Operation Care
Operation Care
Post Operative Care after Total Knee Replacement Surgery
Any kind of surgery requires a period of recuperation and healing, and a total knee replacement is no different. After your knee replacement, the muscles and tendons around the knee are going to be sore, sensitive, and weak. It is important to follow all instructions sent home with you after your total knee replacement surgery. This will include specialized exercises to strengthen the muscles and promote flexibility in the joint, a regimen of ice therapy, and specific ways to sit, stand, lie, and rest.
Immediately after your total knee replacement, you will probably experience swelling and discomfort, which can last up to 6 months following the surgery. Applying ice to the affected knee will help reduce discomfort and swelling. This should be done 3 or more times a day as needed for about 10 to 20 minutes at a time. After exercising, walking and other movement, ice is highly recommended and should be used at least 3 times daily for the first 6 weeks after surgery. Apply the ice pack to a straightened knee while lying down. The foot of the affected knee should be slightly elevated on something like a rolled up towel.
The movements and positions you assume while sleeping are completely subconscious, but try to keep the surgery affected knee straight while lying down or sleeping. It may help to keep a rolled towel under the foot of the affected leg. Do not place anything under the knee to force it into a bent position. Instead keep the knee as straight as possible.
Sitting for long periods of time may cause additional discomfort and swelling, and sitting is not recommended for more than 45 minutes at a stretch. If the patient must sit for longer than 45 minutes at a time, be sure to take frequent breaks and walk around to move and stretch the knee.
Infections are a concern after any surgery and for total knee replacement can happen up to a year later. If you experience any of these symptoms, seek emergency medical treatment immediately.
- Long periods of fever
- Redness and pain from the wound
- Discharge from the wound
- Intense pain in the knee.
During your recovery, your doctors and physical therapists will be giving you various exercises. These exercises are designed to build strength and increase flexibility in the joint. These exercises may include, but are certainly not limited to: ankle pumps, heel slides, leg raises, side lying abduction (leg lifts), sitting knee extensions, and standing exercises. Please follow all directions given completely and accurately.
Another part of your recovery may include the use of physical aids such as crutches or a walker. Once again, following the directions you are given is very important, since physical injury is possible if you do not abide by them. If you have any questions about the surgery, your recovery, or the aids you may need to use, please ask your doctor.
About the Author
Samitivej Hospital is a JCI accredited hospital and specializes in Knee Replacement Surgeries in Thailand</a>.
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Breast Reconstruction Surgery and Post Operative Care
Breast reconstruction offers hope to women who have lost or face the possibility of losing their breast(s) to cancer or other diseases. Breast reconstruction is typically performed using either implants or your own abdominal tissue. In a majority of cases however, plastic surgeons use tissue expanders and implants to restore the size and shape of the breast. Tissue expanders are devices much like a breast implant, which are inserted underneath the chest wall muscle (pectoralis muscle) immediately following mastectomy. After a short period of healing, saline is injected periodically into the tissue expanders using a small needle. Once the volume and shape of the breast is achieved with the tissue expander, a second surgery is performed to remove the tissue expander and insert the breast implant. This second surgery is often done on an outpatient basis.
You may ask, why not just insert an implant immediately after the mastectomy. In a mastectomy, an ellipse of skin around the nipple and areola (the pigmented area surrouding the nipple) is typically taken along with the breast tissue. This creates a deficit of skin which needs to be replaced. A tissue expander allows for the growth of this replacement skin as the expanding implant stretches the overlying skin. Once the replacement of skin is adequate for the shape and size of the new breast, a breast implant is inserted
After a period of healing, a new nipple can be reconstructed out of the skin overlying the implant and a new areola can be tattooed some time after that.
Your breasts are wrapped with an ACE wrap. Leave the wrap on until you are seen again in follow-up at the office. If the wrap is too tight, you can undo the ACE bandage and rewrap it more loosely. But, the ACE bandage should be snug and provide support. Also, the ACE bandage should cover the entire upper, middle, and lower breast. DO not wear it like a tube-top with cleavage showing up top. No showering until your drains are out. You can sponge bathe everywhere else, but keep your ACE wrap clean and dry.
Take medications as directed. Do not take aspirin, anti-inflammatory medications (Motrin, Ibuprofen, Alleve) or Vitamin E supplements for 2 weeks after surgery.
No driving while under narcotic medications for pain.
Empty and record your drain output daily.
Ask your plastic surgeon in your first follow-up visit regarding going back to work.
You should sleep on your back for 2 weeks following surgery.
Avoid alcohol or cigarette smoking for at least 3 weeks following surgery.
Call and make a follow-up appointment for 7 days following surgery.
Do not raise your arms over the level of your shoulder for 3 weeks. Do not pick up objects heavier than a phone book.
Do not apply a heating pad over your breasts. Portions of your breasts will be numb and you may get a burn from the heating pad. Cold packs in the first 48 hours following surgery is OK and may help to keep the swelling down. Apply cold packs over the ACE wrap, not directly over the breasts and nipples.
Scar therapy for your incisions will start at 2 weeks following surgery. Your plastic surgeon will instruct you regarding scar creams.
You may return to normal activity and exercise at 3 weeks following surgery.
If you are constipated, take over-the-counter laxatives. You do not want to strain over the toilet. This may lead to your blood pressure rising and cause bleeding.
About the Author
Dave Stringham is the President of LookingYourBest.com. Learn more about liposuction at NewportCosmeticSurgery.com or LookingYourBest.com
