Laparoscopy Checklist

*Many people have read this page in preparation for their laps.  If you have any additional tips, please feel free to share them in a comment!*

This is advice that was shared with me by some of the wonderful ladies on FF.  In particular, the second section is a compilation of suggestions from many different women which another member had taken the time to collate before her own lap.  Thank you so much ladies!  I hope you don’t mind me passing it on.

I have broken the hints down by region because the same drug often has different names in different regions.

Hints from an Australian poster:

  • Pillow – take one with you to the hospital for afterwards as you will be uncomfortable with the seatbelt on your stomach.  I also used it the days afterwards to hold against my stomach in case I needed to cough.
  • Panadeine forte – I had an afternoon surgery and they did not give me the script until afterwards and by then everything was closed.  I really needed them that night, so stock up.
  • If you don’t want to take Panadeine forte, regular panadeine plus naprogesic is an alternative.
  • Arnica Tablets – to help with any internal healing.
  • Coloxyl – as you will not want to be pushing down for a while.
  • Stock up on De-gas for the gas pain.
  • Sanitary pads – if you don’t already use them as you won’t be able to use tampons for a while due to infection risk.  I did spot for about a week because of the hysteroscopy.
  • Spare dressings – as they initially were quite mucky and I still needed something on them.
  • Remember to give yourself time to heal.  Some people heal quickly while others might take a bit longer; a lot depends on how much they remove.  I did underestimate this, but it was definitely all worth it.

Hints from an American poster:

