often, magnetic therapy is recommended. If laparoscopy was performed for diagnostic purposes, then physiotherapy is not prescribed.
Also, you can not overheat, take a hot bath, stay in the sun for a long time, as high temperature can lead to internal hemorrhage. When it is possible to go to the sea or to the bathhouse, the attending physician determines after passing control tests. If they are normal and the patient's condition is satisfactory, they allow a trip to a resort or a visit to the sauna a month after laparoscopy.
To recover faster after laparoscopy, all doctor's instructions must be strictly observed. If you ignore the advice, then the development of complications or a relapse of the disease is possible.

Sports activities during the recovery period

Since full rehabilitation lasts at least a month, it is necessary to limit physical activity. The following are under the ban:

• gymnastics, fitness, callanetics, yoga;
• workouts in the gym;
• swimming;
• dancing.

From physical activity after laparoscopy refrain from 4 to 6 weeks. You can not somehow load the muscles of the abdominal cavity. Only leisurely walks in the fresh air are allowed. How much to walk, the patient determines individually, based on his well-being. It is recommended to walk no longer than half an hour at a time. It is important that the patient avoids rough terrain - beams, ravines, etc. The road should be flat, without descents and ascents.
A month and a half after laparoscopy, you can enter physical exercises. It is necessary to start playing sports gradually, weekly increasing the load.
A simple set of exercises should be gradually introduced - turns, tilts, leg swings. Then more difficult classes are included. It is allowed to work with a load (dumbbells, weights) or on simulators no earlier than 1.5 - 2 months after laparoscopy.

What not to do after laparoscopy

Since the body recovers for a long time after any surgical intervention, it is necessary to refrain from increased stress. Including with laparoscopy - a number of restrictions are imposed in the postoperative period. Among them:

• you can not lift weights weighing more than 2 kg;
• it is necessary to minimize housework - cleaning, cooking;
• it is necessary to limit any labor activity, including mental;
• it is forbidden to take a bath, visit the bathhouse, solarium, swim in the pool and pond;
• flights, long trips by car, bus, train are excluded;
• sexual abstinence is imposed for a month, especially if laparoscopy was done to a woman on the pelvic organs;
• any sports activities - only walking is allowed.

It is also necessary to carefully carry out hygiene procedures. There are no direct contraindications, but it is better to limit yourself to wiping with a damp sponge. It is allowed to take a warm shower, if you close the seams with a waterproof bandage and do not rub the wounds with a washcloth.

Additional Information! It is forbidden to touch seams and scars in any way: comb, rub, peel off dried crusts.

The speed of rehabilitation directly depends on how the patient will behave. Negative consequences occur extremely rarely if the patient follows all the recommendations of the doctor.

Symptoms requiring a visit to a specialist

In the postoperative period, a number of symptoms appear. Some of them are considered normal for rehabilitation, others indicate the development of possible complications.
The standard consequences of the recovery period after laparoscopy are:

1. Flatulence. It occurs as a result of the introduction of carbon dioxide into the abdominal cavity, which is needed for a better view. To remove its manifestations, special medications are prescribed, it is recommended to adhere to a diet that reduces gas formation, and to observe moderate physical activity.
2. General weakness. Typical for any surgical procedure. Drowsiness develops, rapid fatigue. They go away on their own in a few days.
3. Nausea, lack of appetite. This is a common reaction to the introduction of anesthesia.
4. Pain at the incision site. They are aggravated by movement and walking. After tightening the wounds go away on their own. If the sensations are severe, painkillers are prescribed.
5. Pain in the abdomen. They can be pulling or aching in nature. Appear in response to damage to the integrity of internal organs. Gradually subside and completely disappear within a week. Anesthetics are recommended for relief.
6. Vaginal discharge. Appear during the operation of the pelvic organs in women. An ichor with small impurities of blood is considered normal.
7. Extraordinary periods. If a woman has an ovary removed, unscheduled menstruation is possible.

Abnormal outcomes of laparoscopy that indicate a complication include:

1. Severe pain in the abdomen. It is worth worrying if they do not go away, intensify, are accompanied by an increase in temperature.
2. Copious discharge from the genital tract. Severe bleeding, discharge with blood clots or pus indicate the development of negative consequences.
3. Fainting.
4. Swelling and suppuration of the seams. If, after laparoscopy, the wound does not heal, oozes, an infiltrate appears from it, and its edges are dense and red, it is necessary to inform the doctor. This indicates the accession of infection and the development of an infiltrate.
5. Violation of urination.

Also, such consequences include severe intoxication of the body. It is expressed as:

• nausea and vomiting that do not go away for several hours;
• a temperature that does not drop for a couple of days is above 38 ° C;
• chills and fever;
• severe weakness and drowsiness;
• sleep and appetite disturbance;
• shortness of breath;
• cardiopalmus;
• dry tongue.

Note! Any non-standard consequences and sensations should be reported to the doctor immediately. They indicate the development of serious complications. Self-treatment is unacceptable.

The rehabilitation period after laparoscopy is easier and faster than after conventional abdominal surgery. However, like any surgical intervention, it affects the functioning of organs and general well-being. Therefore, restrictions are imposed on sports, travel, outdoor activities, and the use of certain products for a month. In addition, it is necessary to follow all the doctor's recommendations: attend physiotherapy procedures, take prescribed medications.

Any person is afraid not so much of the operation itself as of anesthesia.

With all its types, an artificially induced reversible state of inhibition of the central nervous system, the central nervous system, sets in, sleep sets in, anesthesia, muscle relaxation, some reflexes are inhibited.

People often ask: “Doctor, will I wake up? And how will I feel?

How much time it takes and how they move away from general anesthesia, what sensations they experience - everything is very individual. This directly depends on the initial state of the patient: his age, weight, sex, concomitant diseases. Particular attention should be paid to which organ is being operated on:

• Cavitary in the abdomen: on the stomach, intestines, appendicitis, etc.;
• Thoracic - that is, thoracic surgery, on the lungs, esophagus, trachea;
• Operations on the heart;
• Neurosurgical;
• burn injury;
• Polytrauma with damage to internal organs and the musculoskeletal system.

It also directly affects:

• The duration of the operation and its complexity;
• Anesthesiologist qualification;
• What drugs are used.

How many people recover from general anesthesia after elective abdominal surgery? If it lasts no more than one or one and a half hours, (as a rule) a preliminary diagnosis was established before the operation and was confirmed during it, then the patient usually wakes up, or rather the anesthesiologist wakes him up already on the operating table. If everything is normal, reflexes have recovered, breathing is adequate, sufficient, the patient has regained consciousness, consciously answers questions, is oriented in place and time, then the patient is transferred to a regular ward under the supervision of a nurse and an attending physician.

Recovery of the body after anesthesia

After waking up on the operating table, the patient is drowsy, somewhat lethargic, although in contact with the doctor. When he is transferred to the ward, the patient continues the so-called post-anesthetic sleep. How long does it last? Everyone’s sleep duration is different: usually 1-2 hours, but sometimes it takes 6 hours before full awakening.

How many people come off general anesthesia? Completely this usually occurs after 6-12 hours. As a rule, these are patients without concomitant pathology, normal physique. Overweight patients, in other words, with obesity, as well as with an alcohol history, drug users, emotionally unbalanced, with impaired liver and kidney function, recover a little longer - within two days. But, again, everything is individual, and each specific case may be different, since we are all different.

