You develop yellow or green drainage or rings/streaks of redness around the incision site(s).You develop enough drainage from any of the incisions to saturate a piece of gauze after the first dressing change.You have a fever that persists greater than one week.Having a slight temperature elevation for first couple days is normal. If you have not had a bowel movement by the 3rd day after surgery, you may take a gentle laxative such as Milk of Magnesia.Increase fluids, fruits, and fiber in your diet to help prevent constipation. The pain pills (especially Tylox, Percocet, Vicodin, Oxycodone, Oxy IR, etc.) are prone to cause constipation.You should switch to plain Tylenol (acetaminophen) or Advil (ibuprofen) as soon as possible to reduce complications or side effects from the narcotics.Use your pain pills (narcotics) as prescribed.If you have small brown strips of tape across the incisions, you may gently wash over them and pat the strips of tape dry after the shower. Please keep the dressings and incision sites dry until then. On the 2nd day after surgery, you may remove your dressings and shower.Remove the band aids or gauze 2 days after you get home.Depending on the physical activity requirements of your job you will probably be out of work a minimum of one week but this should be discussed with your surgeon.
After one week, you may return to all normal activities, as you desire (avoid very heavy, sudden lifting that causes increased discomfort).You may go up and down stairs as desired.
Refrain from sports and exercise during the first week home. You are encouraged to take short walks two to three times daily. You should not drive until you have stopped taking your pain medications. You may take short trips in a car as desired. You will feel easily fatigued for at least one week after discharge this is normal. You may want to avoid carbonated beverages for several days. You should avoid fatty foods for two weeks following your surgery. The day after your surgery you may eat anything you wish. You may wish to avoid heavy foods following your surgery and perhaps just take liquids that day. You may return to normal food after you get home from your surgery. You will probably develop mild bruising around one or more of your incisions. The belly button incision site and upper midline incisions are usually the most sore. In the meantime, you might be more comfortable in loose fitting clothing. This will pass as the gas in the abdomen is absorbed. Your belly will feel bloated for about one week you may not be able to close your pants. Elevate your head on several pillows and place a pillow under your knees to promote comfort and decrease risk of developing shoulder soreness. Apply heat to shoulder and back and take your pain medication as prescribed. This is due to the gas that is put into your abdomen during the surgery- it will go away in 2-3 days. You might experience soreness like a sprain in the right shoulder or back. Listen to your body and rest when you feel you need to. You will find yourself feeling weak and tired for 1-2 weeks after going home (and maybe longer). Post-Operative Instructions for Laparoscopic Gallbladder Removal
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