Maintaining adequate hydration may prove challenging after bariatrics weight loss surgery due to limited capacity of fluids in the new small stomach pouch. Patients who present for surgery with undernutrition have a higher risk of post-operative complications including morbidity and mortality.1,2 ENHANCED RECOVERY AFTER SURGERY: Exercising after ostomy surgery is about patience and doing what feels right. For low-risk patients, hydration status should be optimized, and preprocedural hydration is more important than intraprocedural or postprocedural hydration. When you begin exercising again, you may run into some challenges or limitations. The Importance of Nutrition in Your Post-Surgery Recovery. When you get down to it, the importance of hydration should come as no surprise. Be patient and don’t give up. You might be surprised to learn just how much water content is in our body: Our brain is made up of 74 percent water. 75 Rodriguez et al. The Importance of Hydration Before Surgery. Water helps our blood transport nutrients, and to transport waste away from the cells. Tips to Stay Hydrated Leading up to surgery, your surgeon and dietitian have both stressed to you the importance of hydration. Surgery is a significant event for your body and experts tell us that a highly nutritious diet can support your complete recovery in several ways. Wound Healing. There are a host of reasons that staying hydrated after ostomy surgery is difficult, and as an endurance athlete my ability to stay hydrated is critical to performance. At Saunders House, we also recognize that good tasting food has its own important place in the recovery experience. dehydration) can lead to hemoconcentration and low venous flow. The Importance of Hydration Dehydration in athletes can lead to fatigue, headaches, decreased coordination, and muscle cramping. Remember Do not drink liquids after 4:00 am the morning of surgery. Important Benefits of Hydration After Bariatric Surgery. Good hydration is important for all age groups and is something for everyone to consider. 8 Low-risk patients have an eGFR ≥ 60 ml/min and high-risk patients have an eGFR ≤ 60 ml/min. Nurses need to use a validated assessment tool to assess pressure ulcer risk before and after surgery, and as the patient’s condition changes. "And water is an essential part of keeping every cell in your body working at its best," she adds. Nutrition is important in preventing pressure ulcers (NICE, 2014) and forms part of the risk assessment. It’s important to take your time and know your limits. Other important nutrients for recuperation … Staying hydrated after surgery and maintaining an optimal fluid balance within your cells is very important because it promotes overall healing. Just like the earth’s surface, which is composed of about of 71 percent water, we humans are also mostly composed of water — about 60 to 70 percent. Signs of dehydration are visible in your urine. This is extremely important after surgery because nutrition deficiencies can affect the normal recovery process and reduce your chances for maximum recovery. However, following surgery, … You also should continue the water after surgery for continued removal of these substances, as well as facilitating your healing. Water makes up 60-70 percent of our total body weight and proper hydration is essential for everything from boosting your brain power; improving your skin; to assisting in your body’s defense when injured. The incidence in those with hematocrit values >51% was 9.6 times greater than that for patients with hematocrit values <30%. 79 Furthermore, it is important to note that a significant proportion of patients are at risk of ongoing dehydration following stroke, particularly in the presence of dysphagia. Please use this handout as a reminder to the education you received prior to surgery. What are the signs and symptoms of dehydration? Nutrition and hydration are fundamental to life, and, as such, consideration must be given to the nutrition and hydration needs of every patient in the nurse’s sphere of responsibility, even if they are nil by mouth. The pre-and post-operative health of the patient is an integral part of this. Also, post-surgery patients must space meals and fluids and are advised to drink fluids up to 30 minutes before and after eating. It was just after surgery for diverticular disease, and Greg Saggio, 48, was feeling good. Dark and strong smelling urine is a clear sign that you need to drink more fluids. Water is an essential nutrient in our diet. During your procedure anesthesiologists watch your blood pressure for dips and for tachycardia which might indicated that you have a fluid deficit. The body’s ability to absorb water is often compromised after ostomy surgery, so staying hydrated is vital for all aspects of your health and well-being during this time. Only 2% of patients developed CIN after hydrating with this approach. It is not unusual for patients to feel fatigued after surgery or injury due to dehydration. Benefits of Hydration. Water also helps with muscle soreness and tension. In addition to the techniques employed by Somogyi et al, 10 hydration has been thought to play an important role in preventing