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Post-operative care after Bariatric Surgery is an important part of the journey of weight loss and plays an important role in ensuring a smooth recovery and long-term success. After surgery, patients usually live in the hospital for 1-3 days, during which they are monitored for possible complications such as bleeding, infection, or leaks from the surgical site. Pain management, hydration, and nutritional reproduction of nutrition are preferences during this phase. Initially, a liquid diet is prescribed, which gradually infection for healthy food regularly during pure foods, then soft foods, and finally 6-8 weeks. Patients should carefully follow dietary guidelines-reducing parts, chewing food well, avoiding high-sugar and high-fat foods, and being well hydrated (without drinking fluids during food). Life vitamins and mineral supplementation are necessary due to reducing the absorption of nutrients, especially for iron, calcium, vitamin D and vitamin B12. Physical activity starting with light moving immediately after surgery is encouraged to prevent blood clots and promote circulation, gradually progressed in more structured exercise routine.Since general anaesthesia is used during bariatric surgery, the patient is completely unconscious throughout. Depending on the treatment, surgery might take anywhere from one to three hours to complete. After the procedure, the patient spends 2 to 6 hours in the recovery area before being transferred back to his or her room as soon as the situation is under control. The average length of stay in the hospital is 2-4 days.
Pain
During the procedure, there is no sense of any pain. There is discomfort right away, but it can be managed by administering certain injections. Over the following few hours, this pain progressively lessens, and patients typically have little to no pain 24 hours after the treatment. When patients are released from the hospital, they are given pills to assist them manage any discomfort they may feel at home.
Diet
After surgery, patients are kept nil by mouth for the first 24 hours. A clear liquid diet is then started after that. They are initially told to drink only 30 to 50 cc of liquids per hour, taken in little doses. Gulping down liquids and using a straw should be avoided since they can lead to aerophagy, which can be uncomfortable and make you throw up. After three to five days of a clear liquid diet, all liquids are introduced and maintained for 15 days. Following this, a pureed and soft diet is consumed for one week each. 4-6 weeks after surgery, patients return to their regular diets, but they consume significantly less food.
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Recovery and Work:
Supplements
Patients typically need some protein and multivitamin supplements during the first 1-3 months of fast weight loss following the operation. Protein supplements are typically taken twice daily with water or milk and come in powder form. Depending on individual inclination, multivitamins can be taken as either syrups or capsules. Long-term supplements are not necessary with restrictive treatments like gastric banding and gastric sleeve. However, long-term supplementation with regular monitoring may be necessary for patients who have had malabsorptive surgeries like Gastric Bypass.
The weight loss following bariatric surgery is broken down into two phases: a brief, quick phase that lasts for two to three months, followed by a longer, progressive phase that lasts six to eight months. The quantity of Weight Lost will vary depending on the patient’s starting weight prior to surgery. In general, restrictive treatments cause a 60–80% reduction of extra weight, but malabsorptive/combined operations may cause a 70–90% loss of excess weight. Long-term weight maintenance is achieved, and multiple studies have demonstrated positive outcomes even 10 to 15 years following the treatment.
Side Effects/Weakness
Follow-up
The patients are typically called a week following the treatment for the removal of the skin sutures before being discharged within 2-4 days. After then, they are instructed to check in after a month and then on occasion every three months for the following two years. A evaluation of the patients’ weight loss, food, activity, and lifestyle is done, and any necessary modifications are explained to them.
Consult Dr. Achal Agrawal at Indore Laparoscopy Center for post operative care after bariatric surgery in Indore.
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Dr. Achal Agrawal is a consultant gastrointestinal, laparoscopic, proctologist and bariatric surgeon in Indore at Indore Laparoscopy Center.
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