Funny and sad fact: Getting out of general anesthesia after surgery can be compared to the state of alcohol intoxication familiar to many! They drank the same way, with one “fool - a fool”, and the other quickly sobers up and “like a cucumber”.

How do you get off anesthesia?

In the early period of awakening, the patient feels:

• Pain in the area of ​​the postoperative wound. Usually it is felt 5-6 hours after the end of the operation. This is good and normal, it means alive.
• Sore throat. This is not fatal and is also completely normal. Everything goes away without treatment in 1-2 days! Infrequently, but there is irritation of the endotracheal tube, due to or inconsistency in the size of the endotracheal tube (for women it is No. 7-8, for men No. 8-9-10). For children under 5 years old, there are special tubes without an inflatable cuff. Although children are different, so everything is individual.
• Dizziness.
• Weakness.
• Chills. This is a violation of thermoregulation, drugs for anesthesia cause a decrease in body temperature, but today this is rare.
• Rarely nausea, even more rarely, even extremely rarely, vomiting. Nausea and vomiting often occur after operations on the abdominal cavity, on the stomach, intestines. All these features of awakening are easily handled by anesthesiologists-resuscitators in the intensive care unit.

Special categories of citizens: people suffering from alcoholism, using drugs, in the postoperative period quite often have agitation, aggressiveness, inadequate reaction to the environment. But these reactions are not directly related to anesthesia, it is rather a withdrawal syndrome! Stopped quite easily with sedatives and infusion therapy, as well as symptomatic treatment.

After operation

When to get up after surgery? General rule - as soon as possible! Don't get stuck! But of course, with the permission of the doctor. Long lying is fraught with the development of hypostatic pneumonia, acute thrombosis of the veins of the lower extremities, bedsores on the back, sacrum, and heels.

A case is described: a young patient, 23 years old, practically healthy, after a usual uncomplicated appendectomy, was lying on a bed and did not want to get up (he, you see, it hurts). On the third day, he got up. Bottom line: pulmonary embolism - instant death.

When can I return to normal work after anesthesia? A person after general anesthesia in two days can perform normal work, work with complex mechanisms that require concentration, drive a car! But the patient is discharged by the operating surgeons after 7-8 days, when the stitches are removed and the wound heals. You can drink after anesthesia when reflexes are restored, there is no nausea and vomiting.

You can eat the next day, the diet is sparing: you can not spicy, salty, fried, canned food, sausages, alcohol. The Pevzner diet is usually followed.

How do children recover after anesthesia?

When doctors work with young children, their own characteristics also arise:

• Anatomical, physiological and psychological (fear of the upcoming operation).
• Difficulty in contact with children under 3-4 years old.
• Increased shyness in girls 8-10 years old.
• Underdevelopment of the respiratory system.
• Hypersensitivity to blood loss and overhydration.
• Imperfection of thermoregulation. Heat production lags behind heat transfer - the ratio of muscle mass to body surface is less.

Young children (up to 3 years old) after intramuscular anesthesia with ketamine, which lasts 30-40 minutes, wake up calmly after 1-4 hours.

Case from practice. I observed a 5-6 year old boy after intramuscular anesthesia with ketamine: when he recovered from anesthesia, he was essentially just drunk - he sat, tried to walk, talked a lot, had fun, laughed, sang songs and so on. Everything was easily stopped by intramuscular administration of Seduxen. After 15 minutes, he was completely pretty!

Did you quickly recover from anesthesia? Discuss, tell in the comments.

I created this project to tell you about anesthesia and anesthesia in simple language. If you received an answer to your question and the site was useful to you, I will be glad to support it, it will help to further develop the project and compensate for the costs of its maintenance.

Related questions

Aleksey 25.02.2019 22:54

Hello.\\\ Male. Age 33 \\\ I am now in the hospital a couple of days ago I had a proctological operation. According to the surgeon, the operation lasted about 30 minutes. It all started with the fact that on the opera table they inserted a catheter under my elbow and started trying to inject the drug, because I know that the effect should be instantaneous, I was surprised because I didn’t feel anything at all. It turned out that something went wrong, like. They entered not a vein, but by. As a result, a second catheter was placed in the forearm, after which I passed out. I woke up about 7-8 hours after the operation in the ward with severe drowsiness, there were no other sensations. Something as they say relatives and kerf until the morning. In the morning I woke up, nothing hurt, I didn’t want to have breakfast, but after a sip of water I felt nauseous, I vomited my lunch right after I ate it (this is already more than 24 hours after the end of the operation). By the evening, the nausea had passed, vomiting did not appear, the condition stabilized. At the first scheduled examination on the third day, my surgeon explained how it was, they say, don’t worry, it happens. I have the following questions Is the situation really harmless and just out of luck? Can I require documents before or at the time of discharge, which will indicate the amount and used drugs? What is the probability of indicating the situation that occurred there? What is the correct tactic of behavior? It's doubly a shame that the anesthesia was paid out of his own pocket.

Julia 17.02.2019 15:43

Hello! A 5-year-old child was treated with 5 teeth + 1 extraction under sevoran. (Allergy to local anesthetics was revealed: ultracaine, scandonest, Ubistezin, Mepivacaine, Brilocaine), 1.5 years have passed and again he complains about his teeth. The examination showed: 2 teeth for treatment and 1 extraction. Doctors again advise sevoran. As a mother, it really annoys me that a small child will again be given general anesthesia. I'd like to hear the opinion of the resuscitator. It is clear that it is easier for the dentist to do everything at once when the baby is not excited, etc. But, the child is growing, and what harm the annual anesthesia brings to his body can only be assumed. (blood samples taken showed 1 class of IgE with results of just over 1). My request to repeat the allergy test, and according to its results, to try sedation, was refused. Only sevoran! Do we really have no other option? Which method is the least harmful to the child?

Valentine 09.01.2019 20:56

Hello! Child 3 years old 5 months Adenomectomy and circumcision for medical reasons (cicatricial phimosis) are coming. It is possible to do these operations at the same time. Tell me if it's worth it to combine them or is it better to spread them over time. If combined, will the time spent by the child under anesthesia increase? If you do not do both operations at once, then after what period of time can you do the second? Thank you!

Oksana 16.08.2018 17:56

Good afternoon. I had several examinations (gastroscopy, colonoscopy) under sedation with propofol. And each time there were problems with awakening and recovery from anesthesia. Usually they can’t wake me up for 10-15 minutes, and then for 3-4 hours I feel dizzy and severe weakness. And the dose of propofol is standard. The pressure immediately after the procedure is usually low, but after half an hour it rises sharply to 160 to 110. I am 51 years old, BMI 21. Moreover, doctors are surprised every time by such a strange reaction, but no one can really say anything. I will have another procedure under sedation soon. Please tell me how it is possible to prevent or weaken such a reaction to anesthesia. Can you guess why this is happening?

Adela 30.07.2018 11:09

Good afternoon. Exactly three weeks the child (girl, 4.5 years old) had their adenoids removed. Very poorly departed from local anesthesia (through a mask) for a day. Then she seemed to have moved away, but after 3 weeks she began to complain several times a day that she felt sick, her heart began to beat often. Whether this state after an anesthesia can be connected?

