Rehabilitation after surgery for varicose veins of the lower extremities. What to do if the seam comes apart? Breathing exercises

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

With all its types, an artificially induced reversible state of inhibition of the central nervous system occurs. nervous system, sleep occurs, pain relief, muscle relaxation occurs, and some reflexes are inhibited.

They often ask: “Doctor, will I wake up? How will I feel?”

How long it will take and how you recover from general anesthesia, what sensations you experience - everything is very individual. This directly depends on the patient’s initial condition: his age, weight, gender, and concomitant diseases. Special attention It is also worth paying attention to what organ is being operated on:

• Cavity in the abdomen: on the stomach, intestines, appendicitis, etc.;
• Chest - that is thoracic surgery, on the lungs, esophagus, trachea;
• Heart surgery;
• Neurosurgical;
• Burn injury;
• Polytrauma with damage internal organs and musculoskeletal system.

Also directly affects:

• Duration of the operation and its complexity;
• Qualification of an anesthesiologist;
• What drugs are used.

How many people recover from general anesthesia after elective surgery on organs abdominal cavity? 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 confirmed during it, then usually the patient wakes up, or rather the anesthesiologist wakes him up already on the operating table. If everything is normal, reflexes are restored, 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 the attending physician.

Recovery of the body after anesthesia

After waking up while still on the operating table, the patient is drowsy and somewhat lethargic, although in contact with the doctor. When he is transferred to the ward, the patient continues the so-called post-anesthesia sleep. How long does it last? The duration of sleep is different for everyone: usually 1-2 hours, but sometimes it takes 6 hours before you fully wake up.

How many people recover from general anesthesia? This usually occurs completely within 6-12 hours. As a rule, these are patients without concomitant pathology, normal build. Patients who are overweight, in other words, obese, as well as with a history of alcoholism, who use drugs, who are 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: Coming out of general anesthesia after surgery can be compared to a condition familiar to many alcohol intoxication! They drank the same amount, with one being “a fool and a fool,” and the other quickly sobering up and “like a cucumber.”

How do you recover from anesthesia?

IN early period upon awakening the patient feels:

• Pain in the area postoperative wound. Usually it is felt 5-6 hours after the end of the operation. This is good and normal, it means alive.
• A sore throat. This is not fatal and is also absolutely normal. Everything goes away without treatment in 1-2 days! Infrequently, but there is irritation with the endotracheal tube, which is associated with 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 of age, 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 less often, even extremely rarely, vomiting. Nausea and vomiting often occur after operations on the abdominal cavity, stomach, and intestines. All these peculiarities of awakening are easily dealt with by anesthesiologists and resuscitators in the intensive care unit.

Special categories of citizens: in persons suffering from alcoholism, drug use, in postoperative period Quite often there is agitation, aggressiveness, and an inadequate reaction to the environment. But these reactions are not directly related to anesthesia; rather, they are withdrawal syndrome! Can be docked quite easily 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 linger! But of course, with the doctor's permission. Lying for a long time is fraught with the development of hypostatic pneumonia, acute thrombosis veins lower limbs, bedsores on the back, sacrum, heels.

A case is described: a young patient, 23 years old, practically healthy, after a routine uncomplicated appendectomy, lay on his bed and did not want to get up (he was in pain, you see). On the third day I finally got up. Result: thromboembolism pulmonary artery- immediate death.

When can I return to normal work after anesthesia? The man after general anesthesia within two days he can perform normal work, work with complex mechanisms, requiring concentration, drive a car! But the operating surgeons discharge the patient after 7-8 days, when the stitches are removed and the wound has healed. You can drink after anesthesia when your reflexes are restored and there is no nausea or vomiting.

You can eat it the next day, the diet is gentle: you can’t eat spicy, salty, fried, canned food, sausages, or 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 of age.
• Increased shyness in girls 8-10 years old.
• Underdevelopment of the respiratory system.
• Increased sensitivity to blood loss and overhydration.
• Imperfection of thermoregulation. Heat production lags behind heat transfer - the ratio is lower muscle mass to the surface of the body.

Children early age(up to 3 years) after intramuscular anesthesia with ketamine, which lasts 30-40 minutes, they 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 intramuscular injection seduxena. After 15 minutes he was completely cute!

Did you quickly recover from anesthesia? Let's discuss and tell in the comments.

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

Questions on the topic

Aleksey 02/25/2019 22:54

Hello.\\\ Male. Age: 33 \\\ I am currently in the hospital, a couple of days ago I had proctological surgery. According to the surgeon, the operation lasted about 30 minutes. It all started with the fact that on the operating table they inserted a catheter under my elbow and started trying to administer 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, sort of. They did not enter a vein, but bypass it. As a result, a second catheter was placed in my 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. Somehow they say it to relatives and it worked 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, and I vomited lunch as soon as I ate it (this was already more than 24 hours after the end of the operation). By evening, the nausea disappeared, vomiting did not appear, and the condition stabilized. My surgeon is on first scheduled inspection on the third day he explained how it was, saying don’t worry, it happens. I have next questions Is the situation really harmless and just bad luck? Can I request documents before or at the time of discharge that will indicate the quantity and medications used? What is the probability of indicating the situation that occurred there? What is the correct tactic of behavior? It’s doubly offensive that the anesthesia was paid for out of pocket

Yulia 02/17/2019 15:43

Hello! A 5-year-old child was treated with sevoran for 5 teeth + 1 extraction. (An allergy to local anesthetics: 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 recommend sevoran. As a mother, it really bothers me that to a small child They will do general anesthesia again. I would really like to hear the opinion of a 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 one can only guess what harm annual anesthesia brings to his body. (blood samples taken showed class 1 IgE with results of just over 1). My request to repeat the allergy test, and based on its results, to try sedation, was refused. Only sevoran! Do we really have no other option? Which method is least harmful to the child?

Valentina 01/09/2019 20:56

Hello! The child is 3 years old. 5 months Will undergo adenomectomy and circumcision medical indications(cicatricial phimosis). It is possible to do these operations simultaneously. Tell me whether it is still worth combining them or whether it is better to space them out over time. If we combine this, will the time the child is 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 08/16/2018 17:56

Good afternoon. I had several examinations (gastroscopy, colonoscopy) under sedation with propofol. And every time there were problems with waking up and recovering 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. Moreover, 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 soon have another procedure under sedation. Please tell me how to prevent or reduce such a reaction to anesthesia. Can you guess why this is happening?

Adela 07/30/2018 11:09

Good afternoon. Exactly three weeks ago, the child (girl, 4.5 years old) had her adenoids cut out. I had a very bad recovery from local anesthesia (through a mask) for a day. Then she seemed to go away, but after 3 weeks she began to complain several times a day that she was feeling nauseous and her heart was starting to beat quickly. Could this condition after anesthesia be related?

Alexandra 05/11/2018 11:46

Good afternoon I have never had any problems with anesthesia. I've been going to the same doctor my whole life. Today, an hour after the procedure, I felt that I was slightly nauseous, my hands were sweating and I had trouble concentrating. In general not big problem, but unpleasant. I would like to know if this is normal?

Dima 05/04/2018 01:32

Good afternoon. How harmful is anesthesia to muscles? I want to have rhinoplasty and choose anesthesia. I have Landouzy-Dejerineau myopathy. And if it’s 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 is 57 years old; she underwent surgery to remove gallbladder, 3 weeks later we had an operation to remove the uterus and ovaries, I haven’t woken up for 7 hours after anesthesia, the doctors say that everything is fine. Tell me, is this normal? Thank you!

Marina 03/26/2018 22:25

Good day! My son (6 years old) was prescribed a planned Endoscopic Adenotomy under general anesthesia. Prescribed by a doctor from the clinic. When I went to the hospital with a referral, I was told that it was 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. Please tell me is general anesthesia dangerous? And is it still possible local anesthesia manage, despite frequent otitis? As they said at the hospital, under general anesthesia, working with a different instrument. And that for frequent otitis media, general anesthesia is advisable, since they will clean up something somewhere. What can be the consequences after general anesthesia? And is it now masked or intravenous? Thank you in advance

Elena 02/24/2018 09:27

Hello. On December 14, surgery was performed for a hiatal hernia. 7 days later, on the day of discharge, I stayed at home for 2 hours, and then I was taken away by ambulance with acetone (I diabetes). And, if 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). I was examined by a gastroenterologist, nephrologist, surgeon, infectious disease specialist... in general, my health according to their diseases is normal. The tests are normal. I read information on the Internet that acetone occurs after general anesthesia. Have you encountered this and what can be done? Add. information on the operation: "Anesthesia: TVA+IVL. HELP PLEASE!

Yana 02/16/2018 14:23

Good afternoon, my son is 8 years old, he had an operation a month ago (phimosis, testicular torsion). Before the operation, the anesthesiologist said that besides 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 that they had discovered a small dropsy that needs to be removed, the child was brought in an hour after he was taken for surgery, although all the children were brought in 20 minutes later, I came out of anesthesia for about an hour, was choking, woke up and passed out, my whole body was twitching, my husband and I could barely hold him together, a month passed after After surgery, the boy is very often dizzy, weak, they did a cardiogram of 56 beats, his heart is beating, WAS THIS A NORMAL REACTION TO ANESTHESIA, AND WHAT COULD CAUSE Dizziness, DOUBLE VISION? (thank you)

Nadezhda 02/08/2018 18:40

Hello, please tell me in what cases is a patient woken up after surgery with an endotracheal tube? I had 4 general anesthesias (two laparoscopic surgeries) and it was only during the last one that I woke up with a tube and felt like I couldn't breathe. I couldn’t move for a while; my hand wasn’t tied. Then I managed to point my hand at the mask with the tube, and it was taken out. When I woke up, I felt like I was suffocating.

