Endocrine Surgery -- Pancreatic Surgery

This section includes... Important Information about your pancreatic operation
	WHAT WILL BE DONE BEFORE THE OPERATION? WHAT CAN I EXPECT AFTER THE OPERATION? WHAT WILL I NEED TO KNOW TO GO HOME? HOW LONG DOES IT TAKE FOR MY INCISION TO HEAL? WHAT ARE THE RISKS OF PANCREATIC SURGERY?

WHAT WILL BE DONE BEFORE THE OPERATION?

A Preoperative Clinic Visit Will Include:

A History and Physical Examination:
It is important to know your full health history and any and all of the medicines you take. Depending on your other medical problems, you may need to be seen by another specialist before your operation.

Bloodwork and Tests:

According to your age, medical condition, and the type of surgery planned, you may be asked to have an EKG (heart tracing), chest x-ray, or blood work before your surgery.

Instructions for You and Your Family: We will explain what to expect on the day of surgery and answer any questions that you may have, including:

Where to park
What to bring
When and where to report

We will also give you written information with maps and phone numbers. A doctor will explain the surgery and you will be asked to sign a Consent to Surgery form.
Anesthesia Evaluation: The anesthesiologist will see you on the morning of surgery if you are generally in good health. If you have any serious medical conditions, we will send you to our Preoperative Anesthesia Clinic. Your record is then reviewed and the type of anesthesia is planned in advance

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WHAT CAN I EXPECT AFTER THE OPERATION?

How Long Will I Be In The Operating Room?
You will be in the operating room for about 2 - 5 hours with at least another 1 - 2 hours in the recovery room afterwards.

How Long Will I Be In The Hospital?

Your hospital stay will depend on the extent of your surgery and may be up to 7-10 days in length if the surgery is extensive.

After Your Operation

You will have a call light handy - let the nurse know if you need something!

It is normal to feel tired, groggy and weak from the effects of anesthesia. Do not get out of bed by yourself! Ask for help.

When you are feeling steady, you will be encouraged to sit and walk frequently. Your recovery is hastened by increased activity out of bed.

You will have medicine available to control your level of discomfort. Initially, this is administered through an I.V. pump that you can control or a special catheter in your back which controls the pain sensations in your nerves.

You will have a small device to help you practice deep breathing after your operation. This will decrease the chances of fever and pneumonia.

After any drainage tubes are removed, you may shower as usual. The incision may be gently washed, not scrubbed, with mild soap and water. Pat the area dry.

You may have a nasogastric tube (NG tube) which drains fluid from your stomach until your intestines are functional again.

Initially, you will not be able to eat and you will be given I.V. fluids to keep you hydrated. After your intestines are functional (usually a few days) you will begin drinking fluids and then progress to normal food.

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WHAT WILL I NEED TO KNOW TO GO HOME?

A nurse will review discharge instructions with you and give you written information to take home.

You will be scheduled to see your surgeon in 1-3 weeks after your operation. This will be in the same clinic in which you were seen before your admission (Taubman Center / Reception Area F).

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HOW LONG DOES IT TAKE FOR MY INCISION TO HEAL?

Your incision(s) will be watertight in about 24-36 hours allowing you to shower carefully if you don't have any plastic drainage tubes in place. The incision normally heals fully within a few weeks. There is also swelling and a feeling of firmness under the incision that may last for a couple of months. If you have surgical staples closing your wound, these will be removed by 14 days after your operation.

Most scars are most noticeable 1 - 2 months after operation and gradually become less so after several months. Until that time, you may notice the color is more red than surrounding skin. This is normal and will improve.

Your incision will also involve a variable amount of muscle tissue under the incision which is sutured together at the end of the operation. This also takes a few weeks to heal and should not be strained. Your surgeon will give you specific recommendations about activity and weight lifting limits.

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WHAT ARE THE RISKS OF PANCREATIC SURGERY?

General Risks of Any Operation

Modern surgery is quite safe, but always entails some risk. Surgical complications are more likely in the elderly or in people with serious medical illnesses. Please inform your surgeon if you have previously had any of the following problems or believe you may be prone to them. General risks of undergoing an operation include:

Heart and circulation problems such as heart attack or blood clot formation. Clots which form in the legs can move to the lungs and cause life-threatening problems.

Bleeding during the operation is a possibility as the pancreas is served by many small and large arteries and veins. The need for blood transfusion is a possibility especially extensive operations.

Wound infections are not common, but may be more likely in people with diabetes or steroid therapy.

Fluids and enzymes can leak from the remaining pancreas and form collections that can become infected.

Other infections such as bronchitis, pneumonia, or urinary infections can develop after a general anesthetic and operation.

Any surgical incision in the abdomen may be at risk of developing a hernia long after the operation.

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