Alexandra 11.05.2018 11:46

Good afternoon! Never had any problems with anesthesia. I have been going to the same doctor all my life. Today, an hour after the procedure, I felt that I was slightly nauseous, my hands were sweating and I was concentrating poorly. In general, not a strong problem, but unpleasant. Would like to know if this is normal?

Dima 04.05.2018 01:32

Good day. How much anesthesia is harmful to the muscles? I want to do rhinoplasty and choose anesthesia. I have Landuzi-Degerino myopathy. And if not difficult, then question number 2) 2. What can be done to minimize harm to the muscles and prevent pain. Happy holiday!

Dmitry 03/29/2018 00:00

Hello! Mom, 57 years old, had an operation to remove the gallbladder, after 3 weeks she had an operation to remove the uterus and ovaries, she has not woken up for 7 hours after anesthesia, the doctors say that everything is fine. Tell me, is this normal? Thank you!

Marina 26.03.2018 22:25

Good day! My son (6 years old) was scheduled for a planned Endoscopic Adenotomy under general anesthesia. Appointed by a doctor from the clinic. When I went to the hospital with a referral, they told me that it is better to do local anesthesia. But at the same time they said if there were no otitis media, and unfortunately we have them every other time. Can you please tell me if general anesthesia is dangerous? And is it still possible to get by with local anesthesia, despite frequent otitis media? As they said in the hospital, with general anesthesia, work with another instrument. And that with frequent otitis, general anesthesia is desirable, since they will clean something up somewhere. What are the consequences of general anesthesia? And what he now mask or intravenous? Thanks in advance

Elena 24.02.2018 09:27

Hello. On December 14, an operation was performed for a hernia of the esophagus. After 7 days, on the day of discharge, I stayed at home for 2 hours, and then they took me away by ambulance with acetone (I have diabetes). And, if for the first time it was "hungry acetone", then in subsequent times, and this is approximately every 4-10 days (intensive care unit), with normal nutrition and ideal sugars (average 5.5). She underwent examinations by a gastroenterologist, a nephrologist, a surgeon, an infectious disease specialist ... in general, the state of health for their diseases is normal. Analyzes are normal. I read information on the internet that acetone happens after general anesthesia. Have you experienced this and what can be done? Add. information on the operation: "Pain relief: TVA + IVL. HELP PLEASE!

Yana 16.02.2018 14:23

Good afternoon, my son is 8 years old, had surgery a month ago (phimosis, testicular torsion) before the operation, the anesthesiologist announced that, in addition to the fact that the child has a weak heartbeat, there are no contraindications to the operation, during the operation, the doctor from the operating room called me and said what else was found a small dropsy that needs to be removed, the child was brought an hour after they were taken to the operation, although all the children were brought in 20 minutes, I came out of anesthesia for about an hour, suffocated, woke up and passed out, my whole body twitched, my husband and I could hardly hold him together, a month passed after During surgery, the boy often feels dizzy, weak, they made a cardiogram of 56 beats, his heart beats, IS THIS A NORMAL REACTION TO ANESTHESIA, AND WHAT CAN BE Dizziness, DOUBLE IN THE EYES? (thank you)

Hope 08.02.2018 18:40

Hello, please tell me in what cases the patient is woken up after surgery with an endotracheal tube? I had 4 general anesthesia (two laparoscopy operations) and only at the last one I woke up with a tube and it seemed to me that I could not breathe. I could not move for a while, my hand was not tied. Then I managed to point my hand at the mask with the tube, and it was taken out. I had a feeling when I woke up that I was suffocating.

Hope 23.01.2018 15:39

Hello! Tell me please. I underwent laparoscopy under general anesthesia for an ectopic pregnancy (removal of the tube), the duration of the operation was 50 minutes, I slept for 1.5 hours. For some reason, after the operation, my heels hurt. And now they are numb. I remember that after another operation on the bladder under general anesthesia 10 years ago, one heel became numb, the sensitivity recovered after 6 months. Please tell me what is causing the numbness? I am afraid of complications at the subsequent operations. With respect, Nadezhda.

Alina 12/25/2017 18:59

Hello! Mom had an operation to remove the gallbladder on 12/21/17. Before the operation, he had low hemoglobin and low platelets, but they decided to do the operation. 5 days have passed, the operation went well, but the general condition is terrible. For the first 2 days she lost consciousness, pulse increased, tinnitus, dizziness, breathing became more difficult, when the symptoms recurred more often and more often she was transferred to the intensive care unit, where she breathed with the help of an apparatus. There, they examined the vessels, the heart, they did an MRI, urine and blood tests - in general they examined, then she asked for it to be transferred to the ward and everything started there from the beginning, only there was no loss of consciousness, but the symptoms: pulse, high blood pressure, dizziness, already difficult breathing remained. We are in a panic, whether it could be complications from anesthesia.

Marina 11/19/2017 23:13

Hello! Today I had a curettage, under general anesthesia, there was a frozen pregnancy, I woke up from anesthesia at 14.25 and in the evening at about 21.30 my hands began to go numb from the elbow to the hand, and I felt a little tension in the calf muscles. Body temperature 37.4. Could this be the effect of the drug? Answer please!

Vasilisa 11/18/2017 19:32

Hello! I'm 40 years old. A month and a half ago, I suffered a curettage of a missed pregnancy. And a week ago, another curettage of endometrial hyperplasia. Both times there was ketamine anesthesia, but in premedication the first time was sibazon, the second time was promedol. So the first time waking up was soft. A week of headaches and insomnia was easily removed with a simple valerian. The second time was a nightmare. In waking up, delirium, panic attacks, breathing problems, this is probably how drug addicts feel an overdose ... The staff simply ignored it, lay all day. Now falling asleep is accompanied by fears, panic attacks. Could the difference in premedication affect the consequences so much? I have a history of "emotionality")) Upon discharge, the doctor said that ketamine simply does not suit me. Is it possible?

Anna 10/30/2017 12:04 pm

Good afternoon. Faced the following situation after 2 general anesthesia. The first operation was for appendicitis, after 9 months operation (ectopic pregnancy). Now I don't fully recognize myself. First, anxiety appeared, it arises from scratch. I became aggressive, every word and situation is given to me with difficulty, constant experiences. Every time it gets worse. I went to a neurologist and he didn't help. I don't know if this is normal. In addition, the head is constantly spinning. What would you recommend to do in this situation, where and to whom to contact.

Marina 13.10.2017 19:13

Good evening, 4 days ago there was an outpatient operation to remove fibroadenoma, anesthesia was definitely not local, first they injected the drug into a vein, then I saw a mask in front of my eyes, then I woke up an hour later. The question is this: the first day my throat hurt terribly (it was a tingle, a cough), half an hour after the operation, a runny nose began (vasoconstrictors help for a maximum of an hour), my eyes watered, I can’t look at the light, I sneeze, all this continues for the 4th day. She arrived at the operation completely healthy. Could you tell me if it could be an allergy to anesthesia?

