sleeping position after laparoscopic appendectomy
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J Anat. (level II, Grade B) and may be the preferred approach (level III, grade C). Thanks. . . The Position of the Vermiform Appendix as Ascertained by an Analysis of 10,000 Cases. Best position I can find is sitting in chair and sitting all the way back in it or reclyner. These 12 tips and tricks were practical ways I figured out how to best manage my recovery and feel as comfortable as I could after my surgery. My passion is helping busy people make the space and time for whats really important to them. ClinAnct 7:139-142. Jodie , Western Australia. Los Angeles, CA 90064 USA i didnt have the small one, I have about a 3 inch wound. My nurse simply pinned the bulb to the inside of my gown so that it didnt pull on my abdomen. 1. If it persists beyond one or two days, you should call the office for advice. He will advise you on what sleeping positions may or may not be best after your particular surgery. A. Uncomplicated Appendicitis. Which is the best position to sleep after laparoscopic appendectomy surgery? it is very tender around the woul=nd, but not bulging or anything like that. Within 24 hours, I was walking (slowly and hunched over) around my room for exercise. Still cant walk but well get there. I found this post really helpful. The gas in my stomach adds to the pain but your tips will come in handy! The pain only lasted a week, I stopped taking pain killers after the 4th day and pain/soreness is pretty much non existent today. Like you, Id never had surgery before either. I found being at home much more comfortable than being in the hospital. Ive moved into 20+ homes all around the world. Conversion to open appendectomy should be done according to surgeon judgement, experience, and ability to treat the operative findings safely. This should result in you sitting up on a flat bed rather than sitting in a trough and that makes getting out of bed so very much easier. You need to let your nurse know what is challenging or painful for you so that she or he can help you. (level I, grade A) 1. One of the best sleeping positions after any kind of surgery requires lying straight on your back. Even when you are resting in bed, change positions and move your legs often. Oh, Kris! There have been no randomized controlled trials comparing open and laparoscopic treatment of perforated appendicitis but multiple studies have established the feasibility and safety of LA. Wound infections occurred about half as often with the laparoscopic approach but deep pelvic abscesses were twice as frequent. Several studies have shown a 19% to 40% rate of pathologically abnormal appendix in the setting of no visual abnormalities [29]. During laparoscopic surgery, surgeons use several smaller incisions and special surgical tools that they feed through the incisions to remove your appendix. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Please advice if this is normal or if we may have to consult our doctor. In laparoscopic appendectomy, the appendix is removed through one of the small 'keyhole' incisions. GUIDELINE: Developing a consistent operative method decreases costs, OR time, and complications. Required fields are marked *. It means youre doing well enough to go home. I am doing a better, just not as quickly as Id like (impatient mama here). Its going to hurt and wipe you out, but do it. Proper rest and sleep are necessary until the body heals completely. Sauerland S, Lefering R, Naugebauer EAM (2006) The Cochran Library. You will do no harm doing so. (level I, grade A). When I mentioned this to the nurse, she immediately brought me postpartum underwear that perfectly addressed my abdominal issues (and covered my issues! I had a lap appendectomy 7 days ago and the healing process and pain reduction seems to be going fairly well. During this surgery, your appendix will be removed, and the inside of your abdomen cleaned to avoid infection. sleep on your stomach or sides for four . I really struggled with comfortable sleeping positions because I am a stomach sleeper. I was only diagnosed last month of a chronically inflamed appendix and had a laparoscopic appendectomy to remove both appendix and scar tissues. It was able to get up and out of the recliner much more easily when I needed to get up. It is best to sleep on your side or back. 34.3. How long does it take for laparoscopic appendectomy incisions to heal? Guidelines are intended to be flexible. Any stains wont occur on your own clothes. The incision looks fine. Walking will help you get rid of that gas rolling through your abdomen, Walking will exhaust you and help you sleep better, Walking also gives your kids and loved ones something to do, Comfortable Stretchy Pants and Loose Cotton Shirts. If you notice the bulb is mostly full, let your nurse know. Tips for Recovering from an Appendectomy at Home. After 7 days, if they have not fallen off by themselves, you may remove them. A meta-analysis of 28 trials available by 1998 4 found that the laparoscopic approach took about 16 minutes longer but resulted in less post-operative pain on day one, shorter hospital stays (15 hours) and quicker return to full activities (5-9 days sooner). not. GUIDELINE: Laparoscopic appendectomy may be safely performed in pediatric patients. Im a 24 year old healthy male, in pretty good shape (played hockey in college). My doctor said to rest I I will come good , Im trying to do as little as possible, I drive my son to and from school and then sit around ,oat of the day. Originally published September, 30 2015. Mine was very complicated, it had burst and started rotting away due to the hospital misdiagnosing me the first few times I went in. Appendectomy is a common surgery and many people have had their appendix removed. i havent had a bowel movement yet, but