1. Because of the transverse lower abdominal incision or the right transverse rectus abdominis incision, there should be no movement to increase intra-abdominal pressure. No weight-bearing for six months. Bicycling is allowed only after six months.
2. Both primary and secondary surgery will leave abdominal adhesions and intestinal adhesions. According to our experience, there is no ideal method to prevent adhesions. Therefore, after this surgery, the abdominal cavity will still have different degrees of adhesions. Adhesions are natural, and the most important thing is to prevent the occurrence of adhesive intestinal obstruction. Therefore, care should be taken to prevent the occurrence of intestinal adhesions in future work and life. The general principles are to avoid overexertion, moderate exercise and better nutrition. The gastrointestinal tract is an organ that is easily affected by emotions, so try to lead a peaceful life and avoid great joy and sorrow. Ren Jian’an, General Surgery Department, General Hospital of Nanjing Military Region
3. After being discharged from the hospital, a three-step approach can be taken to resume the diet. The first month is based on flowing juice, such as fish soup and light chicken soup. Here we recommend you the eight-word health maxim of Academician Lai: more thoughts, less worries, diligent movement and light food. Soup, soy milk, milk and various fruit juices are the main ingredients. In the second half of the month, you can also eat a slightly thin porridge. The second month is mainly semi-juice, such as slightly thicker rice porridge, steamed eggs, noodles, fluffy cakes, etc. In the third month, semi-liquid juice is changed to normal diet. During the whole recovery period, in order to ensure sufficient energy and protein supply, enteral nutrition solution should be fed intranasally at the same time. In the first period, peptide-based nutritional solutions such as Bupropion and Bupropion are the mainstay, and in the later period, whole protein-based nutritional solutions such as Ensure and Energize are the mainstay. The main advantage of intranasal nutrition solution is to ensure that the body can have sufficient nutrients in reasonable proportion during the postoperative recovery process. Fish soup and chicken soup can only meet the psychological needs, but not the nutritional needs.
4. eat ordinary diet also still to high nutrition high protein easy to digest diet. Food must be fully chewed and adequately crushed food to reduce the burden on the stomach. Preferably supplemented with one-quarter or one-half hear of Ensure powder daily. To supplement the diet with insufficient nutrients and insufficient energy and protein. Protein powder is only a simple protein, can not supplement the body needs a variety of nutrients.
5. It is strictly forbidden to eat persimmons, persimmon cakes, hawthorn (including sugar snap peas), dates. These foods contain tannic acid, which will clump with the protein in the food, wear down the stomach wall and lead to gastric ulcers. Since all patients have varying degrees of adhesions after surgery, they cannot eat whole foods or foods that tend to clump together in the intestines. This can block the intestinal canal and cause intestinal obstruction. There are few patients who are re-operated as a result. Avoid swallowing food in whole pieces. Foods that are easily swallowed in chunks, such as yams and rice cakes, should be eaten sparingly or not at all. The reason is the same, they can cause intestinal obstruction in patients after abdominal surgery.
6. Monitor weight weekly. When weight loss occurs, more food should be eaten. If the weight keeps dropping, below 10% of the current weight, or if the weight loss is more than 5 kg, it should be reviewed promptly. Find out the reason for the weight loss. The weight should also not be too high, not more than 20% of the current weight.
7. Long-term illness becomes a good doctor. There is a basic principle, eat what is not comfortable, do not eat it. Please summarize yourself more. Some things, you may not be able to eat in this life. But to live a healthy life, than what is good.
The first thing you need to do is to have a regular review. The rule of review for patients with intestinal fistula in our hospital is: once in three months after discharge, the second review is done six months after discharge. The third review is done one year after discharge. The third review is done one year after discharge, and the subsequent reviews are done once a year. You can come to the ward for review at any time. Sometimes the doctor can see the discomfort that you do not feel at first glance.