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Dressing Forceps
Surgery - Convalescence
After the first day or two, you will begin to feel better, and the drains and intravenous lines will usually be removed. You will be encouraged to sit in the chair by the bed as much as possible and go for short walks around the floor.
In modern post-operative care, every effort is made to get the patient out of bed and moving around as soon as possible. This practice has proved to be beneficial to the patient because it has reduced the occurrence of complications, such as lung infection, lung collapse, thrombophlebitis (clotting in the veins), and emboli (movement of clots to the heart or lungs).
Skin stitches and clips are usually removed after 8 to 10 days. On a large abdominal scar, every second stitch is removed on one day, and the rest are removed a day or two later. The stitch is cut below the knot and pulled out with a pair of forceps. It is no more uncomfortable than having a hair plucked out. To remove clips, the nurse uses a special pair of forceps that are placed under the clip and squeezed to open it. Again, the discomfort is minimal. Butterfly sutures are removed like a piece of adhesive tape.
The scar is cleaned with an antiseptic solution and re-covered with an ordinary dressing. A deep scar does not fade completely for up to a year, although by the time the stitches come out, the wound is stable enough for normal daily activities. At first the scar is a raised, red line, but as the line fades to white, the swelling slowly reduces and the scar shrinks. You may experience a slight tingling sensation or numbness in the skin surrounding the scar, but this usually disappears after a few months.
If you have had tension sutures placed by the wound, these are removed usually a few days after the stitches in your skin. The tension stitches are clipped on one side and pulled through on the other side.
Once the sutures are removed, you are usually ready to go home. After some operations, it is possible to return home before the stitches are removed. Ask the attending surgeon what activities you are allowed to do at home and when it is safe to resume normal activities. For some operations the patient is given a written list of instructions to follow.
While you are in the hospital there are a number of milestones that help you gauge your rate of recovery the first time you walk to the bathroom unaided, the first walk outside your room, or the first time you can cough without pain. Many patients find that once they arrive home and are in familiar surroundings, they realize they have a long way before they are completely back to normal. A patient may feel weak after walking up a few steps, and many people suffer from depression during the first days at home. It is important to realize your limitations. If you have any worries about your rate of progress, the best person to talk to is your family physician or surgeon. Remember to always get your surgeon's permission before returning to work.
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