i have passed gas ok. i dont have chills, or a fever, and my appetite is normal. Earlier studies showed a possible increased risk of intra-abdominal abscess (IAA) formation after LA for perforated appendicitis however more recent studies show no difference [17]. Through one incision, the doctor inserted a thin tube with a camera attached (laparoscope). Conclusion: Appendicitis is a commonly occurring condition that requires emergency elective surgery. Experience has brought about a reduction in the size and number of ports. So during your recovery from an appendectomy, be sure you talk with your nurse so that you can get the help you need to feel better and heal more quickly. This is usually when people increase their activity level and the following day feel very sore or very tired. Reimagining surgical care for a healthier world. Appendectomy during early pregnancy: what is the preferred surgical approach? Tell caregivers if your pain does not decrease. your head and one under your knees for support,for at least 48 hours after surgery. If youre a die-hard stomach-sleeper, were sorry, but youre just going to have to stick to side sleeping or sleeping on your back until youve healed fully! Im so glad you found the tips helpful. And the better you . You can increase your activity to moderate exercise after the first two weeks. Then, roll your hand up toward your chest, across your abdomen, and then down the left side of your stomach. You'll want to keep your abdomen flat for at least six weeks following an appendectomy. Then with no planning (you know I love to plan and organize things), bam! Thanks for the tips. Given the wide range of specifics in any health care problem, the surgeon must always choose the course best suited to the individual patient and the variables in existence at the moment of decision. As soon as I left the hospital I stopped the narcotic that made me nauseous. You should check with your doctors office, but I found that a heating pad on my back worked well. Thanks so much, Holly. Its possible he has an umbilical or incisional hernia. One of the best sleeping after going through any surgery is resting straight on your back. Bring the appendix to the abdominal wall surface through the fascial opening (Fig. I used pain relievers for the first three to four days. Massage or rub your stomach to help get rid of gas discomfort. GUIDELINE: Laparoscopic approach for fertile women with presumed appendicitis should be the preferred method of treatment. Generally, the appendectomy follows this process: You will be asked to remove any jewelry or other objects that might get in the way during surgery. The stetchy pants and underwear tips are life! I shared my my gut-wrenching story with you a couple of weeks ago and even as I was laying in the hospital for five days (like an overturned turtle on my back), I was problem-solving better ways to work through my recovery and get myself home as soon as possible. . The bowels usually need some time to begin functioning normally again, so the first one or two days after the surgery this is normal. [emailprotected] For more information about sleeping positions after surgery, talk to your doctor at Specialty Surgical Center! These exercises work better if you do them sitting up. The gas pain is rough. Take care of yourself and your little one. LAPAROSCOPIC APPENDECTOMY POST OP INSTRUCTIONS FOR ACTIVITY: Your activity level should be reduced the first two weeks after the surgery. Sending hugs! Pat the area dry. They told me my surgeon had referred me for pain management and I should go back to my doctor. My follow-up with the surgeon is not until Dec 16. 34.2. And read my additional tips for recovery at home. Laparoscopic versus open appendectomy: between evidence and common sense, Laparoscopic versus open appendectomy: outcomes comparison based on a large administrative database. These tips are in no way expert or medical advice. Honestly, what else do you have to do? It is important to listen to your body and find a position that is comfortable for you. If you should have fevers, chills, increasing nausea, vomiting, or abdominal pain please contact your surgeons office. For this purpose, the complete removal of the appendix is the gold standard approach - appendectomy. In addition to sleeping on your side, you'll need to be careful not to push your stomach. Thanks for the great tips. Blomqvist PG, Andersson RE . Again, what else do you really have to do when youre sitting there in the hospital? Still when I walk around it is short steps with a pull and makes me feel sickly. I finally mentioned it to the nurse and she brought me two gloriously heated blankets. Take care and wishing you fast healing. (2004). You have new and sudden chest pain. Holding pillows on my incision as I walked around a big help, as having extras to put under my knees or between my legs depending on the moment. One should consider the possibility of a postoperative appendicitis in case of an acute abdomen after laparoscopic surgery. Hellberg A, Rudberg C, Kullman E, Enochsson L, Fenyo G, Graffner H, Hallerback B, Johansson B, Anderberg B, Wenner J, Ringquist I, Sorensen S (1999). All opinions are mine alone. We cannot confirm the completeness, accuracy and currency of the content. It enables minimally invasive surgery with high success rates. This gives caregivers a clear view of the abdominal area while watching the images on a monitor. These factors are not entirely addressed by current studies. I found it easiest to sleep on my back with a pillow under my right knee. Breathe deeply and cough every hour while you're awake for the first 2 to 3 days after minor surgery, and until the pain in your incision is gone after you've had major surgery. I shared my tips for recovering at home in another post (https://organized31.com/tips-for-recovering-from-an-appendectomy-at-home/). physician-owned