Nadezhda 01/23/2018 15:39

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

Alina 12/25/2017 18:59

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

Marina 11/19/2017 23:13

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

Vasilisa 11/18/2017 19:32

Hello! I am 40 years old. A month and a half ago I underwent curettage of a frozen pregnancy. And a week ago, another curettage of endometrial hyperplasia. Both times there was ketamine anesthesia, but the premedication the first time was sibazon, the second time promedol. So the first time waking up was soft. A week of headaches and insomnia was easily relieved with simple valerian. The second time was a nightmare. Delirium upon waking, panic attacks, breathing problems, this is probably how drug addicts feel when they overdose... The staff simply ignored me, I lay there all day. Now falling asleep is accompanied by fears and panic attacks. Could the difference in premedication have such an impact on the consequences? I have a history of “emotionality”)) Upon discharge, the doctor said that ketamine was simply not suitable for me. Is it possible?

Anna 10/30/2017 12:04

Good afternoon. Faced with next situation after 2 general anesthesia. The first operation was for appendicitis, after 9 months the operation ( ectopic pregnancy). Now I don't recognize myself completely. Firstly, anxiety appeared, it arises out of nowhere. I became aggressive, every word and situation was difficult for me, constant worries. Everything is getting worse every time. I went to a neurologist, but he didn’t help. I don’t know if it’s normal to feel like this. Besides, my head is constantly spinning. What do you recommend to do in this situation, where and who to contact.

Marina 10/13/2017 19:13

Good evening, 4 days ago I had an outpatient operation to remove fibroadenoma, the 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 I had a terrible sore throat (sore throat, 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’m sneezing, all this continues for the 4th day. I arrived for the operation completely healthy. Tell me, could this be an allergy to anesthesia?

Olga 09.10.2017 21:32

Is it possible to determine an anesthetic drug by metabolites in urine and blood 5 days after surgery? Are there similar tests, for example, in vitro? Propofol and fentanyl were allegedly administered. A terrible effect, no pain was felt, but like in hell, squeezing, spinning, 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. There was general anesthesia. After the anesthesia, I quickly came to my senses, my head hurt slightly. On the second day there was a bitterness in my mouth, then everything went away. After a week, my legs began to hurt a lot, namely stiffness, and then my arms too .the symptoms still persist, my legs hurt, but not always, but also blurred vision and a headache sometimes, could all this be a consequence of anesthesia?

Oksana 09.29.2017 16:52

Hello! I am 22 years old, a week ago I gave birth through a sectional section, epidural anesthesia was used, after the introduction of anesthesia right part I could feel my legs, they gave me general anesthesia, on the third day I began to notice that I couldn’t feel my heel and thumb right leg What could this be? Will it go away on its own or should I see a doctor? This was the second birth, the first was also through a CS and there were also 2 anesthesia (epidural and general), only the first time they managed to take the baby out, and after that sensitivity returned, that’s why they did general anesthesia!

Tatyana 08/26/2017 21:05

Good evening! The child is 3.9 years old and will undergo surgery to lower the testicle. I'm very afraid of mask anesthesia. The operation was said to last 30-40 minutes. We have a mastocytoma on our arm. Is anesthesia contraindicated in this case? Tell us how children often tolerate this type of anesthesia?

Mikhail 08/07/2017 15:07

Hello, 2 months ago I had a planned cholecystectomy - removal of the gallbladder under general anesthesia after the operation was very painful right shoulder after two months, the pain dulled but the problem did not go away, the neurologist said that these are the consequences of anesthesia, but this does not make me feel any better, what should I do? I can’t raise my hand above my head strong pain It’s impossible to hang on my forearm, what should I do........

Valentina 06/20/2017 07:07

Good afternoon. I tolerate anesthesia very poorly, I don’t drink alcohol, I don’t smoke, especially drugs, but when I had an operation (vacuum surgery to remove a frozen fetus), the nurse said that as soon as they injected me with anesthesia, it was as if a demon had possessed me. I don’t remember when I was transferred to the ward, but my roommates said that I cried a lot, screamed, and asked for the baby to be returned to me. Is this condition possibly 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 05/22/2017 12:44

Good afternoon 2 weeks ago I had surgery to remove an ectopic abdominal pregnancy. I am 25 years old. The operation lasted 1 hour 15 minutes. Lost 1.2 liters of blood. On the same day, a plasma transfusion was given. I felt good. And now dizziness, weakness, drowsiness. Hemoglabin is 105, blood pressure is normal. Tell me the probable reason.

Anastasia 05/12/2017 23:11

Hello, I had ovarian laparoscopic surgery in February under general anesthesia. 22 years old. I woke up not on the operating table, but in the intensive care unit already, n (I only remember when they woke me up, that I felt very nauseous). I woke up, I was shaking terribly, I was cold, I was very nauseous, I could barely hold on, my eyes were watering, itching... and so on for 4-5 hours. The condition was terrible. But the worst thing began next. the day after the operation, I could not sleep; panic attacks began. As soon as I fall asleep, I am immediately thrown out of sleep, my heart is pounding, and I am afraid that I will not fall asleep. For two weeks after the operation I had trouble sleeping. I started taking sleeping pills. Tell me, is this my individual reaction to anesthesia or was I just unlucky with the anesthesiologist? And sleep problems can be caused by anesthesia? Another operation is planned, but I won’t survive coming out of anesthesia like that again.. thank you.

Sergey 04/29/2017 22:59

Hello! I had neurosurgical surgery for thoracic region. After the operation, on the 2nd or 3rd day I got up and started walking. Nothing hurt me except the wound! I was happy! It only didn't hurt for a day or two. Then everything below my chest started to hurt and continues to hurt to this day. Tell me, could general anesthesia relieve the pain for 3-4 days? Thanks in advance!

Svetlana 04/21/2017 10:32

Hello! A little over a week ago, an operation was performed under general anesthesia (septoplasty and bilateral conchotomy). I still have a temperature of 37.3, a sore throat, headache and severe weakness. Could this be a consequence of anesthesia?

Alexander 04/09/2017 11:55

Hello! Based on the direction of a gastroenterologist, I make a diagnosis. Colon videoendoscopy. It is performed under anesthesia. After what shortest time can I drive? I live alone in the suburbs. Driving to and from the hospital on your own. I am 61 years old.

Stepan 03/12/2017 10:40

Hello! Please tell me, I had spinal anesthesia, after the operation I lay down for a day as expected, got up the next day and in the evening I started to have a headache and nausea, it’s been like this for 4 days, the nausea has passed, but the headache remains, although less, tell me, will this condition go away?

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 overwhelming majority of patients are alive and well the next day usual image life, i.e. they walk, eat what they can, and after the stitches are removed on the 5th-6th day, go home. To answer your question, it’s difficult to say anything without seeing you. You need to know how old you are, do you have accompanying illnesses. Seek advice from a therapist.

Zarbazan 03/06/2017 12:01

hello, my 77-year-old mother was operated on to remove an intestinal tumor, after the operation she came to her senses, but on the third day her consciousness began to become confused, the doctors say “intoxication, weakness of the body, it will normalize over time,” it’s already the third day, so tell me how long the recovery period can last, can you help her somehow? best medicine from those treating doctors - communication with relatives???

Andrey 02/27/2017 17:08

Hello, exactly a month ago I had laparoscopic surgery under general anesthesia at 12 points. the Treitz ligament was simply shortened, I was in the hospital for 14 days, the temperature was 35.2 -35.9 and nothing particularly bothered me about the temperature, I didn’t pay attention, I thought the thermometers weren’t working<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), delayed awakening is possible. I don’t know what kind of anesthesia and drugs were used, but such a delayed awakening happens, it’s individual and in general it’s normal.

Nikolay 02/20/2017 16:55

Hello! On February 17, an operation was performed and two stents were inserted into the ureter. Spinal anesthesia was given, plus drops were given for light sleep. Immediately after the anesthesia, I lay under IVs and when I began to feel my legs, nothing hurt. The next morning I woke up, nothing hurt, and they put me on another IV. During the day I was already discharged from the hospital, and while driving, my back started to hurt. Then one evening my head started to hurt. And the very next morning I woke up with severe pain in my back and head. Especially if I get up I start to feel very dizzy. And my head still hurts. Tell me, is this a consequence of anesthesia? And how long can such symptoms last?

Alina 02/19/2017 16:48

Hello. After anesthesia (the appendix was removed), the lower lip became partially numb. More than a week has passed and the numbness does not go away. Should we panic?

Natalya 02/15/2017 06:57

Hello. My husband underwent surgery under general anesthesia in the Department of Maxillofacial Surgery to remove the mucus that had accumulated in his sinus. The second week has passed since the operation, and he says that he has lost all sensitivity. He feels no taste, no cold, no pain, does not feel the internal organs. As if the body was not his. Could this be the consequences of anesthesia, if so, how long can it take?

