Bandage after surgery to remove the gallbladder. Rehabilitation after removal of the gallbladder What kind of bandage after laparoscopy of the gallbladder

Gastric banding is a complex concept that has two interpretations. The internal version is a bariatric method through which obesity is treated. The postoperative bandage, necessary during the rehabilitation period, is worn on the body, supporting the muscles, the position of the internal organs, contributing to a speedy recovery. These are two concepts that need to be analyzed in a separate order, taking into account the specifics of the issue.

Excess weight sometimes requires drastic measures for correction, gastric banding internally helps to solve the problem. Therapeutic methods, diets have a limited effect, the surgical approach is recognized as effective in severe degrees of obesity.

The procedure is common - sparing, with a speedy recovery, leads to minimal complications. It is performed laparoscopically, less often - in the form of a full-fledged operation, when there are contraindications to laparoscopy. There are standard methods of carrying out, the operation has justified itself in practice, reducing the risks of diseases associated with obesity, and effective weight loss.

Training

Preparation involves passing general tests. With concomitant diseases of the heart, cardiovascular system and others, it is recommended to consult a doctor. Minimum contraindications, preparation does not require effort, consists in a special diet before the operation, which the doctor will select.

Operation

The minimally invasive method is the safest, but certain risks are always present. The surgical approach involves a laparoscopic puncture, through which a silicone ring is put on, squeezing the upper sector of the stomach. You can adjust the ring in the future, at the initial stage it is not too important.

The operation of the device in the body

The imposition of a bandage on the upper part of the stomach leads to the retention of food in this area, where the maximum of receptors is concentrated. The feeling of fullness comes quickly, the need to actively eat disappears. Control of the cuff through the port, the hydraulic system is not difficult, the doctor, while monitoring the patient, adjusts the settings of the cuff, achieving the desired result.

Nutrition after bandaging

Can a full-fledged help consist in one bandaging? No, the diet will have to be followed, and more strictly than before the bandage. The advantage lies in the simplification of self-control, uncontrolled urge to eat will not occur.

Complications and nuances

The risk of complications is not great, but it is present. A patient who chooses the surgical treatment of obesity in a paddock sometimes receives general consequences - the risk of infection, blood loss, allergies to the medications used. The pain syndrome for several days after the operation is eliminated by painkillers, there are negative consequences of preoperative anesthesia - but rarely.

In the long-term period, complications are heartburn, vomiting, belching, a feeling of heaviness, impaired stool. Complications are associated with malnutrition, ignoring the need to eat according to new conditions, do not overeat, exclude high-calorie foods from the diet. Less commonly, constriction causes problems, then the bandage is adjusted when contacting a doctor. Limiting physical activity in the first 2 weeks is also important to minimize negative effects.

The method proved to be safe and expedient for use. Less traumatic, after 2-3 days the patient goes home, 2 months is closely monitored by a doctor. After six months or a year, there is a loss of excess mass up to half, they wear a bandage for up to 5 years. If necessary, it is removed, sometimes left, the thing does not interfere with the usual life.

Postoperative bandaging - the second interpretation

Having considered gastric banding in an operative way, it is necessary to analyze the second interpretation. Postoperative wearing of a bandage is prescribed after operations of various types, and after laparotomy, despite the minimally invasiveness and the presence of only holes. After removal of the gallbladder, it must be worn, otherwise successful recovery is impossible. In other cases, the product is recommended with more or less insistence. After abdominal operations, it is important to reduce the load on the muscles, the bandage copes with the task optimally.

The role of the bandage

The gallbladder is removed by using laparoscopy or by making a laparoscopic incision. The technique is selected based on the patient's state of health, the urgency of the operation. Removal is performed emergency, planned - at the time of subsiding of acute manifestations. The incision is convenient for the doctor, opening access to the organ, allowing removal without risks at the time of the surgeon's work, but a long scar remains. A bandage for healing is a must. Laparoscopic surgery is performed by punctures, one of which serves to supply gas into the abdominal cavity. It elevates the abdominal wall, giving the doctor room to work. A video camera and instruments for performing the operation are inserted into other incisions.

There are practically no scars, the fixing element is necessary to restore the tone of the abdominal muscles. The purpose of wearing may be to eliminate the pain that occurs after the introduction of gas under the peritoneum.

Choice

The bandage for wearing on the body after operations is a dense product with Velcro for fixing on the required area of ​​the body. Dense fabric provides support for the muscles, the bandage plays several roles:

• Pain reduction.
• Acceleration of recovery, healing.
• An obstacle to the penetration of bacteria.