Olga 09.10.2017 21:32

Is it possible to determine the drug of anesthesia by metabolites in urine and blood 5 days after surgery? Are there similar analyzes, for example, in vitro? Propofol and fentanyl were presumably administered. Terrible action, no pain was felt, but like in hell, squeezing, whirling, fear of not getting out of the state, instead of sleep.

Inga 02.10.2017 17:51

Good afternoon. On September 2, there was an operation to remove a placental polyp. Anesthesia was general. After anesthesia, my head quickly came to my senses. On the second day, there was bitterness in my mouth, then everything went away. .until now, the symptoms keep on hurting my legs, but not always, but also clouding in the eyes and my head sometimes hurts, can this all be like the consequences of anesthesia?

Oksana 29.09.2017 16:52

Hello! I am 22 years old, a week ago I had a birth through a CS, epidural anesthesia was used, after the introduction of anesthesia, the right side of the leg was felt, they did general anesthesia, on the third day I began to notice that I did not feel the heel and big toe of the right foot, what could it be? on its own or should I see a doctor? the births were the second in a row, the first were also through the COP and there were also 2 anesthesias (epidural and general), only the first time they managed to take out the child, and after that the sensitivity returned, that's why they did general anesthesia!

Tatiana 08/26/2017 21:05

Good evening! The child is 3.9 years old. I am very afraid of mask anesthesia. The operation was said to take 30-40 minutes. We have a mastocytoma on the arm. Is anesthesia contraindicated in this case? Tell us how this type of anesthesia is more often tolerated by children?

Mikhail 08/07/2017 15:07

Hello, I had a planned cholecystectomy 2 months ago - removal of the gallbladder under general anesthesia after the operation, my right shoulder was very sore after two months, the pain dulled but the problem did not go away, the neurologist said that these were the consequences of anesthesia, but this does not make it easier for me that I should not do the hand above my head there is a strong pain in the forearm hanging on the arm it is impossible what should I do ........

Valentina 20.06.2017 07:07

Good afternoon. I don’t tolerate anesthesia very well, I don’t drink alcohol, I don’t smoke, drugs, all the more so, but when I had an operation (vacuum operation, to remove a frozen fetus), the nurse said that as soon as they injected me with anesthesia, it was as if a demon had moved into me. When I was transferred to the ward, I don’t remember, but the roommates told me that I sobbed very much, screamed, and asked to return the baby to me. Could this condition be related to the loss of a child? The previous time there was the same situation, also a frozen pregnancy and the same reaction to anesthesia.

Tamil 22.05.2017 12:44

Good afternoon! 2 weeks ago I had an operation to remove an ectopic abdominal pregnancy. I am 25. The operation lasted 1 hour 15 minutes. Lost 1.2 liters of blood. Plasma transfusion was performed on the same day. Feeling good. And now dizziness, weakness, drowsiness. Hemoglobin 105, blood pressure normal. Give a probable reason.

Anastasia 12.05.2017 23:11

Hello, I had an ovarian laparoscopy in February under general anesthesia. 22. I woke up not on the operating table, but in intensive care already, p (I remember only when they woke me up, which made me very sick). I woke up, it was terribly shaking, it was cold, I was very sick, I could hardly hold on, my eyes were watery, cut .. and so on for 4-5 hours. The condition was terrible. But the worst began on the trail. the day after the operation, I could not sleep, panic attacks began. As soon as I fall asleep, I immediately throw it out of sleep, my heart beats, there was a fear that I would not fall asleep. Two weeks after the operation, I suffered from sleep. I started taking sleeping pills. Tell me, is this my individual reaction to anesthesia, or is it just that I was unlucky with the anesthetist? And sleep problems can be caused by anesthesia? Another operation is planned, but I won’t survive the anesthesia again like this .. thank you.

Sergey 04/29/2017 22:59

Hello! I had a neurosurgical operation on the thoracic region. After the operation, on the 2nd or 3rd day, I got up and started walking. I had no pain except the wound! I was happy! It only hurt for a day or two. Then everything below the chest ached and continues to hurt to this day. Could you tell me if general anesthesia could anesthetize for 3-4 days? Thanks in advance!

Svetlana 21.04.2017 10:32

Hello! A little over a week ago, an operation was performed under general anesthesia (septoplasty and bilateral conchotomy). Until now, the temperature is 37.3, sore throat, headache and severe weakness. Whether there can be it a consequence or investigation of an anesthesia?

Alexander 04/09/2017 11:55

Hello! I do diagnostics in the direction of a gastroenterologist. Colonic videoendoscopy. It is performed under anesthesia. How soon can I get behind the wheel? I live alone in the suburbs. To the hospital and back on my own driving. I am 61 years old.

Stepan 03/12/2017 10:40

Hello! Please tell me, there was spinal anesthesia, after the operation I lay for a day as it should be, I got up the next day and by the evening I started to have a headache and nausea, so it’s been 4 days, the nausea has gone, but the headache remains, although less, tell me this condition will pass?

Anesthesiologist Danilov S.E. 09.03.2017 16:25

Nina, after a conventional appendectomy, if there were no complications during the operation by the surgeon, the vast majority of patients live and lead a normal life the very next day, i.e. walk, eat what you can, and after removing the stitches for 5-6 days - home. It's hard to say anything to your question without seeing you. You need to know how old you are, if there are concomitant diseases. Seek advice from a therapist.

Zarbazan 06.03.2017 12:01

hello, my mother, 77 years old, was operated on to remove an intestinal tumor, after the operation she came to her senses, but on the third day consciousness began to get confused, doctors say "intoxication, weakness of the body, it normalizes over time", for the third day so tell me how long the recovery period can last, you can how to help her? the best cure for treating doctors is communication with relatives ???

Andrey 27.02.2017 17:08

Hello, exactly a month ago I had a laparoscopic surgery under general anesthesia for 12p.k. Treitz's ligament was simply shortened, he was in the hospital for 14 days, the temperature was 35.2 -35.9 and nothing really bothered me about the temperature, I didn’t pay attention, I thought the thermometers didn’t work<потом когда приехал домой через пару дней пошел прогуляться и началась слабость и боль в голове и сейчас это все беспокоит)при ходьбе слабость боль в голове легкое головокружение и температура до сих пор от35.2 до 35.9 держится,что это может быть(имею болячку сосудистаю энцелафопатию) это может она обострилась или что то иное и почему температура понижена?

Anesthesiologist Danilov S.E. 27.02.2017 13:15

Anesthesiologist Danilov S.E. 27.02.2017 13:13

Oksana, after a long operation (2.5 hours), a slow awakening is possible. I don’t know what and what kind of drugs for anesthesia were used, but such a delayed awakening happens, it is individual and in general it is normal.

Nikolay 20.02.2017 16:55

Hello! On February 17, she had an operation, two stents were inserted into the ureter. Anesthesia was done spinal, plus they put drops for light sleep. Immediately after anesthesia, I lay under droppers, and when I began to feel my legs, nothing hurt. The next morning I woke up, too, nothing hurt and I was put on another drip. In the afternoon, I was already discharged from the hospital, and when I was driving, my back began to hurt. Then it was evening, and my head started to hurt. And the next morning I woke up with severe pain in my back and head. Especially if I get up the strong dizziness begins. And my head still hurts. Can you tell me if this is the effect of anesthesia? How long can these symptoms last?

