Janice is waiting for discharge instructions after her herniorrhaphy. Which of the following instructions do you include?
A. Eat a low-fiber diet.
B. Resume heavy lifting in 2 weeks.
C. Lose weight, if obese.
D. Resume sexual activity once discomfort is gone.
Correct Answer: C. Lose weight, if obese.
Because obesity weakens the abdominal muscles, advise weight loss for the patient who has had a hernia repair. Every surgery has risks and complications but people with a high BMI have much higher risks for complications after hernia repair surgery, like a higher risk for the hernia to recur after surgical repair. This may require a second surgery.
Option A: Eat lots of whole grains, fruits, green leafy vegetables. Avoid dairy products or foods that cause constipation. Avoid foods that cause constipation such as dairy products, red meat, processed foods such as pizza, frozen dinners, pasta, sugar products such as cakes, pies, pastries, doughnuts, and caffeine and caffeine drinks.
Option B: The dressing is removed on postoperative day 5, and stitches are removed on postoperative day 7. Patients should be advised to avoid strenuous activities for a few weeks. Typically, light work can be resumed after 1 week, heavier jobs after 6 weeks.
Option D: Postoperative sexual function is an important factor to consider because the operation is performed in the inguinal region, in close proximity to the testicular structures and nerves which are important for sexual function. Furthermore, modern techniques of hernia repair are based on the implantation of a mesh to reinforce the inguinal floor. The first results of a prospective study of the Department of General Surgery Charité, Campus Mitte, showed no significant influence of the hernia repair with mesh on sexual function for at least 3 months postoperatively.
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