POST NEPHRECTOMY SURGERY INSTRUCTION SHEET

DIET:

When you return home you may return to your normal diet immediately. Because of the stress and anxiety, you might start with lighter foods (non-fried) but you really have no restrictions. To avoid constipation, drink plenty of fluids during the day (8 - 10 glasses).

WOUND:

Your incision is sealed from outside bacteria within two days of surgery. Nonetheless, you should protect it from dirt and soiling for the first ten days or so. The incision will be tender for the first week and the edges should NOT be pulled apart.  If a NEW area of redness or swelling occurs, please let us know.

ACTIVITY:

Your physical activity is to be restricted, especially during the first two weeks. During this time use the following guidelines:

a.  No lifting heavy objects (anything greater than 15 lbs)

b. No Driving a car and limit long car rides

c. No strenuous exercise, limit stair climbing to minimum. No severe straining during bowel movements - take a laxative if necessary

BOWELS:

It is important to keep your bowels regular during the postoperative period. Use a mild laxative if needed and call if you are having problems. (Milk of Magnesia 2-3 Tablespoons, or 2 Dulcolax tablets for example)

MEDICATION:

You should resume your pre-surgery medication unless told not to. In addition you will often be given some type of pain medication and stool softeners. These should be taken as prescribed on the side of the bottle unless you are having an unusual reaction to one of the drugs.

HYGIENE:

You may shower 2 days after your surgery.  No swimming or tub bathing for 7 days after surgery.

PROBLEMS YOU SHOULD REPORT TO US: a. Fevers over 100.5 Fahrenheit.

c.    Increasing pain, swelling or reddness of the incision.

d.   Drug reactions (Hives, rash, nausea, vomiting, diarrhea).

FOLLOW-UP:

You will need a follow-up appointment to monitor your progress. Call for this appointment when you get home or from the phone in your hospital room before leaving. Usually the first appointment will be about 7 - 10 days after your surgery to remove your skin staples.