Early Mobilization?

, how many hours can early mobilization be done after Laparatomi surgery? Is 6 hours postoperative allowed to do early mobilization?

1 Answer:

Hello Silvia,

Thank you for the question.

Laparotomy is a surgical operation in the abdominal cavity. This operation is often intended as a diagnostic and therapeutic effort for various disorders of the abdominal organs, such as digestive organs (for example the stomach, liver, intestines), urinary organs (eg kidney, bladder), reproductive organs (for example the uterus, fallopian tubes, ovaries) , etc. Laparotomy is performed under general anesthesia. After being sedated, the doctor will cut the skin and muscles in the abdomen so that the organs inside can be explored more clearly. Furthermore, the problem in the abdominal cavity will be handled properly, then suturing back to the muscles and skin that was originally slashed.

Post laparotomy, early mobility is needed to speed healing. With early mobility, the risk of patients who have undergone laparotomy to experience blood clots will be smaller, blood circulation will be smoother, and respiratory function will return to optimal. In this way too, side effects that often arise due to general anesthesia, such as dizziness, tingling, constipation, nausea, vomiting, and difficulty adjusting the balance can be handled early. In general, after the patient is conscious of anesthesia and the patient's vital signs (blood pressure, heart rate, breathing frequency, and body temperature) are declared stable, early mobilization is permitted. This condition is generally achieved after 6-8 postoperatively. This early mobilization can be done starting from doing simple breathing exercises, changing the lying position to be tilted right or left, also straightening the head to the stomach as high as 30 degrees - 45 degrees - and so on gradually. Furthermore, patients can begin to be taught to stand, walk, and do other light activities, of course by staying watched.

However, it also needs to be understood, that the recommendations for early immobilization cannot always be generalized to every patient. Because, not only the type of surgery, this can also be influenced by the patient's general health condition. Therefore, only armed with a brief description like this, it is certainly not right for us to explain in detail this. More precisely, you consult your questions directly with your doctor, anesthetist, or surgeon who treats patients, right?

I hope this helps.

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