  • These are all the posts I read before my surgery.  I left in the repeats because they helped me to see which ones were helpful for more than one person.
  • I found a heating pad (to ease the discomfort of the gas in your shoulder/back area), a soft place to sleep (the firmness of my mattress was very uncomfortable at first) and a wonderful friend to help me go to the bathroom, take a shower and braid my hair (so it was out of the way) to be indispensible!
  • The worst part for me was the constipation afterwards, be careful what you eat in the first few days after surgery.
  • Fortunately someone (maybe on this site) DID suggest wearing a loosefitting-waistbandless dress rather than pants.  It was probably the best idea.  It was very comfy and I did not have anything tight around my abdomen (which was rather bloated).  Also, someone suggested bringing your own pads to wear home because the hospital pads are rather uncomfortable (of course, most are).  It was a good suggestion.
  • I think the most useful thing for my post-surgery recovery was having someone around.  The first few days are especially tough because you’re sore and gassy.  I remember my middle section being very sore, so it was VERY helpful to have someone to help lift me out of bed.  This made moving much less painful.  I also think it’s great to have someone there to rub down your upper body.  I remember the gas being up in my shoulders.  It felt good to have someone lightly rub my back and shoulders.
  • I second the idea of loose pants.  I went out to Old Navy beforehand and bought three pairs of size-up drawstring pants and t-shirts.  I LIVED in those while I was recovering.  They were fabulous!
  • Hold a pillow over your abdomen if you have to cough or laugh.
  • Take whatever pain medication your doc gives you.  If you start to hurt, don’t try to tough it out–go ahead and take the pain pill or you’ll probably just hurt worse later.
  • My doc told me that drinking wine would help ease the gas pain.  I didn’t try it, but thought I would share.
  • I set up a ‘nest’ for myself in the living room for the first two days after so I could rest comfortably, yet still have things to do (books, TV remote, laptop).  Also, if you have a 2-story house, a walkie-talkie (baby monitor might work too) works great so you don’t have to yell back and forth if you need something.
  • I don’t know why, but Jell-O tastes great after surgery.  Probably because I had a sore throat from the tube they put down my throat.  ***great for drymouth, too!
  • Having a small pillow in the car to hold over my tummy on the ride home would have been nice.  I didn’t realize how many bumps there were in the road between the hospital and the house!
  • I also went the Old Navy drawstring pants route, which was good because I was pretty bloated at first.
  • Have someone around as much as possible the first few days.  You will need some help getting in and out of bed, off the couch, etc…
  • Stockpile some movies, books, magazines, whatever for the recovery time.  Make it a wide variety because you never know when you’ll get sick of one thing and want something else.
  • Definitely keep a heating pad close by just in case.  Make sure your resting area is close to an outlet!
  • Don’t be afraid to take the pain meds.  You’re not a wimp if you need them.
  • Bring a pillow with you to hold over your tummy on the ride home.  Also, bring one of your own pads from home.  The hospital ones are not comfy.
  • Loose drawstring pants are great for the post-surgery trip home.  After that, long nightgowns are a great choice.
  • Don’t overdo it too soon.  You’ll be surprised how you can tire easily even two weeks or more after the surgery.  Listen to your body and ask for help when you need it.
  • I would just add – listen to your body and go at your own pace.
  • My Dr. said I would feel fine within a couple of days.  A week later I decided it was time to move on, so I went out with friends for lunch and could hardly walk I was in so much searing pain.  It felt like opening internal wounds – sorry if that’s TMI.  Your recovery will have much to do with how much endo was removed, what surgery techniques were used, etc.  So be prepared to rest until your body is fully healed.  It’s not worth making your recovery longer than it has to be.
  • I was worried about the gas pain.  Someone suggested to me to take some over the counter gas meds and it would help.  I bought some GasAid to take.  I never had any pain from the gas.  I don’t know if it was from the GasAid or what but I would use it again if I needed another lap
  • Cancel all appointments ahead of time for one week following surgery.  If not more.  It takes time to fully recover.  Even if you feel “up” to it, you really need to rest as long as possible!  And after that week, keep commitments very light.
  • Try not to catch a cold ahead of time.  Don’t get so stressed jamming your whole life in before surgery that you catch a cold.  Coughing during the post-surgery recover is NOT FUN!!!  (but not harmful either – nurse told me to just hold a pillow against my abdomen when coughing to ease the pain).
  • Drink lots of fluids!
  • Bring VERY comfortable clothes with you to the hospital for the car ride home.  Also, this is kind of silly advise, but I remember during the car ride home I felt “unstable”, like I was going to fall out of my car seat (which is a shallow seat, and not a bucket seat, and I felt like I was “slipping” out of it).  I wished the whole time that we had taken the other car, which has snuggly bucket seats.
  • Bring a small baggie of any food with you to the hospital that may help you with nausea.  I felt very nauseous after surgery, and the saltines and cranberry juice (all that high fructose corn syrup) that the nurse gave me made me feel even MORE nauseous.