Considering the bandage on the abdominal cavity, we can emphasize the fixation of the ribs and spine as the main purpose of its use. By properly fixing the product on the body, it is possible to relieve the operated areas of the body from the load, leaving only the minimum necessary for recovery. The product is put on with a horizontal position of the body, fixation is performed on an incomplete breath - assistance in the matter should be provided by a doctor or medical staff. They buy bandages of this and other types in specialized orthopedic stores, they are created in different sizes, for children and adults.

When choosing a product, the size is taken into account, measured by the waist circumference. The material is important, ventilation is necessary to prevent the skin from sweating. Cotton with lycra, elastane, rubberized latex are the best solutions. They choose according to the model - multi-stage solutions are better, they make it easy to fit the product to the figure, providing a reliable, moderately tight fixation.

Usage

Wearing a bandage is beneficial if the product is initially applied correctly. A positive result is noticeable when the bandage is worn from the very first day, as the patient began to stand up - until this moment, the bandage is not required, there is practically no load. The size of the bandage suitable for the patient, correct adjustment is important. At night, for the period of daytime rest, it is removed, weakened, ensuring normal blood circulation. It is impossible to pull the thing, this will create problems with the blood supply to the operated area, which will have a bad effect on healing, and increase the rehabilitation period. Painful, unpleasant sensations when wearing the product cannot be ignored, they indicate serious problems. It is necessary to change the product, ask for help in fixing it, in extreme cases, replace it with a new one.

Laparotomy does not involve serious incisions, but it is recommended to wear a bandage after it. Abdominal operations require wearing the product for many months, until healing, the disappearance of painful sensations, while laparotomy requires wearing for a week, a short period. An incision, even a laparotomy, requires wearing for a long time, the exact period is prescribed by the doctor. It is impossible to exclude the need for bandaging, there is a high risk of hernias, undesirable consequences, prolonging the recovery period, requiring separate treatment.

The duration of wearing depends on the age of the patient, the state of health, well-being, complexity, severity of the operation. Removal of the gallbladder requires bandaging, young patients in good health wear 2 months. Elderly people, people with health problems, obesity wear a bandage for up to six months. The allowable period of wearing at a minimum is a week.

Refusing to wear a supportive device is unwise, even in good health and well-being. The product accelerates healing, relieves pain, discomfort in the postoperative period. Prevention of inflammation is provided, muscle tone is restored faster. Even small laparoscopic punctures heal faster with a bandage, wearing the product for a week allows you to recover, pain disappears quickly.

Products are recommended for the period of postoperative recovery. But there are categories of orthopedic products for pregnant women that reduce the load of a growing belly, designed to provide comfort and health to the child and mother. Bandages are recommended for problems with the musculoskeletal system, diseased veins. Pharmacies, orthopedic shops offer a variety of Russian and imported products, allowing you to choose a solution for each situation. Offered at dynamic prices, with features that make it easier to choose in individual cases.

Modern doctors are increasingly resorting to laparoscopic methods of surgery. Compared to standard abdominal surgery, laparoscopy is less traumatic, and the recovery period after it is reduced. According to medical statistics, most often in a year the gallbladder is removed by the laparoscopic method.

The operation performed does not yet guarantee a complete recovery, therefore, treatment after removal of the gallbladder (GB) should be supervised by a doctor. To speed up the recovery of the body, the patient must follow a diet, take medications, perform therapeutic exercises, and engage in healing the body.

Benefits and Complications

During laparoscopy of the gallbladder, 4 punctures are made in the abdomen, into which surgical tubes (trocars) are inserted, the gallbladder is removed through the hole in the navel. A laparoscope (video camera with a lighting device) allows you to monitor the progress of the operation.

The main indication for laparoscopic cholecystectomy is cholelithiasis (cholelithiasis). At the initial stage of calculous cholecystitis (stones in the gallbladder), conservative methods are used: diet, drug treatment, destruction of stones by ultrasound. In the later stages, surgery is necessary.

Removal of the gallbladder is performed in the following cases:

• Acute inflammation of the gallbladder, which is accompanied by a high temperature that does not subside for a long time.
• The presence of large stones in the biliary system.
• Signs of inflammation of the peritoneum.
• Fibrous or purulent exudate is present in the abdominal space.

Reference. The gallbladder is removed through an open incision or laparoscopically. The latter method is considered more modern and safer.

Benefits of laparoscopic cholecystectomy:

• After surgery, the patient quickly restores activity. Already after 5-6 hours he is allowed to get out of bed under the supervision of medical staff.
• Wounds are small and heal quickly.
• The patient needs intensive care for no more than 2 hours.
• After surgery, the patient is not required to stay in bed for a long time.
• Laparoscopy of the gallbladder is less likely to provoke complications than standard abdominal surgery.
• There are no large scars on the skin.
• The patient is discharged home early.