Masha 02/14/2017 14:02

Hello! My 5-year-old child had her teeth treated under propofol sedation. 5 teeth have been unable to stand on her feet for the fifth day and she hasn’t slept for four days, hasn’t eaten, she really complains that her legs and muscles hurt, is this all from the anesthesia? How long will it take her to recover from it?

Christina 02/09/2017 16:30

My daughter had 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 don’t know how many hours. After that, she spent a very long time in intensive care for 2 weeks. Then, within 2 weeks, there was another intervention; blood entered the pleural cavity. After some time, she stopped absorbing 10 mil in the intensive care unit. She could not digest the mixture. When she felt better, she was transferred to the ward, when they brought her in, her face was like a ball, she was twitching all over, blinking inappropriately. Half a year later we were operated on again only through probing and again under anesthesia. And half a year later we again had heart surgery. The operations were all open heart. And again, anesthesia. Right now she is 6 years old and she doesn’t speak. Are these the consequences of anesthesia??? Until 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 superficial anesthesia, there is no reason to worry!

Svetlana 01/31/2017 21:38

Hello! My daughter (15 years old) had a detailed endoscopy of her intestines. After the examination, when she came out of anesthesia, she tried to get up for a long time (for an hour), she shivered, her limbs turned blue, her eyeballs seemed to be squeezed out, her head ached, and sounds echoed in her ears; for her they seemed sharp and unbearable. Of course, I prevented her from getting up, held her by the shoulders, and laid her down. As a result, her back and pectoral muscles ached later. She has surgery ahead of her. How can we correctly explain to the anesthesiologist what consequences we want to avoid when recovering from anesthesia? After all, some demand that their wishes be expressed in medical terminology.

Olga 01/23/2017 21:15

Hello! My mother (76 years old) underwent emergency surgery on her intestines (there was perforation of the small intestine). Now she has been unconscious for the 6th day, the doctors say that it is stupor, she does not come to her senses, at first she was on a ventilator, then they put a tracheostomy, she maintains the pressure on her own. How long can she remain unconscious and what are the chances of recovery?

Victoria 01/22/2017 14:14

Hello! I am thinking about surgery to eliminate diastasis. The surgeon suggested tracheal anesthesia (I’ll explain it more simply, I don’t know the terms). I’ve heard cases where it’s done under local anesthesia. My diastasis starts almost from the chest and ends in 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 one finger long. Thank you

Natalia 01/21/2017 15:15

Hello! In February 2016, she underwent surgery to remove veins in her right leg under spinal anesthesia. In the postoperative period, severe weakness was discovered in the right leg, pain in the sacrum on the right side, pain in the hip joint, right buttock and numbness (pins and needles) in the lower leg. During these months I took anti-inflammatory drugs, Neuromidin, injected Milgamma and many others. other. X-ray and MRI of the hip showed normal. After about 4-5 months there was an improvement. I have gained strength in my leg, I almost don’t feel the numbness in my lower leg, and the pain in my sacrum is no longer acute. But pain and numbness, a burning sensation in my right thigh and buttock still bother me greatly. Particularly worse after exercise (for example, fast walking or long walking). I have protrusions of L4/L5 and L5/S1 up to 0.3 cm. Before the operation, I sometimes felt heaviness in my back after a heavy load, but there was never pain in my leg. I visited many doctors. The neurosurgeon and traumatologist said that these could be consequences of anesthesia. But what to do next? Who should I contact for treatment?

Anastasia 01/20/2017 19:05

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

Olga 01/06/2017 01:57

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

Alexander B. 12/29/2016 21:48

NICHOLAS: “Alexander B, I read your comments and laugh. I am always amused by personalities like you who “understand” a topic and prove something...” - It’s good if you laugh: laughter prolongs life :) That’s why you should Don’t blame me, but thank me for making you laugh! You owe me “grandmother” for this, in short! . What are you talking about, sir??" - ABOUT WHAT, I already wrote in my “messages” to the anesthesiologist Danilov, if you read them! He, however, chose only to brush them aside and answered specifically only a private question about GABA and GHB , - and for this explanation I already thanked him! But the essence of the problem, which I asked about in general, Sergei Evgenievich basically refused to admit, which rather amazed me, to put it mildly!.. “You look funny - the other doctor seems to me to be just you will send, excuse me, 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 I needed to operating room, for which I am grateful to the anesthesiologist and surgeon." - How lucky YOU personally are, just as really unlucky are thousands and thousands of other patients, adults and children, who suffer every day in our country from the consequences of truly monstrous anesthesia given by other anesthesiologists!:(A Unlike you, I don’t only think about myself!.. Now, if you, Nikolai, like many other poor fellows, during your operation, flew for an hour through endless pipes, contemplated the walls “a la the Matrix-Revolution” in 3D, you would feel like a mindless molecule in them, or a computer microchip, or a pencil case speaking foreign languages ​​(this happens with ketamine!), and then all day long you would catch wild glitches in the process of an outrageously long “recovery”, painfully remembering your name, not recognizing point-blank the people closest to you and learning to speak Russian again, you would be shocked and twitch, breaking the bed under you, and would vomit everything around you in the world, suffering at the same time from unbearable thirst... - in short, all possible “charms” "There are countless modern anesthesia - then it’s unlikely, our funny fellow, that you would remain such a cheerful fellow and would understand well what I was asking about here!!!:(((But if you want to talk seriously about this topic, it’s better for us not clutter this forum with our disputes. - Let me tell you my e-mail here and we will discuss everything privately! ?

Nikolay 12/29/2016 09:23

Alexander B, I read your comments and laugh. I am always amused by individuals like you who “know” a topic and prove something... Doctors’ jobs are difficult and low-paid. Here the doctor has taken on the thankless burden of answering questions online, and here is “gratitude” to him from people like you. An ordinary man in the street arrogantly argues for the “regression” of medicine. What are you talking about, sir?? You look funny - it seems to me that another doctor will simply send you away, sorry, I just couldn’t 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. Thank you Sergei Evgenievich for your help to people. Good luck to you in your difficult medical work.

Tatyana 12/29/2016 05:55

Good afternoon. The child's lower extreme tooth was treated. After anesthesia, the mouth cannot open and the cheek is swollen. The doctor advised me to develop it. 7 days have passed, no changes. Please advise what can be done? Or see a doctor.

Alexander B. 12/27/2016 21:39

Yes, thank you: the futility of talking specifically with you also became clear to me: (I won’t pester you anymore. You popularly explained that I am just another idiot and a rude ignoramus who has read “passions” on the Internet and is 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 can explain something useful to me!? I apologize if I forced you to swallow a sedative - I really didn’t want to cause so much trouble such a distinguished specialist!..:)

Alexander B. 12/27/2016 02:34

I apologize for the harsh emotions, but fighting with your questions as if against a wall is not a pleasant task! NOT APPLICABLE, read at least one textbook on anesthesiology or contact any anesthesiologist..." But if you are right, and GABA could not be used as a tranquilizer with ketamine, then it means that those elderly doctors from the Morozov Hospital in Moscow who are idiots This is how they deciphered for me a few years ago an entry from the operating log of 1989! I immediately wrote down after them: “gammaAMINObutyric acid”; I myself am not a boom-boom in these acids and chemistry in general, and I couldn’t involuntarily confuse such outlandish names! :( “If you have any other questions, please ask, but, if possible, briefly and clearly.” “In any case,” they then injected me with GHB or GABA along with ketamine and droperidol, “the essence of the problem is that from such anesthesia, I and other children had absolutely NO delirium or other terrible side effects that often happen from modern anesthesia, so I ask the question: WHY?! What’s stopping you from doing such anesthesia now and not causing a “nightmare” for 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 discussion! veterinarians their patients!?:(((

Victor 12/23/2016 13:10

Good afternoon I am being offered surgery to remove a tumor in the left lower lobe lung. Malignancy has not yet been proven; cytology is negative. I understand that everyone has risks 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 end up there. I have hypertension, grade 3, risk 4. IHD. Stable angina FC 2/myocardial infarction in 1998. Complications: H1 FC 2. Atherosclerosis of the aorta

