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The Year of the Surgery

SliderSlider Registered User regular
edited January 2010 in Help / Advice Forum
I'm having surgery on my right kidney to fix a problem that is being caused by a congenital lesion. The surgery is referred to as "Laparoscopic Robotic Dismembered Pyeloplasty." This will be the first time I have gone under the knife...or under the robot.

I go to the gym fairly regularly and, ideally, would like to be back lifting weights within 3-4 days of being released from the hospital. Is this realistic?

I'm also worried that the surgery will somehow damage my muscle tissue and possibly lead to deformities in the tissue and structure.

Basically, if any of you have had surgery, what should I expect?

Slider on

Posts

  • Lord YodLord Yod Registered User regular
    edited January 2010
    Google brought up this page, which seems to indicate that the procedure doesn't involve any large incisions, so you'll probably be okay on the muscle tissue front. It also indicates that this type of procedure is used to facilitate faster recovery times, so while 3-4 days may be overly optimistic you should be back to the gym fairly quickly.

    However, I am not a doctor, and this is something you should really be asking your surgeon.

    Lord Yod on
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  • MidshipmanMidshipman Registered User regular
    edited January 2010
    Laparoscopic means that the surgery is minimally invasive. They basically poke a hole in you (usually about a 1/4 or smaller) and stick a probe through that hole that goes to work on your insides. Obviously your surgen/doctor will be the authority on what your recovery time and acceptable activity levels will be, but it is quite possible that you will be capable of mild weight lifting within the week. I imagine that they try and avoid poking the hole through muscle tissue when possible.

    Midshipman on
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  • matt has a problemmatt has a problem Points to 'off' Points to 'on'Registered User regular
    edited January 2010
    Midshipman wrote: »
    Laparoscopic means that the surgery is minimally invasive. They basically poke a hole in you (usually about a 1/4 or smaller) and stick a probe through that hole that goes to work on your insides. Obviously your surgen/doctor will be the authority on what your recovery time and acceptable activity levels will be, but it is quite possible that you will be capable of mild weight lifting within the week. I imagine that they try and avoid poking the hole through muscle tissue when possible.
    It's usually 2-3 holes, one for the camera/light probe and one or two for instruments, but the incisions are at most 1 inch. I doubt you'll be lifting weights in 3-4 days though, you don't want to pull any stitches.

    matt has a problem on
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  • RetoxRetox Registered User regular
    edited January 2010
    I had my appendix out Laparoscopically and I think I was out of the gym for maybe a week and a half. They'll tell you not to do anything too strenuous after, but you'll almost certainly have a follow up with your surgeon a week or so later, and you can ask him then.

    As far as muscle damage I seriously doubt it, unless something goes wrong. The incisions are super small, I can hardly see my scars now.

    Retox on
  • SliderSlider Registered User regular
    edited January 2010
    I researched the procedure, but unfortuntately I have no point of contact with whom I'm able to direct the majority of my questioning to.

    I may be a special case, being that my medical expenses will be covered through Project Access. It's oddly gratifying not being required to pay for examinations, tests, doctor visits and even surgeries.

    Nevertheless, I still forsee pulling a few stiches while doing deadlifts or squats.

    Slider on
  • elmoelmo Registered User regular
    edited January 2010
    or, you know, follow your doctors order. hernia could be a possibility if you overdo it, not sure how likely it is to happen with just some small incisions tho

    quick edit; pulling stiches can lead to ugly ass scars aswell, got a nice one on my stomache after a little pulling, ugly as sin.

    elmo on
  • matt has a problemmatt has a problem Points to 'off' Points to 'on'Registered User regular
    edited January 2010
    Slider wrote: »
    I researched the procedure, but unfortuntately I have no point of contact with whom I'm able to direct the majority of my questioning to.

    I may be a special case, being that my medical expenses will be covered through Project Access. It's oddly gratifying not being required to pay for examinations, tests, doctor visits and even surgeries.

    Nevertheless, I still forsee pulling a few stiches while doing deadlifts or squats.
    Uh, pulling stitches isn't like picking a scab, or yanking off a band-aid. It's a screaming, tearing, bloody, awful ordeal that results in you going back to the hospital to have the hole in your body sewed back up.

    matt has a problem on
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  • SliderSlider Registered User regular
    edited January 2010
    Slider wrote: »
    I researched the procedure, but unfortuntately I have no point of contact with whom I'm able to direct the majority of my questioning to.

    I may be a special case, being that my medical expenses will be covered through Project Access. It's oddly gratifying not being required to pay for examinations, tests, doctor visits and even surgeries.

    Nevertheless, I still forsee pulling a few stiches while doing deadlifts or squats.
    Uh, pulling stitches isn't like picking a scab, or yanking off a band-aid. It's a screaming, tearing, bloody, awful ordeal that results in you going back to the hospital to have the hole in your body sewed back up.

    Good point. I was just reminded of a time a long ago when I had stiches above me eye to sew up a cut. Getting those suckers out hurt like a bitch.