However, even laparoscopy can provoke complications:

• Injury to nearby organs and vessels.
• Puncture of the gallbladder, stomach, colon, duodenum, inflammation of the skin around the navel.
• There is a risk of umbilical hernia in overweight patients with congenital muscle anomalies.

After laparoscopy, the risk of hernia formation is lower than after standard surgery, so the patient may not wear a bandage. However, for the first 6 months, he is forbidden to lift weights or strain the muscles of the anterior abdominal wall. The patient should go in for sports, but about the complex of exercises, you need to consult a doctor.

Recovery steps

Rehabilitation after removal of the gallbladder involves the normalization of the physical condition, changing attitudes, rules and values ​​of life. In addition, it is important to restore the psychological state of the patient.

The recovery period after cholecystectomy is divided into several stages

As you know, the gallbladder is an important organ that is involved in digestion. It is a reservoir for bile, which helps break down fats. Before the operation, the liver secret had the concentration necessary for digestion. In the absence of bile ducts, bile accumulates in the bile ducts, and its concentration is low. Despite the fact that the ducts take on the function of the removed bladder, the functionality of the gastrointestinal tract is still impaired. This is due to the fact that the body needs time to get used to the new conditions of digestion. To avoid or reduce the severity of negative phenomena, the patient after surgery must adjust the diet.

During the rehabilitation period, you need to help your body to establish the work of the digestive tract. Postoperative diet will help to solve this problem. In addition, it is necessary to take medications as well as simple physical exercises. The rehabilitation period is about 2 years.

Stages of the recovery period:

1. The first 2 days after laparoscopic cholecystectomy, the patient stays in stationary conditions. At this stage, negative phenomena are observed after anesthesia and surgery.
2. The late stage lasts from 1 to 2 weeks, the patient is in the hospital. Damaged tissues gradually heal, the functionality of the respiratory organs normalizes, and the gastrointestinal tract adapts.
3. The outpatient period lasts from 1 to 3 months. The patient restores health at home.
4. The patient is engaged in the improvement of the body in sanatoriums and dispensaries.

Reference. Due to severe dietary restrictions, the mental state of the patient may worsen. Therefore, the doctor should tell you how the work of the digestive tract is changing and what needs to be done to avoid complications.

Features of the recovery period

In the absence of complications, the patient is discharged home after 1-2 days. However, this is not entirely correct, since doctors must monitor him, control his nutrition, physical activity, etc. This way, his condition will return to normal faster, and he will be able to avoid complications.

Recovery after removal of the gallbladder lasts from 1 to 2 years. This period consists of different stages during which the functionality of the body changes.

First of all, after laparoscopic cholecystectomy, you need to change your eating habits. The patient should eat fractionally (5-6 times a day) in small portions. This is important as the digestive organs cannot digest large amounts of food. If this rule is violated, the products will not be completely broken down, and the body will not be saturated with useful substances. As a result, the load on the gastrointestinal tract increases, there is a risk of re-formation of stones in the bile ducts.

Physical activity in the first 4 weeks after removal of the gallbladder by laparoscopic method should be abandoned. This is necessary, since the muscle tone has not yet returned to normal, therefore, the likelihood of internal hemorrhages and the formation of an umbilical hernia increases. In addition, in the early stages there is pain at the puncture sites.

Early period after laparoscopy

After laparoscopic cholecystectomy, the patient should be in bed. After 5-6 hours, he may try to roll over or sit down. If the patient feels normal, then under the supervision of a nurse, he can get out of bed. Fasting is recommended for 24 hours after surgery. The patient can afford a small amount of water without gas.

After surgery, the patient can get out of bed after 5-6 hours

Postoperative nutrition involves strict restrictions. On the second day, you can drink a little broth, eat cottage cheese or natural yogurt (fat-free). The patient is assigned table number 5, according to which you need to eat often, but in small portions (200–300 g). Products with a large amount of fat, coarse fibers or provoking excessive gas formation are contraindicated.

The postoperative period is overshadowed by slight pain or discomfort in the puncture area, sometimes there is heaviness on the right under the ribs. The pain may radiate to the lower back or collarbone. The pain will go away on its own in 2-4 days. Due to artificial ventilation of the lungs, the patient cannot take full breaths, as the abdominal wall hurts.

Reference. In the hospital, the patient is dressed, his body temperature is monitored to prevent inflammation or other complications.

The patient is prescribed painkillers (injections), antibacterial drugs, enzymes. In addition, it must undergo instrumental and laboratory studies.

Immediately after laparoscopic cholecystectomy, you can take vitamins: Vitrum, Centrum, Supradin, Multi-Tabs, etc.

Prevention of pneumonia involves the implementation of respiratory and therapeutic exercises. Exercises are performed 5 to 8 times a day for 3-5 minutes. The patient takes a deep breath through the nose 10 to 15 times, and then exhales sharply through the mouth.