Alexander B. 12/21/2016 02:47

Anesthesiologist Danilov writes: “Your question is one of the series that “before the water was wetter and the grass was greener”...” - Well, okay, then answer the SPECIFIC question about the drugs GABA and GHB, please: which of them is it? in your opinion, in 1989 I was then injected intravenously during eye surgery along with ketamine!? Since you have 35 years of experience, you should be aware of the anesthesiological 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 essentially a tranquilizer, and a natural one at that; just right for stopping the negative properties of ketamine!.. And GHB, this gamma-hydroxybutyric acid, is generally a drug that is widely sold in nightclubs, with intoxicating and stimulating properties: mixing it with ketamine is like pouring gasoline on a fire, only it should make things worse maybe, I think!:(All the side effects of GHB such as euphoria, disinhibition, nausea, dizziness, drowsiness, psychomotor agitation, amnesia, etc., were completely absent for me and other neighbors in the ward, as I already said... But I judge as an amateur, so I’m asking for your authoritative opinion! :) “Alexander, you’ve read a lot of unnecessary stuff on the Internet...” - Okay, let’s say I’ve read too much: but then, as a specialist, advise me WHAT should I read on this topic? Your article above, for example, came out 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, depriving the child of a happy childhood!..:))) It’s good, 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 at all laughing!? Who, when recovering, do not laugh or sing, but cry in horror, fight in hysterics, violently rave, 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 “normal”! many people write so many negative reviews about the horrors of modern anesthesia!? Is this all just another conspiracy by CIA spies to discredit the bright image of our Russian medicine among the masses! ?:((("...In general, you should read less on the Internet on medical topics, any doctor will tell you that." - What, you shouldn’t even read the reviews and notes of your colleagues in the profession, such as the “Russian Anesthesiology Forum”!? All of them are also spies, saboteurs 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!:("Neither I, nor my colleagues, nor any source have such statistics , which you describe..." - Sorry, but did I really cite any STATISTICS here!? I didn’t collect any statistics; but since we’re talking about it, just offhand, 80-90% of the reviews on ANY site about anesthesia are purely negative, with a story about long and painful “retreats”! 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 he, with his characteristic delicacy, so aptly convicted me of ignorance and showed me my true place...:) And although the respected author is not inclined to discuss with me, he still asked me a couple of personal questions, to which I like a polite person should answer: “First of all, please tell me if you have a medical education and where did you get such data about “otkhodnyak” and other matters...” - I have no education, but I have common sense to compare my PERSONAL experience with the stories of friends and what people write on forums on the Internet! “Secondly, not GABA, but GHB...” - Well, here I’m throwing up my hands: the truth is that there is both, 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 illegal..." And here's 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-OXYbutyric acid (GHB) that was used together with ketamine, I did not invent it myself: this is how the surgeons of the hospital where the operation performed the operation deciphered it to me 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, what is stopping you from doing with them do we have anesthesia in the Russian Federation?:("And another question - how do you know about “rubbish ketamine”?..” - You’re just killing me with your questions: how do you know that under clothes everyone is naked, etc.? !:(Not only the majority of patients, but also many of your fellow anesthesiologists speak this way about ketamine; well, as I already wrote, I experienced its effects myself!.. “In order to draw such conclusions, it’s worth at least going to study for 6 years at the Medical Academy, then undergo 2 years of specialization as an anesthesiologist, then at least work for 3 years, while constantly being “in the know,” i.e., studying new products and communicating with more experienced colleagues, improving your qualifications at least every 5 years..." - Like Voinovich in “Shapka” I will answer: to find out that food is rotten, all I have to do is sniff it once, or, in extreme cases, bite it, but I don’t need to eat it whole in order to end up with your colleagues in intensive care with poisoning! :) “And your question contains more emotions, reviews from 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, all the more so the question remains: why are current anesthesia in Russia so “senseless and merciless” in relation to patients??? I came to you seriously, and not for the sake of ridicule! If a respected specialist with 35 years of experience is uncomfortable discussing this topic here publicly on a forum, maybe he will agree to do it privately, by e-mail? :)

Yulich 12/17/2016 16:48

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

Elena 12/17/2016 10:52

Hello, . Mom is 69 years old, has angina pectoris and hypertension. There was an emergency operation for a ventral abdominal hernia. Abdominal, under general anesthesia. It's day 4 now. He constantly drinks Betaloc 100 and trimetazidine. Pulse is high up to 100 beats. The pressure is jumping. Doctors don't even see a reason for an ECG. There are no indications, but they have reports. Can you, as an anesthesiologist, answer - are there any reasons for concern? What should be done? Thank you

Alexander B. 12/16/2016 00:03

But I want to ask anesthesiologist Danilov a question for “backfilling”: (Why in recent years have I been reading and hearing a lot of people’s stories about absolutely terrible, long recovery periods with a bunch of “side effects” even after short and simple operations, when patients behave like complete idiots , psychos, drug addicts or drunks in an attack of delirium tremens!? And the majority are not even surprised by this, as a matter of course; and anesthesiologists answer us, saying, “this is normal,” - WHAT IS NORMAL HERE!? After all, everything was not like that before !.. 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 essentially just drunk...” - But I observed it in one of the Moscow hospitals. back in 1989, at least a dozen different school-age boys were recovering from intravenous ketamine anesthesia after eye surgery, and I myself was among them: however, none of us were drunk, either in essence or in form!:(Ketamine was administered to us not outright, but combined with droperidol and gamma-aminobutyric acid (GABA), which neutralized the glitchy nature of this now universally reviled drug. So EXTERNALLY, the recovery from this anesthesia was generally harmless - at first, after the operation, everyone simply lay unconscious for 1-2 hours, then they began to moan quietly and move slightly in bed, but this lasted only a matter of minutes, and not hours or days! And then they came to a clear consciousness, without any side effects... True, during the administration of anesthesia and coming to consciousness there were quite unpleasant sensations that scared me out of habit, but all this is heaven and earth in comparison with what many people now they tell!!! At least, I personally didn’t experience any nightmares, glitches, flying through pipes, labyrinths and tunnels, feelings of “loss of personality” and other creepy psychedelics. And not only me, but NOBODY during the “recovery” did not rave, did not glitch, did not yell, did not cry, did not swear, did not shake, did not hiccup, did not chatter in vain, did not call mom and dad, did not vomit, did not twitch, anywhere didn’t rush, didn’t kick, didn’t piss on himself or take a shit (this, however, was taken care of in advance by that nurse who gave everyone a huge enema before the operation :))... Even THIRSTY, as I remember, and even then no one had a special one after There was no such anesthesia! And in the future I did not experience any “side effects” such as memory loss, drowsiness, headaches or panic fears either in the hospital or later - I continued to study normally... Moreover, I know very well that ketamine is such rubbish, and GABA with droperidol are simple, cheap drugs. However, in the disintegrating USSR they somehow knew how to combine them into quite good, patient-friendly anesthesia, and in today’s Russia, anesthesia for both children and adults is just a complete “Nightmare on Elm Street”!:(((What do we owe to such a cool " progress of medicine" in our country: have the drugs gotten worse or have the doctors gotten worse?

Yulia 12/15/2016 21:54

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

Vyacheslav 12/15/2016 12:29

Good day! Soon I will have a minor operation on the back of my head (removal of atheroma) and it will be performed under local anesthesia. The question is: does local anesthesia somehow affect the nervous system? All the same, the drug will be injected into the head. The question is interesting because I will be getting home by car, I would not want to become the culprit of an accident due to a delayed reaction, or something like that. When the gums are anesthetized, a certain general inhibition is felt.

Gulnara Kozhanova 13.12.2016 08:44

Hello, after giving birth my discharge did not stop, they did an ultrasound, diagnosed a placental polyp, signed me up for curettage, but I am intolerant to ice-caine, what can replace it if I am breastfeeding? My gynecologist tells me to ask them, but they say, let your gynecologist advise you, because I will have to buy this medicine myself or they will do it without pain relief, but I don’t want to, I’m afraid. Recommend me a pain reliever. I am intolerant to icecaine and papoverine, I am 35 years old, I have not noticed intolerance to any other medications

Alla 07.12.2016 21:12

Hello! My son, age 2 years 8 months, underwent surgery 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 nasal discharge, and a whistling sound is made when breathing. After the operation, he was very sick, with a runny nose and cough. Could 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, a seizure attack occurred, and it started from the right arm and spread to the whole body, lasting several minutes, with partial loss of consciousness. Such attacks had never happened before, but only in early childhood (up to 1 year). Could this be a side effect of the anesthesia? Thank you

Hello. My sister had surgery 3 days ago. 43 years. Previously, she had 3 more surgeries. Itsenko-Cushing syndrome and splenic rupture. And this time there was an intestinal obstruction. She somehow does not recover from the anesthesia. Severe headaches, vomiting, temperature 38. Before this, she constantly takes hormones. When will the effects of anesthesia go away? Why does he have a fever and is it related in any way to hormones? Thank you.

Lyubov Smitia 11/10/2016 12:43

Good day! I underwent a complex 4-hour gynecological operation, laparoscopy with a mesh implant, the discharge notes - “endotracheal anesthesia, I woke up in the intensive care unit only at 20 o’clock with a wild pain in my eyes - as if sand and needles had been poured there! Unfortunately, I don’t know which ones I injected the anesthesiologist took the medicine, in the morning she was surprised that this was a reaction to her eyes because they were closed... it’s good that everything else was fine, and she didn’t even feel any changes in her throat... For 2 days her vision was corrected! maybe Are you allergic to anesthesia? Lyubov Vladimirovna, 58 years old

View the anesthesiologist's answer

Hello. I had general anesthesia of the 1st degree to remove polyps in the uterus, after the operation an hour later I was allowed to go home since I was not local, I had to travel 4 hours to get home. 4-5 hours after the operation, my gaze was directed only upward, later my back began to wedge to the right side. After the operation, I did not rest, I was very sleepy, at the station I tried to take a nap, my head was turned to the right. It could be intoxication from anesthesia. Now I’m in the hospital, they brought me by ambulance, I slept and all the symptoms went away. I had an X-ray of the cervical spine (no results yet), an ECG, and a cop. Tamography (everything is in order).

