This topic is about someone who is feeling nervous before their upcoming surgery. The surgery involves repairing an incisional hernia, a parastomal hernia, and possibly revising a stoma. The procedure is planned to be done robotically, but there might be a need for an additional incision if the stoma is revised. Here are some of the main concerns and advice shared by others:
- Concerns about post-operative pain and how long they might need to stay in the hospital.
- Worry about whether both sides of the abdomen will be opened during surgery.
- Risk of infection from the stoma output, especially if surgical mesh is used.
- Fear of developing future hernias due to post-operative coughing.
- General anxiety about the unknowns before surgery.
The person plans to fast the day before surgery to reduce stoma output but needs to stay hydrated due to kidney issues. They have completed all pre-op tests except for a pregnancy test required on the day of surgery.
Additional questions and concerns include:
- How to provide a urine sample for the pregnancy test if they can't drink after midnight.
- Fear that the robotic procedure might need to be converted to an open surgery.
- Worry about negative experiences with surgical mesh.
- Confidence in the surgeon, who has previously saved their life.
Advice and insights from others include:
1. Pre-op eating and drinking:
- Some were advised to have clear liquids only the day before and nothing after midnight to prevent aspiration pneumonia.
- Others were allowed normal meals until the night before a stoma revision. It's important to follow your surgeon's specific instructions.
2. Pregnancy test issue:
- Ask if the test can be done the day before. If not, a small amount of water early enough to remain NPO (nothing by mouth) by surgery time is usually acceptable. The staff only need a urine sample, not a full bladder.
3. Coping with anxiety:
- Expressing worries through writing or talking can help lighten the mental load.
- Distract yourself with calming music or engrossing books and series.
- Remember that pre-surgery worry is normal, and worst-case scenarios rarely happen.
- Focus on breathing exercises and try to go with the flow; the surgery will soon be over, and recovery can begin.
4. Confidence in mesh:
- At least one person has had mesh with no complications, offering reassurance that mesh problems are not universal.
5. Trust the surgical team:
- Many emphasize placing confidence in the surgeon and going along for the ride.
6. Community support:
- Others offer good wishes, positive energy, virtual hugs, and reminders that the forum is available throughout recovery.
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