Surgical Procedures: LSCS and Nutrition

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary dietary focus recommended for patients post-functional endoscopic sinus surgery (FESS)?

Low fat intake with nutrient dense foods (correct)

High sugar diet to enhance recovery

Low protein and high carbohydrate diet

High fiber diet

Which of the following is NOT a dietary recommendation for patients undergoing total knee replacement (TKR)?

Anti-inflammatory diet

High protein intake

Calcium intake of 2500mg for individuals over 50

Low carbohydrate diet (correct)

What is the purpose of performing a total hip replacement (THR)?

To increase mobility in patients with diabetes

To enhance lung function

To relieve hip pain and stiffness due to arthritis (correct)

To correct posture in elderly patients

What is advised regarding fluid intake post-surgery for patients with cholelithiasis?

Consume at least 8-10 glasses of fluids daily Signup and view all the answers

In the management of total hip replacement, which nutrient's upper limit is cited as 30,000 IU?

Vitamin A (Carotenoids) Signup and view all the answers

What is a common effect of gallbladder removal in digestion?

Difficulty digesting fat Signup and view all the answers

Which type of diet is recommended post-cholecystectomy?

Fat-restricted diet Signup and view all the answers

What lifestyle factor is associated with an increased risk of gallstones?

Weight cycling Signup and view all the answers

Which of the following substances has an inverse relationship with the risk of gallstones?

Vitamin C Signup and view all the answers

What is a suggested dietary change for individuals to lower their risk of gallstones?

Replace sugars with high-fiber foods Signup and view all the answers

What is an unlikely outcome of adhering to very-low-calorie diets with respect to gallstones?

Reduced cholesterol absorption Signup and view all the answers

Which food group is indicated to have a lower risk of gallstones when consumed in higher amounts?

Plant-based proteins Signup and view all the answers

What is the primary reason for performing a C-section in cases of fetal distress?

To prevent oxygen deprivation Signup and view all the answers

After a total abdominal hysterectomy and bilateral salpingo-oophorectomy, what is a key dietary recommendation?

Eat a well-balanced diet including protein Signup and view all the answers

Which nutrient is specifically noted for its role in combating fatigue post C-section?

Iron Signup and view all the answers

What is the recommended fiber intake for postpartum individuals to alleviate constipation?

25 grams daily Signup and view all the answers

In which situations is a C-section deemed safer than vaginal birth?

The baby is positioned incorrectly Signup and view all the answers

Which diet order is recommended following a lower segment cesarean section?

Progressive diet Signup and view all the answers

What percentage of fat is recommended in the dietary macronutrient distribution for LSCS patients?

25-30% Signup and view all the answers

What role does Vitamin C play in the post-operative recovery after a C-section?

Fights infection and aids healing Signup and view all the answers

Which of the following complications is NOT commonly associated with LSCS?

Premature delivery Signup and view all the answers

Study Notes

Stress Factors in Surgery

Minor Stress Factors: 1.0 - 1.1
Major Stress Factors: 1.3 - 1.9

Lower Segment Caesarean Section (LSCS)

Commonly known as C-section; involves surgical incision through abdominal and uterine walls.
Used when labor does not progress, baby's size is large, the baby is not positioned head down, or in cases of umbilical cord prolapse or fetal distress.
Anesthesia options include epidural, general, or spinal.

Complications Associated with LSCS

Gestational Diabetes Mellitus (GDM)
Pregnancy-Induced Hypertension (PIH)
Preeclampsia
Post-operative complications like gas, bloating, constipation, wound infections, low milk production, and anemia from excessive bleeding.

Medical Nutrition Therapy (MNT) for LSCS

Carbohydrates: 45-60%
Fats: 25-30%
Proteins: 20-25%
Recommended diet includes high protein, high iron, and vitamin C.

Therapeutic Nutrients Post LSCS

Iron: Essential for hemoglobin production; combat fatigue and reduce iron deficiency anemia.
Fiber: Helps manage constipation, target at least 25 grams daily from fruits, vegetables, whole grains, and legumes.
Fluid: Prevents dehydration and constipation; increased needs if breastfeeding.
Protein: Vital for healing and tissue growth.
Vitamin C: Aids in healing and immune function.

Laparoscopic Cholecystectomy (Lap Chole)

Removal of the gallbladder via laparoscopic techniques, commonly due to gallstones.
Performed through small incisions using special tools and a camera.

Complications after Lap Chole

Difficulty in fat digestion.
Gastrointestinal issues like diarrhea, flatulence, and constipation.
Risk of jaundice or fever.

MNT for Lap Chole

Diet should be high in fiber, low in fat and calories, and plant-based.
Recommended progressive diet based on patient condition.

Nutrition Considerations for Gallstones

Plant-based diets reduce gallstone formation risk; high vegetable protein intake lowers risk by 20-30%.
Avoid refined carbohydrates to decrease cholesterol saturation in bile.
Weight cycling and very-low-calorie diets increase gallstone risk.

Total Abdominal Hysterectomy-Bilateral Salpingo-Oophorectomy (TAH-BSO)

Removal of the uterus and cervix through an abdominal incision.
Bilateral salpingo-oophorectomy involves the removal of fallopian tubes and ovaries.

Diet After TAH-BSO

Balanced diet focusing on protein and hydration (8-10 glasses of water daily).
Fruits and juices recommended for initial recovery; avoid high fiber foods temporarily.

Functional Endoscopic Sinus Surgery (FESS)

Minimally invasive surgery to enlarge nasal drainage pathways using nasal endoscopes.

MNT in FESS

Warm liquids and low-fat intake encouraged.
Nutrient-dense diet recommended, often starting with a liquid diet.

Total Knee Replacement (TKR)

Major operation aimed at restoring function and relieving pain from arthritis.

Total Hip Replacement (THR)

Removal and replacement of hip joint components to alleviate arthritis pain and stiffness.

MNT for TKR and THR

Anti-inflammatory diet; soft or regular diet as per patient condition.
High protein (1.2g/kg), complex carbohydrates, calcium (2500mg/day for ages 19-50 and >50), phosphate (2-3g/day), and Vitamin D (1000-2000 IU/day).

Case Study: Kiran

Patient diagnosed with cholelithiasis and choledocholithiasis.
Underwent laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography (ERCP).

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz covers key concepts related to surgical procedures, particularly focusing on Lower Segment Caesarean Section (LSCS) and the nutritional factors influencing surgical stress. Learn about the reasons behind opting for a C-section and how nutrition plays a role in surgical health. Prepare to test your knowledge on these crucial topics in surgery.