Excessive physical activity is contraindicated. It is recommended to wear soft cotton underwear so as not to damage the surgical openings. It is necessary for the patient to wear a bandage or not, the decision is made by the doctor for each patient individually.

The time of discharge depends on the recovery time of the person. The patient is sent home after the stitches are removed and provided there are no complications.

Reference. The question of how long sick leave lasts is quite relevant. A document confirming temporary disability is issued for the entire period of stay in the hospital plus another 10-12 days. Since inpatient treatment lasts from 3 to 7 days, the approximate duration of sick leave is from 13 to 19 days.

Many patients are interested in how many days the sick leave is discharged in the presence of complications. The doctor determines the terms of disability for each individual.

Activities in the outpatient period

After discharge, the patient must follow all the recommendations of the doctor in order to speed up recovery. However, his condition continues to be monitored.

After removing the gallbladder, you need to eat grated dishes

To track the dynamics of the recovery of the body, the following studies are carried out:

• 3 days after discharge, the patient is examined by a therapist or surgeon. The next visit to the doctor should be done after 1 week, and then after 3 weeks.
• A laboratory blood test is carried out after 14 days, and then after 1 year.
• If necessary, after 4 weeks, ultrasound of the abdominal organs is performed. After 1 year, ultrasound diagnostics is mandatory for everyone.

The postoperative period involves strict restrictions:

• For 7-10 days after leaving the clinic, excessive physical activity is contraindicated.
• Underwear should be soft, made of natural fabric. For 2-4 weeks it is forbidden to have sexual contact.
• You can perform simple physical exercises no earlier than after 1 month.
• During the first 12 weeks, the patient can lift weights no more than 3 kg, and from 3 to 6 months - about 5 kg.

To strengthen the muscles of the abdominal press, you need to perform the exercise "bike", "scissors", while the load must be increased gradually. Hiking outdoors is recommended. Physiotherapy will help speed up tissue healing. For rehabilitation to be successful, you need to perform breathing exercises.

Nutrition rules:

• It is necessary to exclude fried, fatty foods, spices from the diet.
• Food is recommended to be steamed, boiled or baked.
• You need to eat food at intervals of 3 hours to normalize bile flow.
• For 2 hours after a meal, it is not recommended to bend over or lie down.
• The patient should drink no more than 1.5 liters of fluid per day.
• The last evening meal should be planned 3 hours before bedtime.

Before eating, it is recommended to grind the dish to a puree state. The menu needs to be expanded gradually. It is recommended to stew or bake fruits and vegetables before eating so that they are better absorbed and also retain nutrients.

For the 2nd month, the patient can eat finely chopped foods. The diet is allowed to replenish with fresh fruits and vegetables.

The surgical wound needs to be looked after. Shower can be taken only after a few days. The skin of the abdomen is washed without soap and other hygiene products, rubbing it with a washcloth is also prohibited.

Attention. Pain may be present for about 8 weeks. If the pain becomes more pronounced, bloody traces appear, nausea, vomiting, fever occur, then you need to urgently go to the doctor.

Normalization of digestion

The postoperative period is often complicated by constipation. To avoid this, you need to replenish the diet with vegetables, observe moderate physical activity, consume kefir, natural yogurt, cottage cheese (with a low percentage of fat content) every day. You can eliminate constipation with drugs with a laxative effect that do not inhibit intestinal motility. Enemas do not need to be given often, as this threatens to stretch the colon and dysbacteriosis.

Medicines used to treat digestive disorders

For some time after laparoscopic cholecystectomy, the following symptoms may be present: burning behind the sternum, belching, nausea, bitter taste in the mouth. If there are no concomitant diseases and the patient is on a diet, then these symptoms disappear on their own after a while.

Many patients are interested in the question of which pills to drink after removal of the gallbladder. Drug treatment is carried out only on the prescription of a doctor who decides on the choice of medicines.

With duodenogastric reflux (reflux of the contents of the duodenum into the stomach), antireflux drugs are used, for example, Motilium. Treatment of heartburn, pain is carried out with the help of antacids: Rennie, Maalox, Almagel. Stomach ulcers are treated with medicines that suppress the secretion of bile (omeprazole).

If necessary, prescribe magnetotherapy, ultrasonic irradiation.

Sanatorium and resort recovery

The following procedures are prescribed in the sanatorium:

• Patients drink therapeutic warm mineral water without gas four times a day, 100 ml each.
• Hydrotherapy is prescribed with the addition of an extract of needles, radon, as well as mineral, carbonic water. The course consists of 10 procedures for 10-12 minutes.
• To speed up the recovery of the body, apply electrophoresis with a solution of succinic acid (2.5%).
• Physical therapy is carried out every day.
• Diet helps to unload the digestive tract and normalize digestion.

