Doctor insights on:
Sternal Precautions After Open Heart Surgery
Had open heart surgery with staph 11 months ago. Should I still be having pain and numbness in the sternal area?
A little long:
Generally pain diminishes in a few months but can be aggravated by work, weather etc
numbness near any incision is not unusual and also diminishes over time as new nerves insinuate into the area-that is a bother but not a danger sign.
See your surgeon about the pain, any fever, or wound changes since you had the staph. ...Read more
Open intervention on the heart to correct congenital cardiac anomalies, repair replace heart valves, ascending aortic dissection repair, coronary bypass, heart transplant, surgical removal of heart tumors, ventricular assist devices, cox maze procedures to cure atrial fibrillation, repair of trauma to the heart. Repair of iatrogenic injuries to heart, heart-lung ...Read more
Any incision may have some bleeding- -and a hematoma may develop. This can become a seroma over time as the blood is resorbed.
Or some lymphatic s are disrupted and fluid escapes into tissue.
Tissue juices and serum can remain in a wound as well.
Most are temporary.
All are resolvable. See the surgeon. ...Read more
Ask surgeon: If you are the individual with the heart surgery, I am concerned of a more complex cardiac history. A 33 year old having undergone significant cardiac surgery should directly discuss all these matters with both surgeon and cardiologist. Diet after any surgery is discussed with specific surgeon. Coffee is often started with regular diet. ...Read more
Many reasons: There are many reasons why arteries are closed after coronary artery surgery. Remember that surgery "bypasses" and does not remove blockages. Most importantly surgery does not chnage the medical problems which caused the blockages (such as cholesterol, diabetes, hypertension, smoking, obesity, and sedentary lifestyle) and unless these are addressed the arteries will continue to close. ...Read more
Some operations are more complex, tedious, and complications.
Simple ones lead to speedy recovery in infants.
They are pliable and quick to heal. ...Read more
Well cleaned preop
excellent prophylactic antibiotics given on time
careful prep of skin
excellent surgical technique and tissue handling and careful closure
Ŕll are standard practices but there is still an incidence if infection:
etc. ...Read more
Blood clot in vein?!: This is not a common symptom following heart surgery. Of course, anyone can have any symptom, especially if you have been in bed and not using your muscles in one part of the body and they have atrophied. But one thing to rule out is dvt, i.e. Blood clot in veins of the legs. This is not uncommon in people following major surgery, cardiac included, due to inactivity and stasis of blood in the veins. ...Read more
NO.: Standard midline sternal approaches take two months to heal completely. Less invasive approaches may heal more quickly and allow for quicker return to activities and work. ...Read more
Likely be advised to: People tend to lose weight after heart surgery more so because of being advised that their bad food habits have to change for them to have a chance of a prolonged life. So if you are having surgery at age 36 then your doctors will definitely talk to you about getting cholesterol under control and any other medical issue like diabetes, stopping cigarette smoking and adding exercise to your routine. ...Read more
It varies: If indeed it is sundowning, and not something else (medications, hypoxias, infections, metabolic, etc), it should improve within days as the brain recovers and a more normal routine is instituted. Sometimes, recovery is not complete until the patient is home amidst more familiar surroundings. ...Read more
Stages: "full" recovery takes months. But I typically think of this in stages. The child is usually hospitalized ~10-14 days. Then the major portion of the recovery is complete by ~2 months (i.e. Home for ~6-8 weeks). But it will take another few months for the sternum to completely heal, etc. ...Read more
Six weeks: Six weeks if routine and no complications. ...Read more
Yes, like bone fract: The sternum is a bone & heals like any other bone. It is "fractured" (cut) at the start of open heart surgery. At the end of surgery, the sternum is usually "sewn up" using metal wires to hold the 2 parts together. Further bone healing (fusion) occurs over the course of 3-6 months (eg, as with a broken arm). Wires hold the sternum together in that time & fuse with bone as it heals. Ask surgeon. ...Read more
After open heart surgery about 5 weeks now is it normal to be experiencing pain and stiffness in neck, head, shoulders and heart?
Depends: On your problem. How u- important it may look bring to the attention of your doctor (s). Your doctor will make sure is not procedure related. ...Read more
After open heart surgery. When will I be able to lift heavy weights again? And do people usually lose significant weight after surgery?
3 months & yes: I typically restrict lifting, pushing and pulling for 3 months following heart surgery thru standard incision. 1 month for min invasive approach. I keep them to 10 lbs for 6 weeks and 25 lbs for another 6 weeks. Weight loss. I usually tell patients to expect to loose 10 to 30 pounds over 2-3 months after surgery. Unfortunately they often gain it all back w/in a yr. ...Read more
Valve or vessel?: Prudent diet good idea for all. Avoid high fat, sugary, high salt, processed meats, processed grains. Eat more vegetables, fruits, beans, legumes, whole train bread, cereal, pasta, low fat or no fat dairy, poultry, fish. Dash diet (online): dietary approach to stop hypertension is tasty, nutritious, easy, has data supporting its use. There are others as well. Talk to dietician. ...Read more
Heart Surgery: I ask my patients to walk 10-20 minutes twice daily right away but caution that they are not expected to set land speed records. This should be combined with a cardiac rehab program and increase to one hour twice daily. ...Read more
After open heart surgery if as of now I bench 225. After surgery when would I be able to start working out with this type of heavy weight again?
Minimum 3 mo: I restrict my patients to 10 lbs with arms for 6 weeks followed by another 6 weeks with limits of 25 lbs. Also no pushing or pulling. After the 3 months you can begin building back up slowly. ...Read more
How does BP stabilize after open heart surgery? If you'r on a lot of IV drugs to help BP, in what way does your body adapt to stop needing the IV meds
On call surgeon: If you had open heart surgery & are coughing up blood, you should contact the on-call surgeon immediately. ...Read more
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