Intensive care: 2.30 pm to 3.30 pm – 3.30 pm to 7.30 pm
Treatment during hospitalization
Pain relief:
Postoperative pain management depends on the type of surgery (open abdomen, key hole surgery). In the immediate postoperative period, wounds may be injected directly with a local anesthetic.
During the first 24 to 48 hours, paracetamol and anti-inflammatories can be administered intravenously or orally. Morphine derivatives can be administered intravenously, as well as by pump, intramuscularly or orally.
Antibiotics:
A dose of antibiotics is administered during surgery; after the procedure they are usually not to be continued.
Diet
Resumption of a normal diet on the day of surgery.
Mobilization
Mobilization on the same day.
Prevention of deep vein thrombosis
Daily injection of Clexane® / heparin and wearing support stockings to prevent blood clots in the veins ( thrombosis). Blood clots can break loose and potentially clog up blood vessels in the lungs (pulmonary embolism). Pulmonary embolisms can be lethal.
Prevention of peptic ulcers
During hospitalization, patients are administered drugs to reduce the increase of acid production in the stomach due to the stress after surgery. The antacids reduce the development of gastric ulcers and the risk of bleeding and perforation.
What drains and catheters may be attached to the patient after surgery?
Gastric tube and urinary catheters are rarely placed.
Infusion into the arm or neck (central venous catheter ) to administer fluids, analgesics, antibiotics and anti-emetics (to reduce nausea and vomiting).
When can the patient be discharged from the hospital?
Discharge is planned when the patient can eat independently and mobilize autonomously.A bowel mouvement is not necessary before discharge.
For patients who are not independent, it is important to contact the social service quickly, even before hospitalization, to organise home care or post-operative rehabilitation.