Alina 19.02.2017 16:48

Hello. After anesthesia (appendicitis was cut out), the lower lip was partially numb. It's been over a week and the numbness hasn't gone away. Is it worth it to panic?

Natalya 15.02.2017 06:57

Hello. My husband underwent surgery under general anesthesia, in the department of maxillofacial surgery, the mucus accumulated in the sinus was removed. After the operation, the second week went, and he says that he has lost all sensitivity. He neither feels taste, nor cold, nor pain, he does not feel the internal organs. It's like the body isn't his. Could this be the effects of anesthesia, if so, how long can it take?

Masha 14.02.2017 14:02

Hello! My 5-year-old child had his teeth treated under propofol sedation. 5 teeth have been unable to stand on his feet for the fifth day already and haven’t eaten for four days, he complains very much that his legs hurt muscles, is this all from anesthesia? and how long will she move away from him?

kristina 09.02.2017 16:30

My daughter underwent heart surgery at 3.5 months, I don’t know how many hours it lasted. After the operation, she spent 3 days in intensive care, the outcome of the operation was poor. She was operated on again on her heart, and I also do not know how many hours. After that, she lay for a very long time in the intensive care unit for 2 weeks. Then, within 2 weeks, there was again an intervention; blood got into the pleural cavity. After some time, she stopped assimilating 10 mils in intensive care. She couldn't stomach the mixture. When she felt better, she was transferred to the ward when they brought her her face was like a ball, she was twitching all over, blinking inadequately. Half a year later, we were operated on again only through probing and, again, anesthesia. And half a year later, we went back for a heart operation. The operations were all open-hearted. And again, anesthesia. Right now she is 6 years old, she does not speak. Is this the effect of the drug? Up to 3 months she developed well.

Anesthesiologist Danilov S.E. 03.02.2017 17:09

There is always a minimal risk, but this is a simple procedure under surface anesthesia, there is no reason to worry!

Svetlana 31.01.2017 21:38

Hello! Daughters (15 years old) did a detailed endoscopy of the intestine. After the examination, when coming out of anesthesia, she tried to get up for a long time (for an hour), she was shivering, her limbs turned blue, her eyeballs seemed to squeeze out, her head ached, and sounds echoed in her ears, for her they seemed sharp, unbearable. Of course, I prevented her from getting up, held her by the shoulders, laid her down. As a result, her back muscles and pectoral muscles ached later. She has an operation ahead of her. How to correctly explain to the anesthesiologist what consequences we want to avoid when coming out of anesthesia? After all, some require to state their wishes in medical terminology.

Olga 01/23/2017 21:15

Hello! Mom (76 years old) had an emergency operation on the intestines (there was a perforation of the small intestine). Now for the 6th day of unconsciousness, the doctors say that it is a stupor, she does not come to her senses, at first she was on a ventilator, then a tracheostomy was placed, the pressure is kept by herself. How long can she remain unconscious and what are the chances of recovery?

Victoria 01/22/2017 14:14

Hello! I am thinking about an operation to eliminate diastasis. The surgeon suggested tracheal anesthesia (I explain more simply, I don’t know the terms). I have heard cases of how they do it under local anesthesia. My diastasis starts almost from the chest and ends at the navel, there are no hernias ... Tell me, is it possible to use local anesthesia? Or will it work for me for such a length of diastasis? The diastasis itself, as the surgeon said, is in one finger. Thanks

Natalia 21.01.2017 15:15

Hello! In February 2016, she underwent surgery to remove the veins on her right leg under spinal anesthesia. In the postoperative period, severe weakness was found in the right leg, pain in the sacrum on the right side, pain in the hip joint, right buttock and numbness (goosebumps) in the lower leg. During these months, she drank anti-inflammatory, neuromidin, pricked milgamma and many more. other. X-ray and MRI of the hip showed the norm. Somewhere in 4-5 months there was an improvement. There was strength in the leg, I almost do not feel numbness in the lower leg, in the sacrum the pain became not acute. But pain and numbness, burning in the right thigh and buttocks still bother me greatly. Particularly aggravated after exercise (for example, brisk walking or long walking). I have protrusions L4/L5 and L5/S1 up to 0.3cm. Before the operation, she sometimes felt heaviness in her back after a heavy load, but she never had pain in her leg. Went to many doctors. The neurosurgeon and traumatologist said that these could be the consequences of anesthesia. But what to do next? Who to contact for treatment?

Anastasia 20.01.2017 19:05

Good evening! I am 22 years old. And I will have a knife biopsy under general short-term anesthesia (in gynecology). I was diagnosed on the ECG: Severe sinus arrhythmia, heart rate 58-104 in 1. Tell me, is this a contraindication for general anesthesia?

Olga 06.01.2017 01:57

Hello! A planned operation on the left lung (removal of the neoplasm) is coming up. As prescribed by a psychotherapist, I take Truxal 1/4 tab (tab 25 mg.) Tell me, is it possible to do general anesthesia while taking this drug?

Alexander B. 29.12.2016 21:48

TO NICHOLAS: "Alexander B, I read your comments and laugh. I am always amused by people like you who "understand" the topic and prove something..." - It's good if you laugh: laughter prolongs life :) Therefore, you should do not blame me, but thank me for making you laugh! You owe me "grandmothers" for this, in short! ..:("Here the doctor took on the ungrateful burden of answering questions on the network, and here is his" gratitude "from people like you. An ordinary layman in an impudent form proves the "regression" of medicine What are you talking about, sir??" - ABOUT WHAT, I already wrote in my "messages" to the anesthesiologist Danilov, if you read them! He, however, preferred only to brush them aside and answered specifically only a private question about GABA and GOBA ", - and I already thanked him for this explanation! But the essence of the problem, which I generally asked about, Sergey Evgenievich basically refused to admit, which pretty much amazed me, to put it mildly! .. "You look ridiculous - the other doctor seems to me just I’m sorry, I just couldn’t help but speak out ... "- Well, it's not my fault that we have such doctors in the Russian Federation!: ("For example, I was very lucky with the anesthesiologist after the operation - I woke up as operating room, for which I am grateful to the anesthesiologist and surgeon. to thousands of other patients, adults and children, who daily suffer in our country from the consequences of truly monstrous anesthesia given by other anesthesiologists! other poor fellows, during their operation, they would fly for an hour through endless pipes, contemplate the walls "a la Matrix Revolution" in 3D, feel themselves in them as a brainless molecule, or a computer microchip, or a pencil case that speaks foreign languages ​​(from ketamine it can also such a thing!), and then all day long they would have caught wild glitches in the process of an ugly long "waste", painfully remembering your name, not recognizing the people closest to you at point-blank range and learning to speak Russian again, they would have been shocked and twitched, breaking under a bed, but they would spit everything around them in the world, tormented at the same time by unbearable thirst ... - in short, all the possible "charms" of modern anesthesia can not be counted, - then it’s unlikely, our laughing one, would have remained so merry fellow and would understand well what I was asking about here !!!:(((But if you want to talk seriously about this topic, we better not clutter up this forum with our disputes. - Let me give you my e-mail here and we will discuss everything privately! ?