DVT after plastic surgery procedures. The role of Vitamin C in surgery recovery has been researched extensively since 1937 for its role in wound healing. For example, better nutrition can: Help to replace any blood loss; Help your incisions heal Reduced hydration also interferes with healing because the nutrients needed for healing cannot get to the wounds at the surgical site. This helps us stay properly hydrated and ensures our body can function well overall, which is essential for healing after something like surgery or a medical procedure. The Importance of Hydration with an Ostomy. Water keeps your skin moisturized, which can help with sagging skin issues that are a consequence of rapid weight loss. Water lubricates your joints. Objective: This study was performed in order to evaluate postoperative hydration and lower extremity elevation as two alternative methods of aiding DVT prevention after abdominoplasty. Nurses must consider other factors that could increase the risk, such as: Length of operation; Water flushes toxins out of the body, transports nutrients into the cells and helps regulate body temperature and pH balance. It makes sense then, that if we need water on a daily basis, water must be an important element if we are trying to heal from an injury. It may seem like a simple thing, but a quick walk every hour or two can help prevent serious complications like deep vein thrombosis (DVT) and pneumonia. Post-Ostomy Surgery: Dos and Don’ts of Exercise. Posted on August 6, 2020 July 27, 2020 by Michelle Stepp. Hydration and Nutrition after Bariatric Surgery Congratulations on your recent bariatric surgery! ... "but one of the most important things after an operation is to get mobile," Whiteson says. Water removes toxins from the body. Proper hydration is essential for maintaining optimal health. Other heat-related illnesses, such as heat exhaustion and heatstroke, have even more severe consequences. Beyond Good Nutrition – Exceptional Dining. A low fluid volume state (ie. Our knees aren’t the greatest as a result of those years being obese. Ileostomy Diet & Hydration. One of my biggest fears about life after surgery was concerning hydration. Many surgeons avoid DVT chemoprophylaxis, because they are concerned about the risk of postoperative bleeding. Interestingly as a running coach (prior to my stoma surgery) I’d always recommended marathon runners drink 400ml of Dioralyte (an oral rehydration solution used to treat fluid losses through illness) the night before a race to help their bodies store fluid and electrolytes. This might be because you are losing blood or that you were not well hydrated preoperatively. The good news is that this can all be avoided with proper vitamin supplementation before and after surgery with Pre/Post-Operative IV Hydration Treatments. It can be a challenge to prevent dehydration in adults after bariatric weight loss surgery because the new small stomach pouch has a limited capacity to hold fluids. Maintaining proper hydration is essential to your healing. Water is your best option, while sports drinks, coffee, tea, milk and juice can contribute towards your daily goal of eight or more cups of fluids. This piece, reported on national radio, focused on an enhanced recovery after surgery protocol, which was pioneered over a decade ago in Europe. Bibliography. Walking after surgery is one of the most important things you can do after having a procedure. After your surgery you may find your appetite is reduced, but it is still important to eat little and often to help your recovery. For people recovering from injury or surgery, proper hydration is important to the success of physical therapy. Prevent Dehydration in Adults after Bariatric Weight Loss Surgery. Increase your water consumption to 8-10+ glasses of water per day in the weeks before, as well as weeks following your surgery. For any patient undergoing surgery, recovery and avoidance of complications are key objectives. Weight loss surgery is a big medical procedure that should not be taken lightly, and your body will be recovering from a lot. It is recommended that at least 64 oz of fluids are consumed each day to prevent dehydration, constipation, and kidney stones (1). Effective care can only be provided if the patient’s needs have been fully assessed. "If you look at our physiology, it becomes really clear. When we sweat, it is electrolytes that do the important job of keeping proper water balances both inside and outside of our cells. Children's bodies are about 70 to 75 percent water, while adults' are about 60 percent," explains Abbott research scientist Jennifer William s, MPH. After surgery, more fluids may be necessary because of wound drainage, as with liposuction. Adequate hydration is important in all walks of life, it is no exception in surgery. It is very important in the early days and weeks following your discharge from the hospital that you focus on your fluid intake to prevent dehydration and potential You should be able to eat normal foods and return back to the food you enjoyed before your surgery. DVT prevention remains an important topic in the plastic surgery community. Before long, nothing will stand in your way.