  • The best thing for me was (and I’ve had other surgeries to compare this to)…ask for anti-nausea meds!  The anesthesiologist will be happy to draw you up your own tailored cocktail!  I was the only one in recovery that day not puking!
  • Bringing socks is a good idea.  They were the first thing I asked for in recovery.
  • A pillow is also key.  I didn’t have a problem with the car ride home, but the wheelchair trip out the hospital to the parking garage was awful!  Every time we bumped over a doorframe – ouch!
  • I asked for anti-nausea meds in my IV in recovery, but I did still feel kind of nauseated.  It was fine when I was lying down, but when I got up to pee, it would come over me.  I made it through recovery and the car ride without barfing, then barfed as soon as I got home and took a sip of ginger ale.
  • People mentioned the sore throat you get from the intubation, but I didn’t bring any lozenges and wished I had – your throat is really parched and sore.  But with the nausea, I would think that regular cough drops would be kind of icky, so maybe hard candies would work better.
  • Although I had had several IVs and several cups of ice water, I could NOT pee.  I tried several times and only a drop or two would come out.  This turned out to be because I was dehydrated, but in order for them to figure that out, they had to catheterize me (without anesthesia), which SUCKED.  Also, because I couldn’t pee, I was in there forever (like until 8pm after a 12 noon surgery).
  • I felt bloated and constipated for a couple of days – those feelings, combined with the sore throat, made me not want to eat much.  The best things were hot chicken bouillon in a travel mug and Jello.  I’d sip the bouillon in bed and read magazines.
  • The heating pad rocks!  I used this well after I stopped painkillers.
  • I used painkillers (high-dose ibuprofen + tylenol 3) around the clock for about a day and a half.  I then stopped the Tylenol w/ codeine during the day and continued with the ibuprofen (and took 1 Tylenol at night) for a few more days.
  • I felt very “sloshy” for a few days.  I kept reading in the materials I saw online that the gas allegedly leaves after two days, but I thought this was totally wrong (and from others’ posts, that seems to be the case for them as well).  I didn’t have much shoulder pain, but the gas was there for about a week, making my belly look just weird – not fat, not pregnant, but kind of distended in this strange way.  I wore sweatpants for about two weeks before I could zip up my usual pants and jeans.
  • The constipation was worse than I thought (and I am not used to it, so I may be a bigger wimp than most).  But I would, in the future, have the stool softener on hand and I would start using it basically immediately.  It sucks to be straining when you have incisions.
  • I don’t know if it’s normal for a lap or if it was just my dr.’s protocol, but I had the pleasure of doing my own betadine douche and enema in pre-op the day of the surgery.  If I would have known, I would have done an enema at home before the day of surgery, knowing I’d have to do another one when I got to the hospital, so that it wouldn’t be as traumatic at the hospital.  Just know that you may have the pleasure.
  • The enema coupled with my nerves and my cold made me sick.  Since I felt like I was about to be sick both ways, I couldn’t lay down.  Nurse gave me some fenigren (sp?).  The dr. couldn’t give me my “happy juice” until I laid down.  Finally, it was time for surgery and the nurse told me that the “happy juice” would make my tummy settle down and if I still had something that needed to come out, they would take care of it.  [:'(] I laid down and got the “happy juice”…  I don’t remember anything from that point on…
  • Anesthesia does a number on me and it took me about a week and a half before I had my energy back.
  • Pain was bearable with meds, but I was still in a lot of pain for the first few days.  I tapered my pain meds about 4 days post-op, but still needed them, especially at night.  Toridol did nothing for the pain…the percocet worked.
  • It took 10 days before I could sleep in my bed.  I could not lie flat–too much strain on tummy muscles and back muscles.  Also, it was IMPOSSIBLE to get up from laying flat without help for the first 7 days.  So I was on the couch with 4 pillows at all times.  It wasn’t till 2 weeks post-op before I could sleep on my tummy–too much strain to roll over.
  • Gas was bad, but not as bad as I thought.  Mostly, it would hurt my tummy when I would eat.  I had the appetite to eat normally, but the gas would only allow me to eat baby sized portions.  I ate gas-x like candy!  A heating pad helped a lot as well.  I didn’t have much of the shoulder pain; I also was relatively active considering Christmas was 4 days post-op.
  • I don’t know if they make the gas worse, but all I wanted was ginger ale and sprite.  Water was just gross to me.
  • First BM was awful, but the 2nd one was even worse!!!  It was the worst pain I had through the whole experience!!  But that could have been due to the location of my adhesions and the fact that it took so long to get “working”.  After the first 2, it was fine.  It took me 5 days to have my 1st BM, even with taking stool softeners every day starting 3 days pre-op.  Many days, I would take 2 with each meal.  There’s only so much they can do, I guess.
  • The pillow, loose dress and sock ideas worked like a charm.  I also found it really helpful to have someone around all the time.
  • One thing I hadn’t thought of that might help others is a stool by the bed.  Our bed is really high and I’m kinda short so I couldn’t even get into bed without the stool there…
  • Satin pj’s were also very helpful – made it easy to slide myself around and get comfortable.