Nikolai 12/29/2016 09:23

Alexander B, I read your comments and laugh. I am always amused by such personalities as you, who "understand" the topic and prove something ... Difficult work for doctors and low-paid. Here the doctor took upon himself the thankless burden of answering questions on the net, and here is his "gratitude" from people like you. An ordinary inhabitant in an impudent form proves the "regression" of medicine. What are you talking about, sir? You look ridiculous - it seems to me that another doctor will simply send you, excuse me, I just could not help but speak out. For example, I was very lucky with the anesthesiologist after the operation - I woke up as needed in the operating room, for which I am grateful to the anesthesiologist and surgeon. Thanks to Sergey Evgenievich for your help to people. Good luck in your difficult medical work.

Tatyana 29.12.2016 05:55

Good afternoon. The child was treated with the lower extreme tooth. After anesthesia, the mouth does not open, the cheek is swollen. The doctor advised to develop. It's been 7 days, no change. Can you advise something to do? Or see a doctor.

Alexander B. 27.12.2016 21:39

Yes, thank you: the futility of talking specifically with you also became clear to me: (I won’t pester you anymore. After all, you popularly explained that I am just another idiot and a rude ignoramus who has read "passions" on the Internet and slandering "from someone else's voice" to the sunny Russian reality, - what kind of useful dialogue can there be? .. I’ll look for some other specialists, maybe they will explain something worthwhile to me!? I apologize if I forced you to swallow a sedative, - I really didn’t want to cause so much anxiety such a well-deserved specialist! .. :)

Alexander B. 27.12.2016 02:34

I apologize for the harsh emotions, but fighting with your questions as if against a wall is not a pleasant occupation! NOT APPLICABLE, read at least one textbook on anesthesiology or contact any anesthetist ... "But if you are right, and GABA could not be used as a tranquilizer with ketamine, then idiots are those elderly doctors from the Morozov hospital in Moscow who this is how they deciphered to me a few years ago an entry from the operational journal of 1989! I immediately wrote down after them: "gammaaminobutyric acid"; I myself am not boom-boom in these acids and chemistry, and I could not involuntarily confuse such outlandish names! :( "If you have any other questions - please ask, but, if possible, briefly and clearly." - In any case, - I was injected with GHB or GABA together with ketamine and droperidol, - the essence of the problem is that from such an I and other children had absolutely NO delirium and other terrible side effects that often happen from modern anesthesia, so I ask the question: WHY ?! What prevents doing such anesthesia now and not "nightmare" patients?:((("We created this project to answer questions about anesthesia and anesthesia, but not to discuss with patients ..." - Well, this is from the series: "State Duma - not a place for discussions!", right? But you have it written here: "WE DISCUSS"! veterinarians their patients!?:(((

Victor 12/23/2016 13:10

Good afternoon! I am offered an operation to remove a tumor in the lower lobe of the left lung. Malignancy has not yet been proven, cytology is negative. I understand that everyone has a risk before any operation. But I would like to clarify with you whether I should agree to the operation? I'm afraid to go under the knife and stay there. I have hypertension 3 st risk 4. IHD. Stable angina pectoris 2 FC / Postponed myocardial infarction in 1998. Complications: H1 FC 2. Aortic atherosclerosis

Alexander B. 21.12.2016 02:47

The anesthesiologist Danilov writes: “Your question is from the series that “before the water was wetter and the grass is greener” ... - Well, then answer the SPECIFIC question about GABA and GOBA preparations, please: which of them, after all, In your opinion, in 1989 I was injected then intravenously during eye surgery along with ketamine!? Since you have 35 years of experience, you should be aware of the anesthesiology practice of that time ... I think that the doctors from that hospital did not lie to me, and GABA was still used, - after all, it is a tranquilizer, in fact, and natural; just right to stop the negative properties of ketamine! .. And GHB, this gamma-hydroxybutyric acid is generally a drug, which is widely spread in nightclubs, with intoxicating and stimulating properties: mixing it with ketamine is like pouring gasoline on a fire, only it should get worse be, I think!: (All the side effects of GHB such as euphoria, disinhibition, nausea, dizziness, drowsiness, psychomotor agitation, amnesia, etc., I and other neighbors in the ward, as I already said, were completely absent ... But I'm judging like an amateur, so I'm asking your authoritative opinion! :) "Alexander, you have read too much on the net ..." - Well, let's say I've read too much: but then advise, as a specialist, WHAT you need to read on this topic? Your article above, for example, turned out to be very complacent: just one Turkish delight! if he sang and laughed after anesthesia, maybe he himself was so cheerful in life!? For some reason, you calmed him down with seduxen, deprived the child of a happy childhood! .. :))) Well, of course, if you care so much about your patients; but what about the patients of other anesthesiologists - many other boys and girls who, after anesthesia, are not laughing at all!? Who do not laugh or sing when they die, but sob in horror, fight in hysterics, raving cruelly, hallucinate, do not recognize their parents and sometimes do not even remember their own name!?: (And besides, neither doctors nor nurses come to their aid and they don’t care about their condition in any way, considering all this to be “normal”! ..:(((“It’s not for me to explain to you that what people write on the Internet is not always true ... " many people write so many negative reviews about the horrors of modern anesthesia!?Is this all just another conspiracy of CIA spies in order to discredit the bright image of our Russian medicine among the masses! ?:((("... On a medical topic, in general, it is worth reading less on the Internet, any doctor will tell you that." - What, you should not even read the reviews and notes of your colleagues in the profession, such as the "Russian Anesthesiology Forum"!? All of them are also spies, pests and in a conspiracy against our healthcare!? .. What a horror! :))) Well then, there really is nothing to be surprised at the quality of their anesthesia! , which you describe ... "- Sorry, but did I cite some STATISTICS here!? I did not collect any statistics; but since we are talking about it, then offhand 80-90% of the reviews on ANY site about anesthesia are purely negative ones, with a story about long and painful "retirements"! Well, there are just slanderers and spies everywhere, don't you think?