Vyacheslav 10.20.2016 10:30

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

Maxim 10/18/2016 09:04

After surgery on a perforated duodenal ulcer, I completely lost the desire to drink. I think it’s because of the anesthesia. I haven’t drank for 6 years. Now I’m drinking again. What drug should I take to stop drinking again?

Daria 10/12/2016 23:32

Hello. Previously, I asked a question about the use of general anesthesia; I have type 1 diabetes with concomitant diseases on insulin injections. Now I’m visiting doctors, taking tests for hospitalization for surgery for endometrial hyperplasia. In the blood test I took, my hemoglobin was greatly reduced. The gynecologist told me to take medications that increase hemoglobin, ferlatum, 1 bottle 2 times a day or sorbifer. Surgery to remove endometrial hyperplasia is expected to take place in early November. But I have doubts about low hemoglobin, which can possibly be raised with medications in 2 weeks, but should there be a longer period of keeping hemoglobin at a normal level for surgery than 2 weeks? I don’t know whether to postpone the operation for another month due to low hemoglobin or not, I have had constant tolerable abdominal pain in gynecology with periodic discharge for several months now. Among the diseases accompanying diabetes, I have hypochromic anemia, hypotension, and chronic pyelonephritis, thyroiditis, and hypothyroidism.

Victoria 10.10.2016 16:33

Hello, on Friday I had a uterine cleansing due to anembryonia. I don’t know what kind of anesthesia was administered, but when administered, everything started to burn in my throat. Coming out of anesthesia was long and difficult, I had hallucinations, felt sick, felt dizzy, and vomited (even though I didn’t eat anything in the morning). And then on Sunday the problems started, temp 37, bad in the head, when moving the eyes from 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 the operation (from Thursday) they started injecting the antibiotic lincomycin. Now I’m still in the hospital, the doctor doesn’t really say anything, doesn’t know the reasons for my condition. Tell me, could my condition be due to anesthesia?

Three days ago, a laparoscopy was performed to remove an ectopic pregnancy (tubal). We performed a combination of anesthesia: spinal and general anesthesia. On the third day, pain in the lower back is noted after walking. When you lie down on your back, the pain goes away. What does this mean? Thank you!!!

Irina 05/03/2016 23:01

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

Today, abdominal surgeon, doctor of the highest category, Efim ZASEPSKY, answers our readers’ questions.

No one is immune from suppuration of a postoperative scar

After surgery for appendicitis, my stitches became infected. What could have caused this to happen?

R. G., Konotop

Most likely, an infection was introduced during the operation. Although all surgeons treat wounds with antiseptics, it can be quite difficult to ensure complete sterility, for example with peritonitis. Therefore, unfortunately, no one is immune from suppuration of a postoperative scar.

Surgeries are not performed on critical days

I am having a planned operation. What time of year is it best to do it? How to prepare in advance?

I. S. Kurmaeva, Mordovia

ELDERLY people, as well as those who are overweight, are not recommended to have surgery during the hot season. However, much depends on the indications. There are situations when you cannot wait. Before any planned operation, the patient undergoes a series of examinations, and if it turns out that the body is weakened, he is prescribed vitamin therapy and other preventive measures. In addition, there are a number of restrictions for planned operations: for women, for example, these are the days on which menstruation falls.

Not a seam, but a scar

After a caesarean section, the suture does not heal for a long time, four months have passed, and it continues to hurt and itch. How can you get rid of these unpleasant sensations?

I. Yudina, Rostov

WHAT the author of the letter writes about is not a seam, but a scar. It is impossible to give clear recommendations in this case. Only histological examination will help to understand what causes these unpleasant sensations. Scars are different, and their treatment methods are different. There are a number of ointments that relieve itching, but they are all hormonal, so you should consult a dermatologist before using them.

The belly button can be "fixed"

I have a serious problem. The navel is not like most people's, but is turned outward. I'm 15 years old and I have a lot of complexes about this. Is it possible to correct the shape of the navel?

N. O., Norilsk

CAN. Plastic surgeons do this. The operation is not very traumatic. It can be done at almost any age with the exception of early childhood. Sometimes such forms of the navel are combined with umbilical hernias. Then, in parallel with the plastic surgery of the navel, the hernia is removed.

Small stones are especially dangerous

I have gallstones. They suggested surgery. But I’m already 65 years old, and I’m scared to go under the knife.

Lydia Ivanova, Yakutia

It is impossible to answer this question unequivocally. On the one hand, age is not a contraindication for removing stones from the gallbladder, on the other hand, a lot depends on how these stones behave. In addition, stones come in different configurations and sizes. Small stones are especially dangerous. This is due to the fact that blockage of the bile ducts and the development of so-called obstructive jaundice are possible. The surgeon must decide whether surgery is necessary based on medical examination data.

Nature does not create anything by chance

At one time there was a lot of discussion in the press about whether or not to remove the appendix. I wonder if the doctors have come to a definite opinion?

S. Andreev, Samara

APPENDIX is an organ responsible for protecting certain organs. The organ is the target. An analogy can be drawn: in the throat there are tonsils, in the stomach there is an appendix. Tonsils are operated on only when they become a breeding ground for infection, the same with the appendix. When an unfavorable situation arises in the abdominal cavity, the appendix is ​​the first to react. The appendix was indeed removed at one time, but it was an experiment. Now they have moved away from this technique, proving that there is nothing superfluous or unnecessary in the body.

You can carry a bag with groceries

Are there any physical limitations after abdominal surgery? After what time can you have sex?

R. G., Voronezh

AFTER abdominal surgery, it is necessary to limit any physical activity to allow the body to fully recover. Otherwise, there is a risk of developing a postoperative hernia. Of course, we are talking about serious physical activity, such as training on exercise machines, you will have to forget about them for 5-6 months, but bringing a bag of groceries home from the store is quite acceptable. As for sex, you can choose a suitable position in which the muscles of the anterior abdominal wall are minimally strained.

When it's too late to save

My neighbor was severely beaten by hooligans. He died a week later in hospital from internal bleeding in the abdomen. Was it really impossible to save a young, strong guy?

Svetlana M., Ryazan

DAMAGE to the abdominal cavity can be either open or closed. Open is the penetration of piercing or cutting objects into the abdominal cavity, and closed is a blunt injury to the abdomen, for example, a blow with a shoe or a blunt object, when there is no visible damage to the entire integument. These are terrible injuries: you can knock off the kidneys, rupture the liver, spleen, you can even tear off the abdominal aorta. With an open wound, the damage is visible, and the patient has a direct path to the operating table. And if there is damage, for example to the spleen, the diagnosis is made only on days 5-6. Bleeding begins to increase gradually. If there is an intestinal injury, dark stool may be a symptom. Symptoms of internal bleeding include, first of all, a sharp decrease in blood pressure. At first, the patient may not even experience pain, being in shock, but he must be hospitalized in the first hours after the injury. After all, when a large vessel ruptures, all the blood enters the abdominal cavity, and often the patient is brought to the abdominal surgeon when it is too late to save him. This obviously happened to your friend.

Gentlemen surgeons, do not forget personal belongings in the abdominal cavity

Once at the hospital, I heard a lot of stories about surgeons leaving napkins and other objects in the abdominal cavity. Is that really true?

S. M. A p a s o v, Bryansk

UNFORTUNATELY, such incidents, although infrequent, do happen. After the operation, the nurse is required to count the number of napkins and instruments and compare it with what was before the operation. It happens that this rule is ignored, and then in the event of an accident, the blame falls entirely on the surgeon and the operating nurse.

Give me a nice stitch

Often only the stitch reminds you of the surgery. Why are technologies for applying cosmetic sutures not used in abdominal surgeries to date?

S. Vinogradova, Novorossiysk

PLASTIC surgery has long used technology to make the suture minimally noticeable. However, it happens that it simply doesn’t make sense for a surgeon to do cosmetic surgery on the abdomen. When an operation is performed for peritonitis or cholecystitis, the wound is often not sutured, but drainage is left. Sometimes another situation arises when a surgeon, having mastered the technique of applying cosmetic sutures, cannot use it, because the special suture material is very expensive and it is simply not in the arsenal of our hospitals.

Inguinal triangle

My husband has an inguinal hernia. Sometimes it makes itself felt with sharp pain. The husband refuses the operation. What does this mean? Maybe we should try to persuade him to agree to the operation?

I. Sizova, Moscow region.

INGUINAL hernias occur in both men and women. In men, this is due to the fact that there are anatomically weak spots in the body where the spermatic cord and blood vessels pass - the so-called inguinal triangle. Under unfavorable factors, such as increased intra-abdominal pressure or heavy lifting, a hernia may begin to form, that is, a protrusion of the peritoneum. The contents of the hernia can be any organ of the abdominal cavity: a loop of intestine, part of the omentum. If the hernia is large, inguinal-scrotal, infringement of the inguinal ring may occur, leading to intestinal necrosis. Therefore, you should not refuse the operation. Moreover, it is not classified as complex and is done under local anesthesia.

No grandmother can create a miracle

They gave me the address of a grandmother who treats hernias with spells. But she lives very far away, and before collecting money for the trip, she wants to find out through the newspaper how serious such specialists are, can they do harm?

