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    Discharge Instructions for Open Appendectomy (Appendix Removal)

    You have had an open appendectomy to remove your appendix. The appendix is a worm-shaped hollow pouch attached to the beginning of your large intestine. During an open appendectomy, one cut (an incision about  2 to  4 inches long) was made in your lower right side. A longer incision may have been used if the appendix burst. Here are guidelines to follow at home.

    Incision care

    Tips for taking care of your incision include: 

    • Wear loose-fitting clothes. This will help you be more comfortable and cause less irritation around your incision.

    • Shower as instructed by your healthcare provider.

    • Gently wash around your incision with soap and water.

    • Don’t bathe or soak in a tub or swim in a pool until your incisions are well healed and your healthcare provider says it's OK.

    • If your incision was closed with small, white strips of tape, don't pull them. They will fall off on their own in about a week.

    Diet 

    Diet tips after your appendix was removed: 

    • Drink 6 to 8 glasses of water a day, unless directed otherwise.

    • Take a fiber-based laxative if you are constipated. You may also use a stool softener to prevent constipation.

    • Eat a bland, low-fat diet at first. Slowly progress to a regular diet as instructed. Foods include:

      • Mashed potatoes

      • Plain toast or bread, crackers

      • Soup

      • Plain spaghetti

      • Rice

      • Macaroni (plain or with cheese)

      • Cottage cheese

      • Pudding

      • Low-fat yogurt

      • Low-fat milk

      • Canned fruit (except pineapple)

      • Very ripe bananas

    Activity

    Follow these tips for activities: 

    • If you had general anesthesia, don’t operate machinery or power tools, drink alcohol, or make major decisions for at least the first 24 hours.

    • Slowly increase your activity level to help with your recovery. Start by doing light activities around your home once you feel able to do so.

    • Don’t drive until you are no longer taking prescription pain medicine.

    • Don’t lift anything heavier than  10 pounds until your healthcare provider says it’s OK.

    • Limit sports and strenuous activities for  1 or  2 weeks. or as directed by your provider.

    When to call your healthcare provider

    Call your healthcare provider right away if you have any of the following:

    • Swelling, oozing, more pain, or abnormal redness around the incision

    • Fever of  100.4°F ( 38°C) or higher, or as advised by your provider

    • Chills

    • Increasing belly pain

    • Severe diarrhea, bloating, or constipation

    • Upset stomach (nausea) or vomiting

    • Trouble breathing or shortness of breath

    • Leg swelling

    Online Medical Reviewer: Jen Lehrer MD
    Online Medical Reviewer: L Renee Watson MSN RN
    Online Medical Reviewer: Rita Sather RN
    Date Last Reviewed: 2/1/2022
    © 2000-2024 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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    Southern New Mexico
    Surgery Center

    2301 Indian Wells Rd. Suite B
    Alamogordo, NM 88310
    www.snmsc.org

    Phone: 575.437.0890
    Fax: 575.437.0905
    Email: info@snmsc.org

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