In addition, medical treatment is carried out. Preparations normalize metabolic processes, restore the digestive system.

Features of life after laparoscopic cholecystectomy

Patients undergoing laparoscopic gallbladder surgery are concerned about their quality of life and how long they live afterward. If the surgical intervention took place without complications and on time, then there is no threat to life. In addition, if the patient follows the advice of the attending physician, then he has every chance to live to a ripe old age.

After surgery to remove the gallbladder, it is recommended to perform a therapeutic set of exercises

If the recovery period is easy, then a person can expand the menu as much as possible. However, fried, fatty foods, smoked meats and marinades should be excluded from the diet for the rest of your life. In order for the intestines to function normally, you need to give up foods that are hard to digest. In addition, you need to monitor the temperature of the food. The best option is warm food.

In the postoperative period, the patient must do exercises, because a passive lifestyle provokes various diseases. Due to the lack of movement, stagnation of bile occurs, which can lead to re-stone formation. It is recommended to regularly walk and swim.

Carefully. Physical activity should be increased gradually. Injury sports such as boxing, wrestling, weightlifting are contraindicated.

Approximately 12 months after the operation, the work of the hepatobiliary tract normalizes, the liver secretes the required amount of bile of normal consistency. Improves the functioning of the digestive organs. Then the patient feels like a healthy person.

According to statistics, in 30–40% of patients, the postoperative period is complicated by postcholecystectomy syndrome (PCS). It is manifested by digestive disorders, pain, jaundice, itching. In the absence of competent therapy, the likelihood of dangerous complications increases. Treatment of PCES should be comprehensive. This is necessary to normalize the functionality of the biliary tract, liver, pancreas.

Thus, rehabilitation after laparoscopic cholecystectomy is no less important than the operation itself. First of all, the patient must change eating habits, engage in physiotherapy exercises, take medications. In addition, after the operation, it is recommended to visit a sanatorium in order to speed up the recovery of the body and improve it. Only in this case, the patient will return to a full life.

First of all, it is necessary to undergo a complete examination of the body: a complete blood count; general urine analysis; blood sugar test; for the time of blood clotting, ; definition and Rh factor; blood chemistry; EMF or RW (syphilis detection); HIV test; hepatitis markers; fluorography or chest x-ray; ECG; Ultrasound of the abdominal organs.

On the eve of surgery, you can not eat up, dinner should be light. In the morning you should do a cleansing enema. Prepare the anterior abdominal wall, for this you need to shave off the hairline on the day of the procedure. On the eve of the operation, you should be examined by an anesthesiologist, inform him about the presence of an allergy to drugs and previous diseases.

It is not advisable to perform surgery for women during menstruation, as blood clotting is disturbed.

Removable dentures must be removed and left in the ward. The nurse should bandage your lower limbs with elastic bandages, starting from the fingers and ending with the inguinal folds. Before it is desirable to buy a bandage, which is useful in the postoperative period. On the day of the laparoscopy, you can not eat or drink.

Bandaging of the lower extremities is necessary for the prevention of thromboembolic complications.

Carrying out laparoscopy

You should be taken to the operating room lying on a gurney with elastic bandages already applied. You will be transferred from the wheelchair to the table and fixed with straps in the hip area (during the operation, you will be turned over to your left side along with the operating table to improve the view of the problem area during laparoscopy). The anesthesiologist injects anesthesia, you will fall asleep.

A team of doctors and nurses clean your hands, put on sterile gloves and gowns, and treat your stomach. Then the correct connection of wires, tubes and cables is checked. The surgeon makes a small incision in the navel area, a puncture of the abdominal wall is made with a special needle. Carbon dioxide begins to flow through the needle. After that, this device is removed and a trocar is inserted through the same puncture, along it is already a laparoscope with a video camera.

The doctor carefully examines the abdominal cavity to identify or exclude possible pathologies. Then an incision is made in the stomach area, a second trocar is inserted into the belly area. The next two trocars (sometimes one) are inserted in the area of ​​the right hypochondrium. The gallbladder removed using a laparoscope is placed in a sterile plastic container, which is removed through the wound in the projection of the stomach.

A drain is placed in the subhepatic region to control or remove possible effusion. The gas is removed, the wounds are sutured. Next, you are transferred on a gurney to the ward, where follow-up and

We suggest that you read the article on the topic: "Bandage after removal of the gallbladder" on our website dedicated to the treatment of the liver.

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The bandage after surgery is worn for a long time, because the postoperative period is the recovery time of the patient. The duration of wearing a medical corset depends on the complexity of the surgical intervention.

What is a bandage?

A medical bandage (corset, bandage) is a dense product that securely fixes certain parts of the spine and ribs and thereby reduces the load on the damaged or operated area. It is prescribed to wear a medical bandage after abdominal operations to reduce discomfort during movement.