V. Serova, Chelyabinsk region.

LIKE MOST traditional medicine doctors, I am very skeptical about alternative medicine. Especially to the stories that the grandmother is talking about hernias. If there is already a hernia and there are surgeons’ indications for surgical intervention, then no grandmother can create a miracle.

After any surgical intervention, the patient cannot simply go back to normal life. The reason is simple - the body needs to get used to new anatomical and physiological relationships (after all, as a result of the operation, the anatomy and relative position of the organs, as well as their physiological activity, were changed).

A separate case is operations on the abdominal organs, in the first days after which the patient must especially strictly adhere to the instructions of the attending physician (in some cases, and related consultant specialists). Why does a patient need a certain regimen and diet after abdominal surgery? Why can’t you just go back to your old way of life instantly?

Mechanical factors that have a negative effect during surgery

The postoperative period is considered to be a period of time that lasts from the moment the surgical intervention is completed (the patient was taken from the operating room to the ward) until the disappearance of temporary disorders (inconveniences) that were provoked by the surgical injury.

Let's consider what happens during surgery, and how the patient's postoperative condition - and therefore his regimen - depends on these processes.

Normally, a typical condition for any organ of the abdominal cavity is:

• lie calmly in your rightful place;
• be in contact exclusively with neighboring bodies, which also occupy their rightful place;
• carry out tasks prescribed by nature.

During surgery, the stability of this system is disrupted. Whether removing an inflamed one, suturing a perforated one, or “repairing” an injured intestine, the surgeon cannot work only with the organ that is sick and requires repair. During surgery, the operating doctor is constantly in contact with other organs of the abdominal cavity: touching them with his hands and surgical instruments, moving them away, moving them. Even if such trauma is minimized as much as possible, even the slightest contact of the surgeon and his assistants with the internal organs is not physiological for the organs and tissues.

The mesentery, a thin connective tissue film through which the abdominal organs are connected to the inner surface of the abdominal wall and through which nerve branches and blood vessels approach them, is characterized by particular sensitivity. Trauma to the mesentery during surgery can lead to painful shock (despite the fact that the patient is in a state of medicated sleep and does not respond to irritation of his tissues). The expression “Pull the mesentery” in surgical slang has even acquired a figurative meaning - it means to cause significant inconvenience, cause suffering and pain (not only physical, but also moral).

Chemical factors that have a negative effect during surgery

Another factor that affects the patient’s condition after surgery is the medications used by anesthesiologists during operations to ensure. In most cases, abdominal operations on the abdominal organs are performed under anesthesia, a little less often - under spinal anesthesia.

At anesthesia Substances are injected into the bloodstream, the purpose of which is to induce a state of drug-induced sleep and relax the anterior abdominal wall so that it is convenient for surgeons to operate. But in addition to this valuable property for the operating team, such drugs also have “disadvantages” (side properties ). First of all, this is a depressive (depressing) effect on:

• central nervous system;
• intestinal muscle fibers;
• muscle fibers of the bladder.

Anesthetics that are administered during spinal anesthesia, act locally, without inhibiting the central nervous system, intestines and bladder - but their influence extends to a certain area of ​​the spinal cord and the nerve endings extending from it, which need some time to “get rid” of the action of anesthetics, return to their previous physiological state and provide innervation organs and tissues.

Postoperative changes in the intestines

As a result of the action of the drugs that anesthesiologists administered during surgery to provide anesthesia, the patient’s intestines stop working:

• muscle fibers do not provide peristalsis (normal contraction of the intestinal wall, as a result of which food masses move towards the anus);
• on the part of the mucous membrane, the secretion of mucus is inhibited, which facilitates the passage of food masses through the intestines;
• the anus is spasmodic.

As a result - the gastrointestinal tract seems to freeze after abdominal surgery. If at this moment the patient takes even a small amount of food or liquid, it will immediately be pushed out of the gastrointestinal tract as a result of a reflex.

Due to the fact that the drugs that caused short-term intestinal paresis will be eliminated (leave) from the bloodstream in a few days, the normal passage of nerve impulses along the nerve fibers of the intestinal wall will resume, and it will start working again. Normally, intestinal function resumes on its own, without external stimulation. In the vast majority of cases, this occurs 2-3 days after surgery. Timing may depend on:

• volume of the operation (how widely organs and tissues were involved in it);
• its duration;
• degree of intestinal injury during surgery.

A signal that the intestines have resumed is the release of gases from the patient. This is a very important point, indicating that the intestines have coped with the stress of surgery. It’s not for nothing that surgeons jokingly call passing gas the best postoperative music.

Postoperative changes in the central nervous system

Drugs administered to provide anesthesia are completely eliminated from the bloodstream after some time. However, during their stay in the body they manage to influence the structures of the central nervous system, affecting its tissues and inhibiting the passage of nerve impulses through neurons. As a result, a number of patients experience disorders of the central nervous system after surgery. The most common:

• sleep disturbance (the patient has difficulty falling asleep, sleeps lightly, wakes up from exposure to the slightest irritant);
• tearfulness;
• depressed state;
• irritability;
• violations from the outside (forgetting persons, events in the past, small details of some facts).

Postoperative changes in the skin

After surgery, the patient is forced to remain in a supine position for some time. In those places where the bone structures are covered with skin with virtually no layer of soft tissue between them, the bone presses on the skin, causing a disruption in its blood supply and innervation. As a result, necrosis of the skin occurs at the point of pressure - the so-called. In particular, they are formed in such areas of the body as:

Postoperative changes in the respiratory system

Often large abdominal operations are performed under endotracheal anesthesia. For this, the patient is intubated - that is, an endotracheal tube connected to an artificial respiration apparatus is inserted into the upper respiratory tract. Even with careful insertion, the tube irritates the mucous membrane of the respiratory tract, making it sensitive to the infectious agent. Another negative aspect of mechanical ventilation (artificial pulmonary ventilation) during surgery is some imperfection in the dosing of the gas mixture supplied from the ventilator into the respiratory tract, as well as the fact that normally a person does not breathe such a mixture.

In addition to factors that negatively affect the respiratory system: after surgery, the excursion (movement) of the chest is not yet complete, which leads to congestion in the lungs. All these factors together can provoke the occurrence of postoperative pain.

Postoperative changes in blood vessels

Patients who suffered from vascular and blood diseases are prone to formation and tearing in the postoperative period. This is facilitated by a change in blood rheology (its physical properties), which is observed in the postoperative period. A contributing factor is also that the patient is in a supine position for some time, and then begins physical activity - sometimes abruptly, as a result of which an existing blood clot may break off. They are mainly susceptible to thrombotic changes in the postoperative period.

Postoperative changes in the genitourinary system

Often after abdominal surgery, the patient is unable to urinate. There are several reasons:

• paresis of the muscle fibers of the bladder wall due to the effect on them of drugs that were administered during surgery to ensure medicated sleep;
• spasm of the bladder sphincter for the same reasons;
• difficulty urinating due to the fact that this is done in an unusual and unsuitable position for this - lying down.

Diet after abdominal surgery

Until the intestines have started working, the patient cannot eat or drink. Thirst is relieved by applying a piece of cotton wool or a piece of gauze moistened with water to the lips. In the vast majority of cases, intestinal function resumes on its own. If the process is difficult, drugs that stimulate peristalsis (Prozerin) are administered. From the moment peristalsis resumes, the patient can take water and food - but you need to start with small portions. If gases have accumulated in the intestines, but cannot escape, a gas outlet tube is installed.

The first dish that is given to the patient after the resumption of peristalsis is a lean thin soup with a very small amount of boiled cereals that do not provoke gas formation (buckwheat, rice), and mashed potatoes. The first meal should be two to three tablespoons. After half an hour, if the body has not rejected the food, you can give two or three more spoons - and so on, up to 5-6 small meals per day. The first meals are aimed not so much at satisfying hunger, but at “accustoming” the gastrointestinal tract to its traditional work.

You should not force the work of the gastrointestinal tract - it is better for the patient to be hungry. Even when the intestines have started working, a hasty expansion of the diet and the load on the gastrointestinal tract can lead to the fact that the stomach and intestines cannot cope, this will cause, due to the concussion of the anterior abdominal wall, a negative impact on the postoperative wound . The diet is gradually expanded in the following sequence:

• lean soups;
• mashed potatoes;
• creamy porridges;
• soft-boiled egg;
• soaked white bread crackers;
• vegetables cooked and pureed until pureed;
• steam cutlets;
• unsweetened tea.

• fat;
• acute;
• salty;
• sour;
• fried;
• sweet;
• fiber;
• legumes;
• coffee;
• alcohol.

Postoperative measures related to the work of the central nervous system

Changes in the central nervous system due to the use of anesthesia can disappear on their own in the period from 3 to 6 months after surgery. Longer-term disorders require consultation with a neurologist and neurological treatment(often outpatient, under the supervision of a doctor). Non-specialized events are:

• maintaining a friendly, calm, optimistic atmosphere around the patient;
• vitamin therapy;
• non-standard methods - dolphin therapy, art therapy, hippotherapy (the beneficial effects of communication with horses).

