Hernias & Gallstones

Complete management, Diagnosis, Treatment and Surgery

Mr Elijah Ablorsu MD, FRCS, FEBS


After hernia surgery

Usually patient is discharged home the same day.  Initially after surgery the patient can face some pain and for that reason painkillers are prescribed; and we advise to take them on regular basis for the first 2-3 days.

Wound management

Before you are discharged home the wound is checked by a nurse and covered with waterproof dressing. We recommend keeping this wound cover on for at least 3 days. We are using absorbable skin sutures, so they do not need to be removed. In addition, you can have a shower immediately after surgery but avoid a bath for 7 days.

Driving and travelling

You can drive as long as you are comfortable, able to perform emergency stop and reverse without any discomfort. It usually takes 7-10 days. However we do strongly recommend contacting your insurance company. After the same period you can travel or fly.

Rehabilitation following inguinal hernia repair

Key remainders of recovery:

   1.  Every body heals at a a different pace. It takes time. Be patient.
   2.  Listen to your body. If you experience pain or weaknes, give yourself rest.
   3.  Slowly build up intensity of physical activities and exercise.

Day 1 after surgery:
   •  To overcome the effect of anesthesia
   •  Control post-operative pain and fatigue
   •  To avoid straining at stool

   ♦  Rest
   ♦  Regular oral pain medication
   ♦  Start indoor activities
   ♦  Adequate fluid intake (more than 2l/day) and high fiber diet


Week 0-2
   •  Prevent wound infection
   •  Control post-operative pain
   •  Return to normal activities      

   ♦  Basic activities of daily living (avoid lifting > 10kg)
   ♦  Self-monitoring of body temperature, swelling at surgical side, urination                   problem
   ♦  Oral pain control as required
   ♦  Wound dressing removal
      •  Exercise:Gentle stretching (adductors, trunk rotation)
      •  Walking 15-30 min twice a day (at a beginning avoid stairs)

Important: careful self-monitoring, progress activities only if not pain!!!

Week 2-4
   •  To prepare return to non-strenuous work
   •  Build up
   ♦  Normal activity of daily living
   ♦  Return to non-strenuous/sedentary work
   ♦  Exercise:
       •  Cardiovascular
            ·  Walking  > 30min
            ·  Bike (easy gear, progressing from 15 to 30 min)
            ·  Swimming (if wounds healed)
       •  Stretchin
       •  Strengthening (dynamic core program, focus on spine and breathing) 

Week 4-8
   •  To prepare to return to work
   •  Full physical activities
   ♦  Continue Stretching and Cardio program
   ♦  Begin dynamic sports (football, golf, rocket sports, running)
   ♦  Start advanced strength program
Important: if you feel some pain the next day when exercise, avoid sport until that has cleared and then reassume at the same intensity!!!

Copyright 2013 Elijah Ablorsu

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