Adults scheduled for a herniorraphy are given standard blood tests and a urinalysis. They should not eat breakfast on the morning of the procedure, and they should wear loose-fitting, comfortable clothing that they can easily pull on after the surgery without straining their abdomen.
Aftercare will depend in part on the invasiveness of the surgery, whether laparoscopic or open; the type of anesthesia; the patient's age; and his or her general medical condition. Immediately after the procedure, the person will be taken to the recovery area of the surgical center, where nurses will monitor the patient for signs of excessive bleeding, infection, uncontrolled pain, or shock. Hernia repairs are usually performed on an outpatient basis, which means that the patient can expect to go home within a few hours of the surgery. Adult patients, however, should arrange to have a friend or relative drive them home. If possible, someone should stay with them for the first night.
The nurses will provide the patient with instructions on incision care. The specific instructions will depend on the type of surgery and the way in which the incision was closed. Sometimes a see-through dressing is placed on the wound that the patient can remove about three days after the procedure. It may be necessary to keep the dressing dry until some healing has taken place. Very small incisions may be closed with Steri-strips rather than sutures.
Esther Csapo Rastegari R.N., B.S.N., Ed.M., The Gale Group Inc., Gale, Detroit,