  • I agree with all the pps but have to add that I wish I had more boy-short type underwear.  My normal bikini underwear hit me exactly at both incision sites — ouch.  Plus the elastic seams were really uncomfortable.  So poor DH had to do laundry every few days so I could have my favorite undies.  I also ended up buying two new pairs of looser fitting pants when I finally went back to work.  It took about 2 weeks before I could wear my jeans again.  (Anyone else get those crazy “disposable underpants” from the hospital? they were a hoot!)
  • The best thing for me was that I made up a playlist of soothing songs for my iPod.  First of all it gave me something to do in the days before my surgery to keep my mind busy.  Second I put it on pre-op just as they were getting my IV’s going and it was on during my surgery (not that I was aware of it) and as I woke up in recovery (and woke up in recovery…kept dozing and waking).  It was very soothing and dulled the usual hospital noises.
  • The other thing that was really great was I spoke to the anesthesiologist about how I was afraid of nausea because of previous reactions to anesthesia and they gave me a patch behind my ear that I could leave on for up to 3 days.  It worked to reduce dizziness and nausea.  In recovery when I did feel a little queasy, they gave me some anti-nausea meds and I never once puked.
  • Lastly, I tend to be almost as sensitive to strong pain meds as I am to anesthesia and the recovery nurse suggested that rather than take a full Vicodin (haven’t had good previous experience with Percocet), I try a half…I could always take the other half if I needed it.  Amazingly, the 1/2 worked (I tend to be on the small to average size).  Also, the recovery nurse told me that I could alternate taking Vicodin with Ibuprofen 600mg (prescription) every 3 hours as needed.  The Vicodin has the same med as Tylenol, so it works differently than the ibuprofen and together it really kept the pain at bay and by 3-4 days post-op I found I didn’t need the meds as much (I think I just was taking regular ibuprofen 200mg – usually x2).
  • Loose dresses were the best, not just for surgery day, but for recovery too.  At almost 2 weeks post-op I am just today wearing loose pants and I was far more comfortable in my loose dress (but after wearing it so many days in a row…it was time for something else)
  • Had a lap on 5/1/06 and here are my tips.  A lot are taken from what I read on this board, but I think hearing it from more than one person helps.
  • Definitely ask for anti-nausea medicine in your IV before you wake up.  I only felt sick once which was great.
  • Buy Gas-X type medicine now to have on hand.  I never had true pain from the gas.  It was more like pressure (I was on pain meds though).  When I felt the pressure, I would take the Gas-X.  It really helped.  I only had to take it twice.
  • I took a stool softener once but not sure it helped.  Drinking more fluids would have probably helped more.
  • I wore a loose dress and that was a good idea.  Less to put on when you are still groggy.  I also wore slip on shoes.
  • Make a little nest at home with magazines, books, all the remotes, phone, etc, so you don’t have to get up as often.
  • Your throat will be yucky feeling for a while, so have hard candy and popsicles around.
  • Clean your house now so you don’t think about it while laying on the couch.
  • Get several pillows ready and even a sheet on the couch if that is where you will be spending your time.
  • Have a pillow handy for riding home in the car.
  • If you have a digital or small tape recorder or you can borrow one, give it to your DH and have him tape what the doctor says after the surgery.  (I cleared this with the doc’s nurse first) DH doesn’t have to worry about remembering everything and you get to hear exactly what the doc said.
  • Panties that hit below the belly button, but not as low as bikini line are the best.  You may have extra incisions at the bikini line.
  • Have several nightshirts or over-sized shirts to lay around in.  As well as loose stretchy pants for when you have visitors.
  • Have jello, juice, and toast handy for when you get home.  You won’t be allowed much else for several hours.
  • Take your insurance card and driver’s license to the hospital and that’s it.  Leave all jewelry at home and take off any nail polish.
  • Buy easy to prepare food for when you are by yourself.
  • Before you go in print off this list and highlight tips that you think would be relevant to you.  The tips on this post helped me enormously.
  • I would add though that you should request caffeinated tea to drink after you wake up to help you urinate.  They kept pushing the IV fluids and I was pretty unhappy and almost got straight cathed until I drank a sip or two of the tea.
  • Also, magnesium pills did wonders for my constipation.  Not sure why I got so constipated, but they really helped get things moving.
  • I bought a couple of moomoos (mumus? big silly cotton dresses) and wore those after my lap for about a week – yes, I looked like a goof (or a grandma?), but they didn’t touch me at any of the incision sites.  Also, evening of/day after the lap, have some ginger ale & ginger snaps on hand – helps with any nausea from the anesthesia.
  • The suggestion I followed, but didn’t get from the doc or the hospital was to have cough drops/hard candies for afterward.  My mouth was SOOOO dry, and then they suggest eating crackers, which makes it even worse.  I sucked on those candies one after the other.  The next morning was much better, although still a bit dry.
  • Three more suggestions:
  1. Re: Constipation – Buy Activia yogurt and prune juice.  If you hate prune juice mix it with Sprite.  It very much helped me a long.  Have some each night.  Constipation seriously hurts.
  2. Re: Clothes – I bought two pairs of low rise exercise pants with wide bands.  They were soft and acted as sort of a splint.  Also, Gap bikini underpants are great, no rubbing or pressure.  I just ordered more online so I don’t have to do the laundry as often.