    Slider on
  • Casual EddyCasual Eddy The Astral PlaneRegistered User regular
    edited January 2010
    you can't talk to your surgeon about this?

    Casual Eddy on
  • JasconiusJasconius sword criminal mad onlineRegistered User regular
    edited January 2010
    I've had laparoscopic surgery before.

    Unless the cut is bigger than mine, you won't even have stitches. You'll either have surgical staples or surgical glue.

    You'll probably be out of the hospital in 1-3 days (I was out the next morning) unless you have a fever in which case you'll be monitored for up to 5 days.

    You won't be able to do any weight lifting that uses those abdominal muscles for at least a week. You'll be very sore and on pain meds for a couple of weeks.

    Jasconius on
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  • lunarislunaris Registered User regular
    edited January 2010
    you can't talk to your surgeon about this?

    Yeah, the internet is not a place to ask about recovery times. You really shouldn't try to push it though, as far as getting to the gym early. Just kick back with the inevitable pain meds they supply you with for however long is recommended.

    lunaris on
  • KalkinoKalkino Buttons Londres Registered User regular
    edited January 2010
    I had some stomach surgery done via laparoscopic method (iirc) - I think I was in recovery for several weeks (3 or 4, I forget), so clearly it can vary substantially just looking at the posts above.

    Kalkino on
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  • SliderSlider Registered User regular
    edited January 2010
    you can't talk to your surgeon about this?

    Nope.

    Slider on
  • CerpinCerpin Registered User regular
    edited January 2010
    I had a kidney transplant 6 weeks ago, the incision was basically the entire left side of my abdomen, about 9 inches long. My doctor told me that I'm fine to go back to the gym now. So although your 3-4 days might be a bit optimistic, you should definitely definitely be fine much quicker than I am. The best thing though is to talk to your doctor, I can't believe that you won't get the opportunity to ask any questions at all.

    Cerpin on
  • halkunhalkun Registered User regular
    edited January 2010
    Slider wrote: »
    you can't talk to your surgeon about this?

    Nope.

    What, does he speak a different language than you? I'm not understanding this. You aren't getting any consultations? Work ups? Chatting with any nurses? Do they blindfold you and take you to a room where PAs are dressed in burkas and the doctor stands silent wearing reflective goggles and a surgical mask?

    halkun on
  • The CatThe Cat Registered User, ClubPA regular
    edited January 2010
    Quote from my medically trained flatmate: "You've got to be fucking kidding me!" He's a smart dude, you should listen. And I censored his quote for niceness ;)

    The cuts themselves aren't likely to be a big deal long-term, but don't kid yourself: slicing in that deep is not like skinning your knee and you will be sore and weak for a while. In addition, the general anaesthetic and whatever antibacterials they give you may knock you around. Frankly, you're being a damn fool if you're not even willing to give yourself a couple of weeks to rest up from any abdominal surgery, especially one involving a knockout. You will be sore and sorry for yourself. Listen to your body, take the nice pills, and watch some TV.

    You're presumably young and relatively fit, besides the munted kidney. You won't turn into a sphere if you rest a little after having your guts altered. Think worst-case: lift too much and hurt yourself, vs. don't lift and get a little edgy and bored, plus maybe put on a few pounds if you overindulge in comfort foods.

    Cut yourself some slack, respect your body. If you get stir-crazy, go for a walk or do all those annoying little household chores/tasks you've been meaning to but haven't.

    The Cat on
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  • nukanuka What are circles? Registered User regular
    edited January 2010
    I don't see the harm in not going to the gym for a week or two. Surgery is serious business! You just said you remember the last time you had stitches, just wait it out.

    Also this is strange that you can't find someone to ask questions to, what are they actually going to sell your organs on the black market or something?

    nuka on
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  • elmoelmo Registered User regular
    edited January 2010
    wont you be getting stiches on your kidney aswell? trust me, you do not want to pull those.

    elmo on
  • SliderSlider Registered User regular
    edited January 2010
    Cerpin wrote: »
    I had a kidney transplant 6 weeks ago, the incision was basically the entire left side of my abdomen, about 9 inches long. My doctor told me that I'm fine to go back to the gym now. So although your 3-4 days might be a bit optimistic, you should definitely definitely be fine much quicker than I am. The best thing though is to talk to your doctor, I can't believe that you won't get the opportunity to ask any questions at all.

    It sounds like you had an "open" surgical procedure. Yeah, those take a while to heal.

    I don't have a doctor right now.

    Slider on
  • lifeincognitolifeincognito Registered User regular
    edited January 2010
    You only have two kidneys and you really do not want to live with only one by getting active too early after the surgery.

    Contact the physical therapy department of the hospital you are having the surgery at and ask one of their therapists to talk to you about recovery time and physical activity associated with this sort of procedure.

