Hospitalization

Hospitalization

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If a surgical treatment of obesity is decided upon together with you, the surgeon will plan an operation date in consultation with you. An admission is planned the evening before or the morning of the operation. In consultation with the general practitioner and the anesthetist, it will be determined whether your home medication needs to be adjusted before the operation. In patients with diabetes, the sugar level will be strictly monitored during the course of the admission and the endocrinologist will be involved if necessary.

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Day of surgery

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You will be prepared for the operation in the nursing ward, after which you will be taken to the operating room. All information will be reviewed with you before the procedure.

 

After the operation you will stay in the recovery ward for a few hours, after which you will be transferred to the surgical ward. In some cases, such as a history of serious heart or lung problems or if there is severe sleep apnea, it may be decided in consultation with the anesthetist to admit you to the intensive care unit for one night for observation.

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After the procedure, we will ensure that you are comfortable and pain-free.

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Further hospital stay

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After the day of the operation, you will in remain in the hospital for one or two days after a primary gastric bypass or gastric sleeve operation. In the event of problems or if you do not feel comfortable leaving home, the admission will be extended as long as necessary. Also, in revisional surgery , the stay can be extended somewhat depending on the type of surgery performed and its complexity.

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The following schedule is followed during the recording:

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Day 1 after surgery:

 

* Clinical research

* Control blood draw

* Start drinking

* The dietician will visit you and go over the postoperative diet again. During the day, liquid nutrition is started

* You are encouraged to sit up in the seat and walk around a bit. This reduces the chance of blood clots forming and improves lung function. The physiotherapist will also come by and let you perform a number of exercises.

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Day 2 after surgery:

 

* Clinical research

* Control blood draw

* The liquid diet schedule will be expanded further.

* The physiotherapist will visit you to continue practicing

* If clinical examination and blood test are reassuring, you may leave the hospital if you are pain-free and the dietary intake is successful.

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Medication upon discharge:

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* Gastric acid inhibitors (PPI's): these should be taken 1x/day for 3 months after a gastric bypass and 1 year after a sleeve gastrectomy.

* Pain medication

* Syringes with blood thinner to prevent the formation of blood clots in the legs. These should be administered up to 3 weeks after surgery. A certificate for a home nurse is provided for this.

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Check-up with GP

 

A first check-up with the general practitioner is scheduled 1 week after discharge from the hospital. In addition to a wound check, the GP also checks whether there are no other problems. The wounds are sutured with a self-dissolving thread, the knots of which are located on the inside of the wound. No sutures need to be removed. If the GP deems it necessary, our departement will be contacted.

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