Alexander B. 12/18/2016 01:05

Mercy to the anesthesiologist Danilov, that with his usual delicacy he so aptly caught me in ignorance and showed me my true place ... :) And although the respected author is not inclined to discuss with me, he nevertheless asked me a couple of personal questions, which I like a polite person should answer: “First, please tell me if you have a medical education and where did you get such data about “waste” and other things ...” - No education, but there is common sense to compare my PERSONAL experience with the stories of acquaintances and what people write on the forums on the Web! "Secondly, not GABA, but GHB..." - Well, I'm shrugging it off: the truth is that there is both this and that, moreover, with similar properties, and both substances can be used in anesthesia! Here I quote from Wikipedia: "Gamma-hydroxybutyric acid (GHB, 4-hydroxybutanoic acid) is a natural hydroxy acid that plays an important role in the human central nervous system, and is also found in wine, citrus fruits, etc. Gamma-hydroxybutyric acid can be used as an anesthetic and a sedative, but in many countries it is outlawed..." But about GABA: "Gamma-aminobutyric acid γ-Aminobutyric acid (GABA, GABA) is an amino acid, the most important inhibitory neurotransmitter of the central nervous system of humans and other mammals... "That in my case, it was gamma-aminobutyric acid (GABA), and not gamma-hydroxybutyric acid (GHB), that was used in my case together with ketamine, I did not invent it myself: this is how the surgeons of the hospital where they performed the operation deciphered the entry in the operating log many years later! - If they confused one with the other, then it is on their conscience: ("GHB and Droperidol are widely used all over the world, and not because they are cheap, but because they are effective ..." - Well, so what prevents you from doing with them anesthesia in Russia?: ("And another question - how do you know about" rubbish ketamine "? .." - You just kill me with such questions of yours: how do you know that everyone is naked under clothes, etc.? !:(Not only the majority of patients, but also many of your colleagues anesthesiologists speak about ketamine; well, as I already wrote, I myself experienced its effect! .. "In order to draw such conclusions, it is worth at least going to study for 6 years in the medical academy, then go through 2 years of specialization as an anesthesiologist, then at least work for 3 years, while constantly being “in the know”, i.e. study new items and communicate with more experienced colleagues, improve your qualifications at least every 5 years ... " - As in Voinovich's "Hat" I will answer: to find out that the food is rotten, it is enough to smell it 1 time, in extreme cases - to bite, and not at all you need to eat it whole in order to get poisoned to your colleagues in intensive care! :) "And in your question there are more emotions, reviews of friends, people from the Internet, not supported by specific facts ..." -Well, the impressions of specific people are not facts? "Now there are a lot of qualified specialists, modern drugs and equipment, believe me ..." - Well, the question still remains: why are the current anesthesia in Russia so "senseless and merciless" in relation to patients ??? After all, I addressed you seriously, and not for the sake of scoffing! If it is inconvenient for a respected specialist with 35 years of experience to discuss this topic here publicly on the forum, maybe he will agree to do it privately, by e-mail? :)

Yulich 12/17/2016 16:48

Hello, tell me please, my grandmother had an operation, they inserted a joint, there was a fracture of the femoral neck, two days have passed today, now she knows something is happening in her head that she says at first everything is fine then she starts saying something wrong, she is very excited, wants to get up, she saw something being injected in the intensive care unit with sodium. What is it can be and whether the head will return to normal?

Elena 12/17/2016 10:52

Hello, . Mom is 69 years old, angina pectoris and hypertension. There was an emergency operation for a ventral hernia of the abdomen. Cavity, under general anesthesia. Now is the 4th day. Drinks constantly betalok 100, trimetazidine. The pulse is high up to 100 beats. The pressure is jumping. Doctors don't see a reason even for ECG. There are no indications, but they have reports. You, as an anesthesiologist, can answer - are there any reasons for concern? What should be done? Thanks

Alexander B. 12/16/2016 00:03

And now I want to ask the anesthesiologist Danilov a question for "backfilling": (Why in recent years I have been reading and hearing a lot of people's stories about absolutely terrible, long withdrawals with a bunch of "side effects" even after short and simple operations, when patients behave like complete idiots , psychos, drug addicts or drunks in a fit of delirium tremens!? And most of this is not even surprised, as a matter of course; yes, and anesthesiologists answer us, they say, "this is normal", - WHAT'S NORMAL HERE!? After all, before everything was not so !.. So the author of the article writes here: "I observed a 5-6-year-old boy after intramuscular anesthesia with ketamine: when he recovered from anesthesia, he was, in fact, just drunk ..." - But I also observed in one of the Moscow hospitals back in 1989, at least a dozen different school-age boys who were recovering from intravenous ketamine anesthesia after eye surgery and was one of them myself: however, none of us was drunk, either in essence or in form!: (We were injected with ketamine not outright, but combining with dropery dolom and gamma-aminobutyric acid (GABA), which neutralized the buggy of this drug, now scolded by everyone. So OUTSIDE, the withdrawal from this anesthesia was generally harmless - at first after the operation, everyone just lay unconscious for 1-2 hours, then they began to moan softly and move a little in bed, but this lasted only a few minutes, not hours or days! And then they already regained a clear consciousness, without any side effects ... True, when introducing anesthesia and coming to my senses, there were rather unpleasant sensations that frightened me out of habit, but all this is heaven and earth compared to what many now tell!!! At least, I personally did not experience any nightmares, glitches, flights through pipes, labyrinths and tunnels, feelings of "loss of personality" and other terrible psychedelics. And not only me, but NO ONE was delirious, not buggy, not yelling, not sobbing, not swearing, not shaking, not hiccuping, not talking in vain, not calling mom and dad, not throwing up, not twitching, nowhere he didn’t rush, didn’t kick, didn’t piss and didn’t shit on himself (however, that nurse took care of this in advance, who gave everyone a huge enema before the operation :)) ... Even THIRST, as I remember, and then especially no one after there was no such drug! And in the future, I didn’t experience any “side effects” such as memory lapses, drowsiness, headaches or panic fears either in the hospital or later - I continued to study normally ... And I know very well that ketamine is still rubbish, and GABA with droperidol are simple, cheap drugs. However, in the disintegrating USSR, they somehow knew how to combine quite good, patient-sparing anesthesia from them, and in today's Russia, anesthesia for both children and adults is just a solid "Nightmare on Elm Street"!: (((To what do we owe such a cool " progress of medicine" in our country: drugs have become worse or doctors?

Julia 15.12.2016 21:54

Hello, my 5-year-old son had an operation today to remove phimosis under general anesthesia at nine in the morning, then after the operation he was taken to the intensive care unit, two hours later, i.e. at 11 o'clock, he was brought to the ward, after 20 minutes he vomited and 11 hours have passed and he still vomits every time he drinks water, they gave him an antiemetic injection and still vomits, is this normal or not?

Vyacheslav 15.12.2016 12:29

Good day! Soon I will have a small operation on the back of my head (removal of atheroma) and it will be performed under local anesthesia. The next question is, does local anesthesia somehow affect the nervous system? All the same, the drug will be injected into the head. The question is of interest because I will get to the house by car, I would not want to become the culprit of an accident due to an inhibited reaction, or something like that. With anesthesia of the gums, there is a certain general lethargy.

Gulnara Kozhanova 13.12.2016 08:44

Hello, after giving birth, my discharge did not stop, they did an ultrasound, the diagnosis was a plantntal polyp, they wrote it down for curettage, but I have intolerance to lidocaine, what can I replace it with if I am breastfeeding? My gynecologist says that I should ask them, and they say, let your gynecologist advise you, because I will have to buy this medicine myself or they will do it without anesthesia, but I don’t want to, I’m afraid. Recommend me a pain reliever. I’m intolerant to lidocaine and papoverine, I’m 35 years old, I didn’t notice intolerance to any other medications

Alla 07.12.2016 21:12

Hello! My son, aged 2 years 8 months, had an operation to remove an additional appendage of the auricle. Within a month after the operation, the child has a feeling of nasal congestion, but there is no discharge from the nose, whistling is emitted during breathing. After the operation, he was very sick, runny nose, cough. Can nasal congestion be related to anesthesia or is it an untreated runny nose? Thank you very much in advance!