A fixing product is necessary in order to:

• prevent swelling and bruising in the operated areas;
• a more aesthetic scar turned out;
• ensure the correct position of the internal organs;
• relieve organs from excess load.

The product for fixation is made of a special breathable material, Velcro is used as a fastener. The model of the fixative bandage can be different: in the form of a T-shirt, swimming trunks or a wide bandage. The latch is put on in the supine position and is tightened with an incomplete breath.

It is impossible to tighten the bandage very strongly, as this interferes with the access of oxygen to the operated organ.

Bandage appointment

The bandage is used after surgery on:

• heart;
• abdominal region;
• inguinal zone;
• gallbladder;
• umbilical hernia.

Complicated heart surgeries require a long recovery period of 2-3 months. During this period, it is important for the patient that there is no stagnation in the lungs. Be sure to cough periodically. It is extremely difficult to do this, since the seams on the chest can disperse. A bandage after heart surgery makes life easier for the patient and prevents congestion in the lungs. The elastic bandage tightly fixes the sutures and the chest, and also contributes to the formation of a strong postoperative scar. The locking design resembles a T-shirt with wide straps to regulate the tightness of chest compressions.

After abdominal surgery, it is prescribed to wear a medical corset, which securely fixes the sutures and prevents various complications. A tight bandage allows the patient to quickly go through the rehabilitation period and return to active life.

An inguinal bandage is necessary when a patient has a hernia in the inguinal zone, and surgery is contraindicated for various reasons. Wearing a fixation structure will reduce the risk of strangulated hernia. It is necessary to choose a bandage corset only on the recommendation of the attending physician, taking into account the development of a hernia. Properly selected bandage will allow you to lead a normal life and help to avoid surgery.

The model of the inguinal fixing structure is in the form of swimming trunks with a Velcro fastener on the side. The choice of bandage will depend on the time of wearing it. When wearing for a long time, it is necessary to choose a corset made of high-quality cotton-based materials. Such a product will not cause discomfort in the summer heat. It is necessary to select the product clearly in size. A large corset will not be able to tightly fix the hernia, and a small one will squeeze the tissues, which will lead to impaired blood circulation.

During abdominal surgery to remove the gallbladder, the postoperative corset must be worn for 2 months. Full, obese patients with a drooping abdomen should wear a postoperative bandage for 6-7 months, periodically removing it. After removal of the gallbladder, any tension in the abdominal cavity causes pain, and wearing a tight retainer will reduce them.

After an operation to remove an umbilical hernia, a prerequisite for the rehabilitation of the patient is the wearing of a fixing product. The main function of the bandage is to support the walls of a weakened abdomen, return the vital activity of the abdominal cavity and fix the umbilical zone.

If, for medical reasons, surgical intervention is not possible, then wearing a bandage product is necessary to prevent infringement of the umbilical hernia. The period of wearing the product is not limited. If a person is engaged in heavy physical labor, then a fixing corset is necessary to prevent and prevent the appearance of a hernia in the umbilical zone.

Bandage selection and care

The following recommendations will help you choose the right bandage for the postoperative period:

1. The size, model and wearing time are selected only by the attending physician.
2. To select a product, you need to measure your waist.
3. The width depends on the growth and location of the postoperative scar.
4. The product should not cause irritation or discomfort.
5. A quality fixture will pass air well.

Care of the fixing bandage:

1. Hand wash at 30°C.
2. As a detergent, use a gel for delicate washing.
3. The product cannot be squeezed out.
4. Dry out of direct sunlight and away from heat sources.
5. Store in a cool place in a special case.

Bandage bandages are used not only for hernias or heart operations. After a caesarean section or liposuction, it is also necessary to wear a brace. It helps to bring stretched abdominal muscles into tone and contributes to the formation of a toned, slender silhouette.

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mila_milk oct. 26, 2010 11:08 pm Laparoscopy of the gallbladder

The operation was performed by a talented surgeon. But the doctor is not at all talkative and neither is my mother. In this regard, there are several questions:
Why is laparoscopy of the gallbladder dangerous? What is the death rate?
How long after surgery can you usually eat?
How long does it take to wear a bandage? How long (during the entire recovery period, should I take it off at night?) And which one to choose? In the photo, the bandages are worn on different parts of the body: closer to the chest or closer to the hips (the holes are in different parts torso)?
What kind of “pouch” of tubes hangs in the hole approximately under the left arm?
How many holes can be made during the operation?

