Apr Surgery

APR Surgery: Post-operative Care

Introduction

APR surgery, or abdominoperineal resection, is a complex surgical procedure that involves the removal of the rectum, anus, and surrounding tissues. This surgery is typically performed to treat rectal cancer, but may also be used to treat other conditions, such as Crohn's disease or ulcerative colitis.

Post-operative Care

After APR surgery, patients will typically remain in the hospital for 5-7 days. During this time, they will be closely monitored for complications, such as bleeding, infection, or pain. Patients will also begin a bowel program, which is designed to help them learn how to manage their bowel movements without a rectum or anus.

Pain Management

Pain is a common side effect of APR surgery. Patients will typically be given pain medication to help manage their pain. In some cases, a nerve block may be used to numb the area around the surgical site.

Wound Care

The surgical wound will need to be kept clean and dry. Patients will typically be instructed to change their dressings twice a day. The wound will typically heal within 4-6 weeks.

Bowel Program

After APR surgery, patients will need to learn how to manage their bowel movements without a rectum or anus. This is typically done through a colostomy or ileostomy. A colostomy is a surgical opening in the colon that allows stool to pass out of the body. An ileostomy is a surgical opening in the small intestine that allows stool to pass out of the body.

Diet

After APR surgery, patients will need to follow a special diet. This diet is designed to help prevent diarrhea and other digestive problems. Patients will typically be instructed to eat small, frequent meals. They will also need to avoid eating foods that are high in fiber or fat.

Activity

Patients will need to restrict their activity after APR surgery. They will typically be instructed to avoid strenuous activity for 4-6 weeks. They may also need to use a walker or wheelchair for a period of time.

Follow-up Care

After APR surgery, patients will need to see their doctor regularly for follow-up care. These appointments will typically be scheduled every 3-6 months. The doctor will check the surgical wound, monitor the patient's bowel function, and make sure that the patient is recovering well.

Conclusion

APR surgery is a complex procedure, but it can be life-saving for patients with rectal cancer. The post-operative care period is an important time for patients to recover from surgery and learn how to manage their new body. By following their doctor's instructions, patients can help ensure a successful recovery.