  3. Re: Entertainment – Because of being put under I could not read for 5 days.  My eyes would go cross eyed.  Stock up on movies you like but are not stressful (you may find you are more sensitive).  If you can read, keep it light.
  4. Re: Vanity – This may be lame…but look cute going into the hospital.  I don’t know why but it gave me more courage.  Hard without make up and such, but I had a good hair day and a cute work-out outfit.
  • Here’s my suggestions:
  1. Try to pee before you leave hospital, having a full bladder after being cath’d was not fun on the ride home.  Bumps=oww!
  2. Definitely bring the pillow for car ride home.
  3. Start taking stool softener as soon as possible, probably won’t kick in for a couple days.
  4. Try to get up and walk around at least a little a couple days post-surgery, helps in recovery (my mom is an RN, and gave me this useful advice).
  • Try to get by with just the Advil for post-op pain if you can.  The narcotic pain meds are very harsh and also contribute to constipation.
  • Also, make sure you have meals thought out *before* you go to the hospital.  I was home by myself with no one to bring meals.  It would have been helpful if I had planned ahead and either frozen meals or had a big pot of soup.
  • The one tip I would like to add is after the lap, if you lay on your couch with pillows propped behind your back then put a nice big fluffy pillow under your legs it will sure help to take the pressure off your tummy.  I also found it cozy to have a heating pad under my lower back and on my tummy at the same time.
  • Here’s my tip – Ask the doc to put some lidocaine into your diaphragm after the surgery.  Apparently, that’s where the gas gets stuck causing so much pain/pressure post-op.  My doc did this today and I swear…no pressure!  It’s such a relief considering the peeing problems I’m having!
  • Along with loose-fitting pants, I also borrowed a “belly band” from one of my friends who has had a baby.  (You know those large elastic/fabric bands that go around your waist stomach so you don’t have to button your pants?)
  • In my job, I couldn’t always wear comfy jogging or yoga pants, so I used the belly band to keep my “nice” pants up while everything was hangin’ loose underneath.  I used that darn thing for weeks after my lap and it was awesome!  Plus, it had a cute line of lace at the bottom so I didn’t always look like a total scrub, even when I felt like it!
  • One thing I’d like to add is if you have a sensitive stomach or a history of tummy issues like me, you might want to get your doc to also give you a script for anti-nausea meds for when you go home.
  • I had the anti-nausea meds in the IV both before and after surgery, pepcid in the IV before surgery and then some kind of suppository (sorry TMI) to keep me from vomiting.  Even with all that once I got home the nausea was terrible.  My doc called in a prescription for Zofram which is the only thing that helped me get over the nausea.
  • This is Day 2 after my first laparoscopy, so I am by no means an expert, but my best piece of advice is to have popsicles on hand for the sore throat you will have afterwards if you are intubated.  My throat is very sore from that.
  • Also, a heating pad is also wonderful for abdominal cramping/soreness.
  • I recommend getting a pair of Spanx (control top bodysuit) to wear AFTER the first week of recovery.  My stomach muscles were so sore I couldn’t tighten them when I walked so it feels like your stomach is shaking all over the place.  The support of the Spanx really helped me get up and moving again.
  • Had surgery TODAY and am feeling great, thanks to the percocet!  Here are just a few suggestions about the surgery.  I may come back and add suggestions about the recovery later.
  • My surgery was on a very cold day and the dress thing would not work for me.  I tried on drawstring pants at the store but found them very uncomfortable and awkward so I went with a suggestion made by a co-worker who had had 3 laps.  I bought maternity pants.  I figured that I would need them eventually and then I could wear them back to work the following weeks if the bloating had not gone down.  The belly band would also probably work.  For the actually surgery I bought a pair of maternity lounger pants (like workout material) and they were super comfy.  I also think the high waistband helped to support my stomach I thought I would tae them off as soon as I was home but found myself keeping them on.
  • The dry mouth was a huge irritation for me and the ONLY thing that I found that helped it was gelatin.  Seriously pack up on that stuff.  The throat drops or hard candy didn’t even help this and water seemed to make it worse.
  • I did ask for the anti-nausea meds and they said that they already do that.  I only felt nauseous once and really thought I was going to hurl but I just burped and was better.  The nurse that came in really helped.  She put an alcohol swap over my nose and said she learned that the smell helps settle the nausea and keeps you from throwing up.  It must have worked because I didn’t throw-up or feel nauseous again after that.
  • For those that don’t like needles, like me, ask them to numb the spot for the IV first.  I just let her know that I don’t like needles or anything that stings and how I use to have a huge fear but have gotten much better about it.  She used a very small needle that I could barely feel to numb the area and I didn’t even feel the IV go in.  It was wonderful.
  • The mesh underwear that they can give you are worth it because they are super comfortable.  Ask for these before you go.
  • Also I was told to walk around to help get the gas out and this really worked.  The more I walked the more I kept burping.  My DH was trying to get me to sit down but I felt good and didn’t end up having any gas pain (so far).