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Removal of the gallbladder (cholecystectomy) is performed in severe forms of gallstone disease, including chronic, acute and calculous cholecystitis. In modern medicine, there are two methods of surgical removal of this organ: laparotomic cholecystectomy and laparoscopy. After carrying out any of these operations, a certain period of rehabilitation is necessary, and in order for the recovery to be successful and without visible complications, patients must follow a number of elementary rules, including the recommendation to wear a special medical bandage after removal of the gallbladder.

Use of a bandage after laparotomic cholecystectomy

Open cholecystectomy (laparotomy) has recently been performed in exceptional cases in patients with complicated forms of cholelithiasis or if patients are intolerant to laparoscopy.

The surgeon makes a large incision in the right hypochondrium to remove the abdominal tissues and muscles, then the inflamed organ is completely removed along with the nearby ducts and vessels. To prevent the inflammatory process and fluid accumulation, drainage is installed, then the incision is sutured.

Rehabilitation after laparotomy is much harder and longer, and is more fraught with the development of early or late postoperative complications.

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Possible complications after laparotomy

Complications after laparotomic cholecystectomy can be various, and the most common of them are as follows:

• injury to blood vessels;
• bleeding from the cystic artery;
• discharge of bile into the abdominal cavity;
• risk of seam divergence;
• accumulation of pus in the incision area;
• development of postoperative hernia.

To avoid the risk of postoperative complications, the surgeon after the operation to remove the gallbladder appoints the patient to wear a supporting bandage.

The bandage provides good fixation of the anterior abdominal wall in order to reduce the load on the operated part of the body, and, even with poor-quality suturing of the surgical incision, prevents the sutures from opening or hernia formation. Any tension in the abdominal area after surgery causes pain, and the use of a tight bandage reduces this pain. Also, wearing a bandage favors the fact that the sutured scar at the site of the operation eventually turns into an inconspicuous, aesthetic scar.

Terms of wearing a bandage after laparotomy

Many patients ask themselves the question: “How long does it take to wear a fixative bandage after surgical removal of the gallbladder through a laparotomy incision?”.

As a rule, the term for wearing a bandage bandage is determined and prescribed by the attending physician. Age, weight and gender, the presence of chronic diseases, as well as the general condition of the patient after surgery are taken into account. Young and physically healthy patients wear a fixation product for 2 to 3 months. It is recommended to wear a bandage for obese and overweight patients with a sagging abdomen for 6–7 months, removing it from time to time so that diaper rash does not appear. It is impossible to exceed the period of wearing the bandage, as it is possible to develop atrophy of the muscles and ligaments of the abdominal cavity.

Bandage after laparoscopic cholecystectomy

Laparoscopy is a method of surgical intervention, during which the surgeon makes 4 punctures with a diameter of 1 cm in the peritoneal region. Then special medical instruments and a laparoscope are inserted into the abdominal cavity, with the help of which the gallbladder is completely removed.

In modern medicine, this operation is less traumatic, since the surrounding internal organs are not affected. After surgery to remove the gallbladder by laparoscopic cholecystectomy, the patient recovers quickly and the likelihood of hernia, adhesions, or other postoperative complications is much lower and quite rare.

On the issue of using a bandage after laparoscopy, the opinions of medical specialists are divided. In some cases, the surgeon considers the use of a bandage optional and does not advise the patient to wear it; in other cases, wearing a bandage is a prerequisite for postoperative rehabilitation. The decision on whether or not to wear a support belt after the operation is made by the attending physician individually for each patient, taking into account his general condition and well-being.

But in any case, after removal of the gallbladder by laparoscopic way, it is recommended to wear a bandage for at least 2-5 days. This is necessary in order to restore muscle tone and reduce discomfort in the swollen abdominal cavity.

Rules for wearing a bandage

A support bandage is a special knitted belt that must be worn in the postoperative period to prevent complications.

To ensure the effectiveness of the use of the bandage, it is recommended to follow certain rules:

• the bandage must be put on on the very first day when the patient got on his feet, since the first days after the operation are the most critical in terms of the development of complications;
• the bandage belt must fit in size and be dressed correctly in order to avoid pain or discomfort;
• at night and during rest hours, it is recommended to remove the belt in order to avoid an increase in intra-abdominal pressure, which can adversely affect the cardiovascular system of the body;
• the bandage must not be tightly tightened so as not to interfere with the flow of oxygen to the operated organ.

The role of the bandage in the postoperative period

Wearing a bandage after surgery performs the following functions:

• prevents the accumulation of fluid and blood in the abdominal cavity;
• ensures rapid healing of postoperative incisions;
• reduces the risk of seam divergence or prolapse of internal organs;
• helps to avoid the formation of a hernia;
• relieves internal organs of excessive load.

Subject to all the rules for wearing a bandage, rehabilitation after an operation to remove the gallbladder will be successful and a person will be able to return to their usual way of life.