    While the people here at PA are a smart bunch, with even smarter friends it seems, medical advice is best taken from the person directly involved with your case as there may be details missing. From the first article I grabbed about Pyeloplasty from Google makes it seem that you really do not want to be doing much after this surgery. It seems to directly affect your ability to urinate and apparently urinary tract infections are common as are an increased need to urinate along with potential complications from the associated pain meds. So depending on the severity of this and how well the procedure is carried out you could be in better or worse shape after the surgery.

    I realize the article is UCSF, obviously not your hospital, and about children, but it still suggests to me that you should just lay low after the surgery, as everyone else has said prior. Besides it sounds like the kids even have it rough with recovering and they heal fastest out of all of us.

    lifeincognito on
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  • PracticalProblemSolverPracticalProblemSolver Registered User regular
    edited January 2010
    Slider wrote: »
    I researched the procedure, but unfortuntately I have no point of contact with whom I'm able to direct the majority of my questioning to.

    I may be a special case, being that my medical expenses will be covered through Project Access. It's oddly gratifying not being required to pay for examinations, tests, doctor visits and even surgeries.

    Nevertheless, I still forsee pulling a few stiches while doing deadlifts or squats.

    It's good to see doctors donating their time to a worthy cause: a gymrat who'll end up right back in the hospital because free surgery fucks with their time at the gym.

    This is a one time thing, you can live without doing squats for a week or two. When you get the surgery they'll probably tell you around ten times, don't do any strenuous activity for X days. Do that. Doing anything else is an insult to the people who're paying for your health care.

    PracticalProblemSolver on
  • FatsFats Corvallis, ORRegistered User regular
    edited January 2010
    You're going to have 3 or 4 incisions through the abdominal wall, raising your intra-abdominal pressure with some squats before those heal sounds like a quick way to give yourself a hernia.

    Fats on
  • NarianNarian Registered User regular
    edited January 2010
    Why do you want to go back to the gym so fast after surgery?

    Narian on
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  • BelruelBelruel NARUTO FUCKS Registered User regular
    edited January 2010
    Narian wrote: »
    Why do you want to go back to the gym so fast after surgery?

    some people are gym addicts, my mom is one. she becomes... unpleasant if she doesn't get to work out at the gym for at least 4 hours a day.

    notice i said at least. she constantly injures herself there by working her body too hard, but she is terrified of being fat again, and just can't hold still if she doesn't go.

    so to some people it is really really important to be able to go to the gym, even if it is only because they get antsy if they don't.

    Belruel on
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  • SliderSlider Registered User regular
    edited January 2010
    Belruel wrote: »
    Narian wrote: »
    Why do you want to go back to the gym so fast after surgery?

    some people are gym addicts, my mom is one. she becomes... unpleasant if she doesn't get to work out at the gym for at least 4 hours a day.

    notice i said at least. she constantly injures herself there by working her body too hard, but she is terrified of being fat again, and just can't hold still if she doesn't go.

    so to some people it is really really important to be able to go to the gym, even if it is only because they get antsy if they don't.

    Yeah, I just start to feel fat and lazy when I don't go.

    Slider on
  • The CatThe Cat Registered User, ClubPA regular
    edited January 2010
    Belruel wrote: »
    Narian wrote: »
    Why do you want to go back to the gym so fast after surgery?

    some people are gym addicts, my mom is one. she becomes... unpleasant if she doesn't get to work out at the gym for at least 4 hours a day.

    notice i said at least. she constantly injures herself there by working her body too hard, but she is terrified of being fat again, and just can't hold still if she doesn't go.

    so to some people it is really really important to be able to go to the gym, even if it is only because they get antsy if they don't.

    The case you describe seems to be a pretty clear case of a compulsive disorder, but physical activity is a necessity for anyone. Getting 'antsy' after a period of sedentary behaviour is dead normal, and not to be equated with compulsive exercising. Visiting a gym is just one of the common ways people in sedentary jobs/lifestyles find time to address their body's requirements.

    None of which changes the fact that the OP needs to give it a rest until the holes in his body close up properly, of course.

    The Cat on
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  • MegaPureiboiMegaPureiboi Registered User regular
    edited January 2010
    I had a kidney transplant about a year and a half ago, hurt like a bitch.
    The doctor will most likely say you cannot lift over x amount for x amount of time.

    (mine was also the right side of my abdomen and it hurt to laugh for a month after the surgery)

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  • DarkewolfeDarkewolfe Registered User regular
    edited January 2010
    Here's what you do. When you go in for the surgery, as they are prepping you, you ask the surgical resident or surgeon, one of which will absolutely be there to at least mark you pre-surgery, how long you need to wait till you work out. If it really is, as you say, that there will be some mystical force preventing you from asking a surgeon, you don't work out for at least two weeks, because that's how surgery usually works.

    If you go to work out immediately following surgery without the express blessing of your surgeon or nurse, you are a freaking idiot and face the real possibility of screaming, excruciating pain and follow-up surgery. Especially surgery to your core muscles, which are involved in just about every form of weight-lifting there is.

    Darkewolfe on
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