Week 2 Post-Op

A Major Turning Point

Week 2 often represents a dramatic improvement in quality of life. Having drains removed makes an enormous difference - you'll feel lighter, more mobile, and less encumbered. Many patients describe this as the moment recovery truly begins to feel manageable.

While you're still significantly limited, the psychological boost from reaching this milestone cannot be overstated.

Drain Removal

Most patients have their drains removed between days 7-14, when daily output falls below 30ml per drain:

What to Expect

• Quick procedure - takes just seconds per drain
• Minimal discomfort - feels like pulling tape off skin, with brief internal tugging
• Immediate relief - you'll feel so much better once they're out
• Small drain site - typically heals quickly on its own (may need a small dressing)

After Drain Removal

• Much easier to shower and dress
• Greater freedom of movement
• Can sleep more comfortably
• Compression garment is easier to manage
• Small risk of seroma (fluid collection) - report any swelling to your surgeon

Showering

Once drains are removed and your surgeon gives permission, you can finally shower:

First Shower Guidelines

• Have someone nearby - you may feel lightheaded
• Use a shower chair or stool - don't stand the entire time
• Lukewarm water - not hot, which can increase swelling
• Gentle patting dry - no rubbing the incision
• Keep it brief - 5-10 minutes maximum initially
• Let water run over incision - no direct spray on incision line

Incision Care

• Gently wash with mild, unscented soap
• Pat dry thoroughly - moisture promotes infection
• Apply any prescribed ointments as directed
• Keep incision line clean and dry between showers

Mobility Improvements

By week 2, you should notice significant improvements in movement:

Posture

• Standing slightly straighter - though still bent forward somewhat
• Less shuffling - walking with more normal gait
• Sitting more comfortably - can sit in regular chairs with support
• Getting in/out of bed easier - still using arms to support, but less difficult

Activity Level

• Walking 10-15 minutes at a time
• Light activities of daily living (gentle meal prep, light tidying)
• Can manage personal hygiene independently
• Less reliance on caregivers (though still need some help)

Returning to Work

If you have a desk job, you may be cleared to return this week (from home is ideal):

Work from Home Guidelines

• Start with half days - build up gradually
• Take frequent breaks - stand and walk every 30-60 minutes
• Use supportive seating - cushions for lower back support
• Avoid prolonged sitting - alternate between sitting, standing, and reclining
• No heavy lifting or carrying - even office supplies can be too heavy
• Warn colleagues you're recovering and may need flexibility

Pain and Discomfort

• Pain should be mild - manageable with paracetamol and ibuprofen
• Tightness remains - this sensation persists for months
• Numbness widespread - across lower abdomen, this is normal nerve healing
• Occasional sharp twinges - nerve regeneration causes brief zinging sensations
• Muscle soreness - from repaired abdominal muscles, especially when using core

Swelling and Appearance

Understanding swelling patterns helps manage expectations:

• Still very swollen - your abdomen won't look like final results yet
• Swelling worsens throughout the day - gravity pulls fluid downward
• Morning appearance better - swelling reduces overnight while elevated
• Pubic area may be puffy - fluid accumulates in lower areas
• Bruising fading - turning yellow-green as it resolves
• Incision line visible - red and raised, this will fade over many months

Compression Garment

• Continue wearing 24/7 (remove only for showering)
• You'll likely wear this for 6 weeks total
• Having two garments makes washing easier
• It should feel comfortable - if too tight or loose, consult your surgeon

What You Can Do

• Shower independently (with precautions)
• Light meal preparation
• Gentle walking (15-20 minutes, 2-3 times daily)
• Desk work from home (part-time)
• Drive short distances (if cleared by surgeon and off narcotic pain medication)
• Light household tasks (folding laundry while seated, light tidying)

Still Restricted

• No lifting over 10 pounds - this restriction continues for several more weeks
• No strenuous activity - exercise, heavy cleaning, gardening
• No sexual activity - wait until at least week 4-6 and cleared by surgeon
• No swimming or baths - showers only, incision should not be submerged
• No abdominal exercises - no crunches, planks, or core work
• No reaching overhead - this stretches the abdomen

Scar Care

Now that you can see and access your incision, proper scar care becomes important:

• Keep clean and dry - prevent infection
• Scar will be red and raised - this is normal initially
• No scar treatments yet - wait until incision is fully healed (usually 4-6 weeks)
• Protect from sun - UV exposure darkens scars permanently
• Don't pick at scabs or tape - let them fall off naturally

Emotional State

Week 2 often brings improved mood as you:

• Regain independence
• Experience less pain
• See drains removed
• Return to some normal activities
• Begin to visualize future results

However, impatience with swelling and the slow pace of healing is also common. Remember - healing takes time.