Prevention of bedsores after surgery

In the postoperative period, it is easier to prevent than to cure. Preventive measures should be carried out from the very first minute the patient is in a supine position. This:

• rubbing risk areas with alcohol (it must be diluted with water so as not to cause burns);
• circles for those places that are susceptible to pressure sores (sacrum, elbow joints, heels), so that the risk areas are as if in limbo - as a result of this, bone fragments will not put pressure on areas of the skin;
• massaging tissues in risk areas to improve their blood supply and innervation, and therefore trophism (local nutrition);
• vitamin therapy.

If bedsores do occur, they are dealt with using:

• drying agents (diamond green);
• drugs that improve tissue trophism;
• wound healing ointments, gels and creams (panthenol type);
• (to prevent infection).

Postoperative prevention

The most important prevention of congestion in the lungs is early activity:

• getting out of bed early if possible;
• regular walks (short but frequent);
• gymnastics.

If due to circumstances (large volume of surgery, slow healing of a postoperative wound, fear of a postoperative hernia) the patient is forced to remain in a supine position, measures are taken to prevent congestion in the respiratory organs:

Prevention of thrombus formation and blood clot separation

Before surgery, elderly patients or those who suffer from vascular diseases or changes in the blood coagulation system are carefully examined - they are given:

• rheovasography;
• determination of prothrombin index.

During surgery, as well as in the postoperative period, the legs of such patients are carefully bandaged. During bed rest, the lower limbs should be in an elevated state (at an angle of 20-30 degrees to the plane of the bed). Antithrombotic therapy is also used. Its course is prescribed before surgery and continues in the postoperative period.

Measures aimed at restoring normal urination

If in the postoperative period the patient cannot urinate, they resort to the good old reliable method of stimulating urination - the sound of water. To do this, simply open the water tap in the room so that water comes out of it. Some patients, having heard about the method, begin to talk about the dense shamanism of doctors - in fact, these are not miracles, but just a reflex response of the bladder.

In cases where the method does not help, bladder catheterization is performed.

After surgery on the abdominal organs, the patient is in a supine position in the first days. The time frame in which he can get out of bed and start walking is strictly individual and depends on:

• volume of operation;
• its duration;
• patient's age;
• his general condition;
• presence of concomitant diseases.

After uncomplicated and non-volume operations (hernia repair, appendectomy, etc.), patients can get up as early as 2-3 days after surgery. Volumetric surgical interventions (for a breakthrough ulcer, removal of an injured spleen, suturing of intestinal injuries, etc.) require a longer period of lying down for at least 5-6 days - first the patient may be allowed to sit in bed with his legs dangling, then stand and only then start taking the first steps.

To avoid the occurrence of postoperative hernias, it is recommended that patients wear a bandage:

• with a weak anterior abdominal wall (in particular, with untrained muscles, sagging muscle corset);
• obese;
• aged;
• those who have already been operated on for hernias;
• women who have recently given birth.

Proper attention should be paid to personal hygiene, water procedures, and room ventilation. Weakened patients who are allowed to get out of bed, but find it difficult to do so, are taken out into the fresh air in wheelchairs.

In the early postoperative period, intense pain may occur in the area of ​​the postoperative wound. They are stopped (relieved) with painkillers. It is not recommended for the patient to endure pain - pain impulses overstimulate the central nervous system and deplete it, which can lead to a variety of neurological diseases in the future (especially in old age).

The postoperative period after installation of a pacemaker begins literally on the day of implantation. Immediately after the operation, the patient ends up in the intensive care unit or in the corridor next to it (usually patients with more severe illnesses, for example, after a heart attack, end up in the intensive care unit - and if there are no places, don’t blame me).

You won’t have to stay directly in the intensive care unit (or next to it) for long: 2–3 hours, after which, most likely, you will be transferred to the general ward. In the first 2 to 3 hours of the postoperative period after implantation of the pacemaker, you will have to lie strictly on your back, with your left arm (or right if implanted in the right breast) along the body or bent at the elbow on your stomach.

Ice will be placed on the bandage over the surgical suture; you will have to lie with it almost the entire time. A doctor will come by a couple of times to check your well-being. After this, readings are taken, an x-ray is taken and the patient is transported (on a bed) to the general ward. It is better not to get up for the next two hours, after which you can go to the toilet or washbasin on your own.

First day after surgery

Formally, the patient remains recumbent until the next day (more on this - both on the first day and further). However, this did not stop me from walking to the dining room (although on the first day after the operation, food will be brought directly to the ward, and they will also come in for dishes). However, I didn’t manage to walk for long – after about 130–140 steps (I counted!) I began to feel weak. I had to return to the room.

The most difficult stage after surgery is the first night. Firstly, at this time you won’t be able to sleep except on your back (and since the implantation was carried out at 2 o’clock in the afternoon, and I lay down on the couch waiting for my turn at 12, then by the time lights out - by 10 o'clock in the evening - I had already managed to thoroughly rest for myself, everything I could).

Secondly, tossing and turning on the couch, I could think about a lot of things - and most importantly, how my life would change from now on, and how many habits I would have to give up. I was advised to use a painkiller: it would be easier to fall asleep with it (there is some kind of sedative plus a painkiller). But my wound didn’t hurt (fortunately, it didn’t hurt at all, doctors say that this is due to muscle training). Therefore, I did not inject myself with “chemistry” once again. I slept off the next day, after lunch...

It’s quite easy to prepare for this stage:

• It’s worth understanding the structure of the bed - it’s good if the backrest is raised; if you can’t do it yourself, ask other patients or medical staff: it will be easier to sleep with a raised backrest;
• do not think about the bad - a pacemaker, all other things being equal, is more reliable than many of our own organs, as for an active lifestyle - if you have led it until now and this is important to you - with an pacemaker it is more than accessible;
• and yes, don’t worry about the things you arrived at the hospital with - they will be delivered to the room a few hours after the operation, they will be waiting for you in the room or will arrive after you.

Second day

On the second day, already in the morning, I could move freely. I felt slightly weak, but with short walks - from the ward to the post and from the post to the winter garden (60 and 30 steps), where I could sit down, I began to “disperse”. By lunchtime I had almost completely recovered, I only felt the lack of sleep. They say that it happens, but at that time I did not have such symptoms.

On the second day, relatives can still be allowed into the ward, although usually they are only allowed to see bedridden patients. Walk to the dining room on your own. Overall, I didn't experience much discomfort other than having a bandage on my left breast. The left hand was immobilized throughout the day. Here I was glad that I took with me not only a T-shirt, but also a zip-up sweatshirt from a tracksuit.

It is not recommended to raise the arm where the pacemaker is implanted throughout almost the entire postoperative period, and for the first time, it is not recommended to completely immobilize it for 2–3 days. It will be very difficult to pull a T-shirt over your head - I only started doing this regularly on day 4-5.

On the second day, I was also offered an injection of painkillers - and I refused it in the same way. On the same day I was allowed to sleep on my left shoulder, but I still preferred to sleep on my back, fortunately I figured out how to raise the headboard of the bed - it became easier.

Preparation for this stage involves:

• the need to take suitable clothing with you - something that can be pulled over the body without raising the “sore” arm;
• for the first walks, flip-flops and socks are suitable - if you are hospitalized in the cold season, then it is better to wear flip-flops with socks - this is not exactly fashionable, but it is better than catching a cold;
• the hospital is quite boring - take a book with you (you can use an ebook - there is no dangerous radiation from it).

The third day

This day is the last day when painkiller injections are expected, the first time is when the bandage is changed (from now on this will be done every day, except weekends). In principle, if everything goes well, then the patient is no longer limited in movement, he can go downstairs and meet visitors.

I felt more or less good that day, but it was still difficult to stand for a long time (I wanted to sit down or lie down), or walk. I think it was the operations to install it. And so far I have not risked going up and down the steps (although more experienced patients already begin their walks on the steps that day).

In general, the day passed calmly: I walked around the floor - from the panoramic window with a view of the Volga and the terraces going down to it to the winter garden with panoramic windows overlooking the same Volga, read a book (Dune), rummaged through my mobile phone (already on this day I began answering correspondence at work and reading industry news).

This was my first night that I tried sleeping on my right side, not just my back. He even lay down on his left side for a while, but quickly turned over. I left such experiments for the future - for the second week after the operation.

On the same day I began to wash myself. In the room we had a shower with a removable gusset - so it was easy to wash our legs, back, stomach, right arm without getting the bandage wet. The left arm, armpit and chest, as well as part of the abdomen had to be wiped with wet sanitary napkins. Unfortunately, I washed my hair for the first time only after discharge, at home.

Better stock up:

• stock up on a small amount of money - hospital food will quickly get boring, besides, drinking bottled water is preferable to drinking from the tap (and the need to go down for a bottle of water is another reason to walk);
• take the phone - you will probably want to talk to someone, but when talking, hold it on the side opposite to the implantation site, and it is better to use a headset;
• hygiene items - wet wipes for cleaning the body, soap.

Fourth and fifth days

To be honest, I don’t remember on what day the ECS checks and various tests (blood from a finger, vein, urine) begin - it seems to be already on the second day after the operation, but, in general, this is a routine that takes an hour and a half - two hours a day. day (taking into account all the queues and waiting for dressing).

And I started asking the attending physician about the restrictions of living with an pacemaker: everything was clear regarding the ban on weightlifting and contact-traumatic sports, etc. obvious things. However, questions remained regarding travel on public transport (tram, trolleybus), the use of a headset with a mobile phone and audio player, and other gray areas.