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How long to wear a bandage after gallbladder removal

The gallbladder is an organ that stores bile synthesized in the liver. When a person eats fatty foods, bile is released from the bladder, helping to break down and absorb bile acids.

When should the gallbladder be removed?

1. Acute cholecystitis. If bacteria enter the gallbladder through the bile ducts or along with the bloodstream, inflammation occurs, which is called cholecystitis. Since there is a risk of liver damage and blood poisoning with inflammation of the gallbladder, acute cholecystitis is treated surgically.

2. Gallstone disease.

Stagnation of bile in the gallbladder, excess weight and hormonal changes during pregnancy provoke stagnation of bile. Settling at the bottom of the gallbladder, bilirubin crystals, calcium salts and cholesterol form gallstones. To avoid "mechanical jaundice" due to blockage of the bile duct mouth with a stone, the gallbladder is removed in case of cholelithiasis.

What is an abdominal bandage?

Abdominal postoperative bandage "Intex" is a supporting elastic belt, which is attached to the lower back with the help of "Velcro" ("Velcro") fasteners.

Why do I need a bandage after gallbladder removal?

The gallbladder is removed through a laparotomic incision in the abdomen and laparoscopically. When operated through a laparotomic incision, the surgeon gains convenient access to the inflamed gallbladder, but after this operation, a wide scar remains on the abdomen. After the operation, the Intex abdominal bandage is worn so that the scar turns into a strong, hardly noticeable postoperative scar.

During laparoscopic surgery, the doctor removes the inflamed gallbladder through several punctures in the abdomen. Through the punctures, a tube is inserted that supplies carbon dioxide, which inflates the abdominal cavity for convenient access to the gallbladder, a video camera and surgical instruments. With laparoscopic access, scars on the abdomen are not formed. After laparoscopy, the Intex abdominal bandage reduces discomfort in the swollen abdominal cavity and restores the tone of the abdominal muscles.

How long to wear a bandage after removal of the gallbladder through a laparotomy incision?

Since recovery after surgery depends on the age and health of the patient, the exact time of wearing the bandage should be determined by the doctor.

As a rule, young and healthy patients wear a bandage for 2 months. Fat, obese patients with a drooping abdomen will have to wear a bandage for 6-7 months.

How long to wear a bandage after laparoscopic gallbladder removal?

After laparoscopy, the bandage is worn for 2-5 days. This time is enough to reduce discomfort and restore muscle tone.

Bandage after removal of the gallbladder - Blog sovsemzdorov.ru

The gallbladder is a cavity organ that is located directly under the liver and performs the function of accumulating bile at a time when it is not needed for digestion. Despite the fact that the gallbladder is an important organ, its absence does not affect the health and life of the patient. That is, after the operation to remove the gallbladder, the person continues to lead a normal life.

As for the operation itself to remove the gallbladder, which is called cholecystectomy, it is performed according to the following indications:

• Gallstone disease, when calculi are formed in the cavity of the organ, which look like mineral stones.
• Acute or chronic inflammation of the walls of the gallbladder.
• The accumulation of pus in the cavity of this organ.
• Malignant formation of the gallbladder.

Traditional removal of the gallbladder was performed through a large incision in the abdominal wall, which often caused a huge number of complications. Today, almost all operations to remove this organ are performed laparoscopically, when several small punctures are made instead of one large incision. This method of surgical intervention significantly reduced the number of complications, but did not help to completely get rid of them. One of the means of preventing complications after removal of the gallbladder, openly or laparoscopically, is an abdominal support bandage, which prevents suppuration of the wound, its divergence and the formation of a hernia.

How long to wear a bandage after gallbladder removal?

Specialists in the field of surgery of the digestive tract came to the unequivocal conclusion that a bandage is needed after removal of the gallbladder. And the time of wearing a bandage after such an operation depends on what type of surgical intervention was performed.

With open surgery, the postoperative period is more difficult and much longer, which means that the elastic bandage must also be used for a longer period of time. As a rule, in such a situation, a postoperative bandage is prescribed for at least up to three months, since all this time there is a high risk of hernia formation.

The bandage after laparoscopy does not need to be used for such a long time, since small punctures of the abdominal wall heal much faster. It only takes one month of wearing a compression belt to prevent possible complications laparoscopic cholecystectomy.

In addition to the time of use of the bandage, to ensure its effectiveness, some rules must also be observed:

• The bandage begins to be used from the day of the postoperative period when the patient is allowed to get up.
• The knitted belt should be worn while walking or just standing upright.
• During sleep or rest, the bandage must be removed so as not to cause an increase in intra-abdominal pressure, which can affect the work of the heart and blood vessels.
• If during the use of the support belt there are any unpleasant or painful sensations, this means that it is selected or worn incorrectly. In such a situation, it must be refixed, and possibly replaced with a new one.

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