Patient: I had recurrent intestinal obstruction for 20 years due to intestinal adhesions caused by appendicitis perforation surgery. During the laparoscopic surgery in March this year, it was found that the intestinal adhesions had tied the intestine into a knot, and the knot was opened during the laparotomy, and a section of intestinal stricture was also repaired. The stitches were removed in 9 days. It is now the 15th day after surgery and I have been eating liquid food. There are no adverse reactions, but I am a little constipated, and I occasionally have a rise in my stomach when I eat too much, but it is not serious and can be relieved in a few seconds. On the fifteenth day after surgery, I carried a large basin full of water with both hands, which was very heavy, but I did not feel bad about the wound. However, I heard from others that I should not lift heavy objects in the early postoperative period. I was afraid that this basin of water might lead to postoperative adhesions. Will the incision of the intestinal repair be opened? Thank you, Wang Jijun, Department of Hepatobiliary Surgery, Ningxia Hui Autonomous Region People’s Hospital
Wang Jijun, Minimally Invasive Surgery Department, Ningxia Hui Autonomous Region People’s Hospital: It has been two weeks since the operation, and as long as the gastrointestinal tract is open, the repaired intestine will not open. The end water will not appear intestinal adhesions either. The main prevention of postoperative intestinal adhesions is to pay attention to dietary hygiene, not to overeat, eat less and more meals, not to have strenuous activities half an hour after meals, to prevent constipation, etc., and to get out of bed early for moderate activities.
Patient: Thank you, Dr. Wang, I have consulted you before, thank you for your patience, leave a thank you letter, wish you good work and always happy. I walked about 20 steps on the floor 11 hours after the operation, and after that I exercised three times a day, but the rest of the time I was either sitting or lying down, is that not enough exercise? How can I prevent constipation? I have been eating vegetable juice, drinking porridge, fruit juice, yogurt, etc., but I am still constipated.
Minimally Invasive Surgery Department, Ningxia Autonomous Region People’s Hospital, Wang Jijun: You are welcome! It is our duty to answer medical questions, and we hope patients will not take a detour. I also wish you a speedy recovery! Be healthy and happy! Your postoperative activity is a bit small. Besides preventing intestinal adhesions and restoring your strength, moderate activity can also promote bowel movement and facilitate defecation. As long as the activity is not strenuous, generally do not feel tired on the line. To prevent constipation, you should develop good bowel habits, drink a glass of cold plain water or honey water every morning on an empty stomach and go to the bathroom regularly to have a bowel movement. Eat more vegetables and fruits. Vegetable juice and fruit juice contain less fiber. Do not eat too much each time, eat less and more.