12 Responses to “Laparoscopy Checklist”

  1. […] Laparoscopy Checklist February 2010 […]

  2. I also found that a body pillow folded in half under my knees helped, as well as three pillows behind me and one on my belly at all times.

  3. Steph lee Says:

    A tip for Aussie section : de-gas is the au equivalent to gas-x

  4. Thanks for the additional tips!

  5. I have one- speak to your doctor/anaesthetist prior to surgery- if they are going to prescribe a pain med such as Endone, or anything codeine based, you will need to get correct information regarding bowel movements post op- 5 days of nothing is not very nice!

  6. I just had a laparoscopic ovarian cystectomy 4 days ago. The greatest advice my doc gave me was to “not act like princess and stay in the couch.” Just after 3 days post op I was walking thru the mall. Walking helps you recover pretty quickly and maintain some muscle tone in your legs.
    Someone mentioned it before but gas-x works wonders. I didn’t get the severe shoulder pain or any shoulder pain from the CO2 gas like most people thanks to gasx and walking. My stomach is now back to its normal size.
    Avoid bending and if you have to squat down while holding your belly button. Do this slowly.
    I only took percocet twice and stuck with my ibuprofen for pain. This was because i did not want to be constipated. Ask your surgeon for a prescription for Colace. It’s a great stool softener.i was only constipated for the first 24 hours post op.
    heating pads are great.
    having a surgeon that you trust is also key.if you have someone you trust you won’t be as worried pre op.
    drink lots of water before midnight before your surgery.

  7. This information is spot-on and golden! I’m at day 5 and the only thing I have to add is be very sure to wake up or be woken up in the middle of the night time and naps to take those pain meds on the dot, otherwise those first couple days are tough! I also had the patch behind my ear, anti-nausea in my IV and script for anti-nausea meds and never got sick. I found this site for the suggestion of a pillow on your stomach for a cough as I was sure I tore something before. Thank you all!!

  8. GREAT tips, luckily I had brought very lose fitting pyjama bottoms, I can’t yet put any undies, bra or pants on – sometimes, the gas moves up to my jawline and ear – good to do facial exercises, massage and move the shoulders.

  9. I will recommend taking colace or a stool.softner as soon as possible because I’m on day four and hella constipated. I’m suffering. I’m trying yogurt and everything. I’m lactose intolerant and nothing. Blocked. I started colace last night. Hopefully tonights dose will take effect.

  10. Amanda Neidhart Says:

    Did anyone have days of feeling energized followed by days of feeling worn out and tired. I’m talking like maybe 3 or 4 weeks after surgery. My 2 weeks of recovery weren’t too bad. Nothing I wasn’t expecting after reading posts and having family members going through the same thing. I went to work after 2 weeks and regretted it. I work at the post office and do a lot of lifting and getting up and down and having to bend over a lot. After 2 days I got home from work and had a lot of pain which felt like was coming from my bladder. The next day I was fine and went back to work. Made it another week and offered to do a 10 hour day which involved a lot of hard work the last hour 2 days later I was struck with feeling completely wiped out, nauseous, and dizzy. Missed the next 2 days of work and am now on Sunday which I have the day off. Today I have a temperature of 99 and have been achy and tired with no appetite and diarrhea. Not sure if this has anything to do with the surgery or I just have bad luck. Maybe I did too much too soon?

    • Hi Amanda. If in doubt, always check with your doctor or hospital! Full recovery from endo excision typically takes at least 3 months, so it’s normal to be easily tired during that period. I’d be more concerned about the fever and other symptoms and definitely think you should seek medical advice to make sure there’s nothing serious at play. Hope you’re feeling better soon.

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