These days I started walking up and down stairs. First, one span, then two, etc. By the time I was discharged, I had already climbed from floor 0 to floor 5 and descended back several times (a total of 169 steps one way). At first it was scary, although no physical difficulties arose - I was afraid to climb, and at first I walked strictly next to the railing.

The same goes for putting a T-shirt on over your head - a start was made, but I didn’t transfer it once again. By the way, you need to get dressed starting with the “sick” arm - first we put it into the sleeve, then the healthy one.

At this stage you will need:

• clean change of underwear - from underwear to T-shirts, pants, shorts;
• towels (large and small) - for various procedures (a large towel is used to lie on, a small one is used to dry yourself with): however, hospital towels can be used.

Sixth and subsequent days

That day I installed the wonderful Pedometer program (it’s available for Android) and walked with it more than 10,000 steps (about 6.7 km) - although I didn’t install it in the morning, so the real distance was greater. Again, I did not experience any discomfort at that moment. On the same day, I started climbing stairs for the first time with a small load - a 1.5-liter bottle of water.

Before this, I only went up “loaded” in the elevator. He carried the bottle, of course, in his right hand – the opposite “sick” hand. It was quite risky (as it seemed to me at that time), because... With a conditionally sore hand, I would not dare to lean on the railing.

Subsequently, the load only grew - by the time I was discharged, I had already walked almost 20 thousand steps (about 13.5 km), of which at least 800 were climbing stairs. On the sixth day, I put the T-shirt over my head painlessly and swam freely in the shower (however, without allowing moisture to get on the bandage).

Before discharge

On the eighth or ninth day, the bandage is removed, and then the stitches. The scar cannot be wetted for another 3-4 days (until the last black “dots” fall off - for me this happened only after a week, but I started swimming earlier, trying not to get the scar wet).

You may need to take additional or repeat tests, and be sure to do an ultrasound and ECG (to assess the functioning of the heart with a pacemaker). But you don’t have to think about it here – the medical staff will tell you everything.

There may be problems with the healing of the suture, or discharge may appear - then antibiotics are injected or other therapy is prescribed. But, as a rule, on the 10th day - discharge. And the end of the postoperative period after surgery to install a pacemaker...

Instead of output

The food in hospitals is now relatively normal - the portions are not large, but, given the extremely sedentary lifestyle, their calorie content is quite sufficient.

You need to take with you some money, a mobile phone, literature (it happens that the hospital has a library - with a quite good selection: apparently other patients leave it), a change of underwear, towels and hygiene products (including a toothbrush - but I think this is not the case here). comments needed).

It is better to start walking in the hospital - this will make it easier to track possible discomfort and stop it immediately. Although, of course, an active lifestyle is only in consultation with a doctor.

Upon discharge, they will give you a passport for the pacemaker that was implanted and tell you. There will be more information on the Internet about his modes of operation than the observing doctor will tell you - she (he) simply does not have time, there are other patients.

Carrying out a surgical operation involves dissecting tissues, and the applied sutures promote their fusion. The formation of scars is inevitable. Wound healing is a complex biological process that lasts several weeks and sometimes months. It can be accompanied by various symptoms: swelling, itching, pain, discoloration. Why the scar hurts after surgery will be discussed in the article.

It will take 10-12 months for final formation. And even in a completely healed suture, biological changes occur. Only their course becomes slower, less noticeable and asymptomatic.

In the process occurring in tissues during the period of postoperative scar maturation, several stages can be distinguished:

1. Dissection of the skin and adjacent tissues provokes the cells to release active biological substances.
2. Fibroblasts are attracted to the site of injury, and collagen production begins.
3. Scar tissue begins to form. At the site of the suture, a young pink scar appears, rising above the level of the rest of the skin.
4. A month after the incision is made, the excess fibrillar protein is reabsorbed. The scar becomes lower, flatter, and acquires a lighter shade. The fibers organize their position and are placed parallel to the skin level.

The links in the normal process of scar formation are listed above. Scar formation often occurs with disruption. This may be due to a number of factors:

• the cause of the wound was a burn;
• healing was complicated by an abscess;
• it is impossible to compare the uneven edges of the wound;
• there is significant skin tension;
• pathology is determined by the physiological characteristics of the body and the influence of weak immunity;
• incorrect education is genetic in nature.

The pathological process is observed during the production of fibrillar protein and the resorption of the resulting scar. Then a keloid scar forms at the site of the suture or a deep scar is drawn inward.

For the surgeon and the patient, important points in the formation of a scar after surgery are its strength, rapid, problem-free healing and neat appearance. Modern techniques used in surgery make it possible to monitor the formation of scars and carry out their timely correction.

Duration and signs of normal healing

The duration of wound healing depends on the location, external and internal factors, size, type, complexity of the operation or excision, and the professionalism of the specialist.

Let's look at the healing periods of surgery.

Operation	Normal scar healing time
C-section	When performing abdominal operations, the skin and surface layers of tissues, and internal organs are subject to injury. When performing a caesarean section, the woman's fatty tissue, muscles and uterus are cut. Such sutures are subject to drainage to remove lymph. Swelling and inflammation may occur at the location of the drainage tube. This phenomenon complicates the healing of the wound in this place. A longitudinal incision, in the absence of complications, heals within 2-2.5 months. It hurts for about a year, sometimes longer. With a transverse incision, the operation site heals faster - 1-1.5 months, but pain can be bothersome for as long as with a longitudinal one.
Appendicitis	The stitches are removed after 7-10 days. This operation is considered a minor cavity operation and, in the absence of complications, wound healing occurs within several weeks. It may itch and cause minor discomfort. With normal healing and the absence of pathology, the pain completely goes away after a month.
Mastectomy	Removal of the mammary gland is a traumatic operation in which the surgeon makes an incision in the skin, fatty tissue and glandular tissue. The fatty tissue is separated from the skin, the small muscle and lymph nodes are removed, and the resulting wound is covered with the remaining skin. Its edges are connected with sutures, in which a hole is left for the introduction of drainage. The tube is removed after a week, and the stitches are removed after 10-12 days, unless additional complications arise. The scar and wound site after a mastectomy may hurt for several months, and after certain loads on the damaged side, discomfort can be felt for several years.
Paraproctitis	Healing of the suture after paraproctitis occurs in 2.5-3 weeks. During this period, discharge containing lymph and a small amount of blood from the rectum may be observed. If the scar or the area next to the suture hurts after surgery for paraproctitis after 1.5-2 months, you should contact a surgeon to examine the postoperative scar. The pain may be caused by inflammation, infection, or a fistula.
Episiotomy	An episiotomy is an incision of the perineum during childbirth when the baby's head cannot come out on its own. The condition and progress of healing of the suture depends on proper postpartum care for it. The wound heals completely after 2 months, and only now the patient is allowed to sit, but pain in the perineum may accompany another 1.5-2 months when the woman stands for a long time.
Thyroidectomy	Sutures after thyroid surgery are removed after 6-7 days. For the first 2-3 weeks, it is very important to properly care for the incision site. If healing proceeds without problems, the scar on the neck near the thyroid gland hurts only for the first time. Full recovery occurs after 3 months.

Causes of pain during healing

It is impossible to answer definitively the question of why a fresh scar hurts. The reasons may vary. The behavior and condition of scars is influenced by external factors or postoperative complications, which may appear several months later:

1. The scar from appendicitis or the stomach below the suture may hurt due to the formation of a hernia, ligature infiltrate, adhesions, and microcracks. Solving gynecological problems surgically can also be accompanied by similar problems.
2. Inflammation of the ligature (thread used for internal sutures) is a common phenomenon that causes pain even several years after surgery.
3. Frequent stress on the scar can also cause pain. If the scar is located on the heel, knee, arm, finger, buttock, then constant pressure or tension during flexion and extension can affect the sensation in it.
4. Rubbing with clothes.
5. Reaction of scar tissue to changes in atmospheric pressure.
6. Internal seams coming apart.

What to do

Before taking any measures to treat pain in scars, it is necessary to determine the nature of their occurrence. To exclude serious pathologies, you should consult a doctor. During the examination, the doctor may prescribe anti-inflammatory and painkillers or schedule a repeat operation. If discomfort is caused by contact with clothing, then you need to solve this problem by isolating the scar from rubbing.

Scars on the knees, in the bends of the legs or arms can be treated with emollients and ointments to make the skin elastic.

Possible complications and prevention

Complications in the process of tissue scarring can include inflammation, suppuration, suture dehiscence, and fistula formation. To avoid such pathologies, it is necessary to strictly follow all the doctor’s instructions regarding treating the surgical site with antiseptic agents. Then limit the load on the wound site. If the scar is located on an open area of ​​the body, then it should be protected from the effects of sunlight.

To prevent the formation of unsightly and large scars after an injury, you do not need to self-medicate. It is better to seek the help of specialists. The surgeon can apply an atraumatic suture to reduce the wound surface. To avoid uneven and unsightly scars from burns, skin grafting and plastic surgery are used. Antiseptic procedures and regular dressings will help promote rapid healing and protect the wound from infection, which also affects the formation of scar tissue.