Victor 06.12.2016 21:03

Hello, my wife had an operation (hemorrhoids) using spinal anesthesia, after which she had headaches, drowsiness, etc. for several days. The surgeon warned about all these symptoms. But after 6 days, there was an attack of convulsions, and it began with the right hand and moved to the whole body, lasted several minutes, with a partial loss of consciousness. Previously, there were never such attacks, but only in early childhood (up to 1 year). Could this be a side effect of anesthesia? Thanks

Hello. My sister was operated on 3 days ago. 43 years. She had 3 more surgeries before. Itsenko-Cushing's syndrome and rupture of the spleen. And this time, intestinal obstruction. She doesn't seem to be recovering from anesthesia. Severe headaches, vomiting, temperature 38. Prior to that, she constantly takes hormones. When will the effects of anesthesia wear off? Why does it have a temperature and is it somehow related to hormones. Thank you.

Love Smitia 10.11.2016 12:43

Good day! A complex 4-hour gynecological operation, laparoscopy with a mesh implant, was performed, the statement says - "endotracheal anesthesia, I woke up in intensive care only at 20:00 with a wild pain in my eyes - as if they poured sand with needles there! unfortunately, I don’t know which ones I injected the anesthesiologist of the medicine, in the morning she herself was surprised that such a reaction to her eyes because they were closed .. it’s good that everything else is fine, and she didn’t even feel any changes in her throat ..... she corrected her vision for 2 days! maybe such an allergy to anesthesia? Lyubov Vladimirovna, 58 years old

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Hello. I had a general anesthesia of the 1st degree to remove polyps in the uterus, after the operation, an hour later they let me go home because I was not local, I had to drive 4 hours to get home. 4-5 hours after the operation, my gaze was directed only upwards, later the back began to wedge to the right side. After the operation, I did not rest, I was very drowsy, at the station I tried to take a nap, my head was turned to the right. It could be drug intoxication. Now I am in the hospital, they brought me in an ambulance, I slept and all the symptoms disappeared. I had an X-ray of the cervical region (no results yet), ECG, cop. Tamography (everything is in order).

vyacheslav 20.10.2016 10:30

I am afraid that during the operation I will have chills, which I sometimes have, and without surgery. Then I cover myself with three blankets and he passes. how to do it on the operating table under local anesthesia?

Maxim 10/18/2016 09:04

After an operation on a perforated duodenal ulcer, the desire to drink was completely repulsed. I think it was from anesthesia. I didn’t drink for 6 years. Now I’m drinking again.

Daria 12.10.2016 23:32

Hello. Earlier I asked a question about the use of general anesthesia, I have type 1 diabetes with concomitant diseases on insulin injections. Now I go around the doctors, I take tests for hospitalization regarding the operation of endometrial hyperplasia. My blood count showed a very low hemoglobin level. The gynecologist said to take medications that increase hemoglobin ferlatum 1 bottle 2 times a day or sorbifer. The operation to remove endometrial hyperplasia is supposed to be at the beginning of November. But I have doubts about low hemoglobin, which can possibly be raised in 2 weeks with medicines, but should there be a longer period of keeping hemoglobin at a normal level for an operation than 2 weeks? I don’t know whether to postpone the operation for another month because of low hemoglobin or not to postpone it, for several months now I have had constant tolerable pain in the abdomen due to gynecology with periodic discharge. Of the diseases associated with diabetes, I have hypochromic anemia, hypotension, chronic pyelonephritis, thyroiditis, hypothyroidism.

Victoria 10.10.2016 16:33

Hello, on Friday, the uterus was cleaned due to anembryony, I don’t know what kind of anesthesia was administered, but when it was injected in the throat, everything started to burn. She came out of anesthesia for a long time and hard, hallucinations, dizziness, dizziness, vomited (although she didn’t eat anything in the morning). And since Sunday, problems began, the pace is 37, it’s bad in the head, when the eyes move side to side, nausea comes, with sudden movements it gets dark in the eyes, weakness, drowsiness, a little headache and sometimes pain in the eyes (rarely). Before operation (from Thursday) have started to prick an antibiotic lincomycin. Now I am still in the hospital, the doctor does not really say anything, he does not know the reasons for my condition. Can you tell me if my condition could be due to anesthesia?

Three days ago, a laparoscopy was performed to remove an ectopic pregnancy (tubal). They did combined anesthesia: spinal and general anesthesia. On the third day there are pains in the lower back after walking. When you lie down on your back, the pain goes away. What does it say. Thanks!!!

Irina 03.05.2016 23:01

After the appendicitis operation, the doctor and the anesthesiologist told me to consult with an ENT doctor, because. I couldn’t intubate. I don’t really understand what this means. I realized that they couldn’t insert the tube into the larynx. But how did I breathe on my own? And what could be the reasons? Thank you!

The postoperative period begins from the moment the surgical intervention is completed and continues until the time when the patient's ability to work is fully restored. Depending on the complexity of the operation, this period can last from several weeks to several months. Conventionally, it is divided into three parts: the early postoperative period, lasting up to five days, the late one - from the sixth day until the patient is discharged, and the remote one. The last of them takes place outside the hospital, but it is no less important.

After the operation, the patient is transported on a gurney to the ward and laid on the bed (most often on the back). The patient, brought from the operating room, must be observed until he regains consciousness after vomiting or arousal, manifested in sudden movements, is possible when leaving it. The main tasks that are solved in the early postoperative period are the prevention of possible complications after surgery and their timely elimination, correction of metabolic disorders, ensuring the activity of the respiratory and cardiovascular systems. The patient's condition is facilitated by using analgesics, including narcotic ones. Of great importance is the adequate selection of which, at the same time, should not inhibit the vital functions of the body, including consciousness. After relatively simple operations (for example, appendectomy), anesthesia is usually required only on the first day.

The early postoperative period in most patients is usually accompanied by an increase in temperature to subfebrile values. Normally, it falls by the fifth or sixth day. May remain normal in older people. If it rises to high numbers, or only from 5-6 days, this is a sign of an unfavorable completion of the operation - as well as severe pain at the site of its implementation, which after three days only intensify, not weaken.

The postoperative period is also fraught with complications from the cardiovascular system - especially in individuals and if the blood loss during the operation was significant. Sometimes there is shortness of breath: in elderly patients, it can be moderately pronounced after surgery. If it manifests itself only on days 3-6, this indicates the development of dangerous postoperative complications: pneumonia, pulmonary edema, peritonitis, etc., especially in combination with pallor and severe cyanosis. Among the most dangerous complications are postoperative bleeding - from a wound or internal, manifested by a sharp pallor, increased heart rate, thirst. If these symptoms appear, you should immediately call a doctor.

In some cases, after surgery, suppuration of the wound may develop. Sometimes it manifests itself already on the second or third day, however, most often it makes itself felt on the fifth or eighth day, and often after the patient is discharged. At the same time, redness and swelling of the sutures, as well as a sharp pain during their palpation, are noted. At the same time, with deep suppuration, especially in elderly patients, its external signs, except for pain, may be absent, although the purulent process itself can be quite extensive. To prevent complications after surgery, adequate patient care and strict adherence to all medical prescriptions are necessary. In general, how the postoperative period will proceed and what its duration will be depends on the age of the patient and his state of health and, of course, on the nature of the intervention.

It usually takes several months for the patient to fully recover after surgery. This applies to all types of surgical operations - including plastic surgery. For example, after such a seemingly relatively simple operation as rhinoplasty, the postoperative period lasts up to 8 months. Only after this period has passed, it is possible to assess how successfully the nose correction surgery went and how it will look.