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  • Discharge Instructions for Open Appendectomy (Appendix Removal)

    You have had a procedure known as 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 incision (about 2 to 3 inches long) was made in your lower right side. A longer incision may have been used if the appendix ruptured. Here are guidelines to follow at home.

    Incision Care

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

    • Shower as usual.

    • 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.

    • Leave the Steri-Strips (little white strips of tape) in place for 10 days.

    Diet

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

    • Take a fiber-based laxative, such as Metamucil, if you are constipated.

    • Eat a bland, low-fat diet, such as the following:

      • 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

    • 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.

    • Gradually increase 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 medication.

    • Don’t lift anything heavier than 10 pounds until your doctor says it’s okay.

    • Limit sports and strenuous activities for 1 or 2 weeks.

    Follow-Up

    Make a follow-up appointment as directed by our staff.

    When to Call Your Doctor

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

    • Swelling, oozing, increased pain, or unusual redness around the incision

    • Fever of 100.4°F or higher

    • Increasing abdominal pain

    • Severe diarrhea, bloating, or constipation

    • Nausea or vomiting