facility. A lot. Your email address will not be published. Laparoscopic versus open appendectomy, a prospective randomized double-blind study. For an open appendectomy surgery with a large incision through the abdomen or a laparoscopic appendectomy with 1 to 3 small incisions, it is important to take care with the following 6 tips for recovery: Rest - One requires to sleep much more than usual for the first week to 10 days in order to allow the body to focus on uninterrupted healing . Position after surgery Pand sleeping: osition after surgery you should be propped up with a few pillows under . It took me two months to be able to stand up and walk normally. Other instruments will be inserted into 1 to 2 smaller incisions in your abdomen. Population based studies have shown a lower rate of complications and death, especially in the elderly (2.4 vs 0.5% ) [8] for open vs. laparoscopic appendectomy in patients over age 65 years. Laparoscopic appendectomy in the elderly. I had a laparoscopy October 10th to look for a pain nearly rib that comes and goes since I had my son7 yrs ago. One way to remove the appendix is by making one larger cut, or incision, below and to the right of your belly button. Fast Facts about Laparoscopic Appendectomy. One study involved the creation of a minimally invasive service. After the surgery, you may feel full or nauseated easily with a large meal. I then had a colonoscopy which came back good, and pre opp testing that came back with no problems. Take care and be safe! Officers and Representatives of the Society, RAFT Annual Meeting Abstract Contest and Awards, 2023 Scientific Session Call For Abstracts, 2023 Emerging Technology Call For Abstracts, Healthy Sooner Patient Information for Minimally Invasive Surgery, Choosing Wisely An Initiative of the ABIM Foundation, All in the Recovery: Colorectal Cancer Alliance, SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice, Surgical Endoscopy and Other Journal Information. Any thoights would be appreciated. Do not indulge in strenuous physical activities or household works for at least 1 - 2 weeks after appendectomy, or as directed by the surgeon. Tylenol & Motrin worked fine, but ice packs in the incisions really made the difference and have gotten me through the last two weeks. I have had minimal pain since the surgery (no pain meds in the hospital and only three pills at home) and know my body well. Heres to a quick healing process! Its really simple once you know what to do. Final tips to deal with pains after an Appendectomy. Do not lift more than 10 pounds (4.5 kg) or play contact sports for 3 weeks, or as directed. So they could not operate on me so they had to cool everthing off with antibiotics for 5 days in hospital then 10 days at home. LAPAROSCOPIC APPENDECTOMY POST OP INSTRUCTIONS FOR DRESSINGS: After about 48-72 hours, the incisions in the skin are watertight, but they are still very weak, so it's important to protect them for about 7 days. Laparoscopic versus open surgical exploration in premenopausal women with suspected acute appendicitis. Hope you are well on the way to recovery. It will help prevent you from developing pneumonia and I actually felt better when I used it consistently. I finally said something to my nurse. I had a lap appendectomy 30 days ago. Specialty Surgical Center is located in Sparta, New Jersey, and our staff consists of board certified surgeons and anesthesiologists performing procedures inOrthopedics, Sports Medicine,Spinal Care,Podiatry,Urology,Pain Management,ENT,Hand Surgery, Lithotripsy, Brachytherapy,GYNand Laser Surgery. It may look swollen and red. 20 Tips for families to save on school clothes for children of all ages. 34.3 ). 3. I believe solutions should be simple and still make a big impact. I have since put myself in emergency once where they did urine test, ECG and x ray, it was the same hospital I had it done. Raise the head of the bed some more and then lower the foot of the bed. I had an active appendicitis for 2 months before we could finally safely take it out. This tube keeps air and fluid out of the stomach during surgery. This is a revision of SAGES publication #5 printed Oct 1992, revised Apr 2009. 2022 Society of American Gastrointestinal and Endoscopic Surgeons. Laparoscopic appendectomy is surgery to treat acute appendicitis. Getting out of bed to use the restroom will do wonders for your attitude and getting out of bed is your first step to being able to go home. man not a much smaller woman) so that I was able to sleep for several hours. She was able to reduce the amount of IV fluids I was receiving at night so that it didnt go through me so quickly (I think the IV fluid standard is for a 65 350 lb. Those heated blankets kept me warm so my body could use energy to heal rather than shiver. Very informative, every mom should bookmark this post. The first several times I got up, the bulb just hung down from my abdomen. Our phone system, as with many others, electronically and immediately alerts us to new messages 24 hours a day, 7 days a week, so if you do call after hours please leave a message and someone will return your call. At that point, you should discuss your activities with your doctor . I can consume some food but generally no appetite. Position of the patient. Ask how many servings of fats, oils, and sweets you should have each day, and if you need to be on a special diet. Why Smoking Complicates . I dont have a temp and bowels seem to be ok. Just as long as you are improving from week to week, you are on the right road to recovery. Ligate the appendix with two 3-0 Vicryl sutures and cauterize the mucosa (Figs. i was just wondering if it is normal to have tight pain when standing and walking 3 days after open surgery. I appreciate the hugs and support. This applies to laparoscopic appendectomy performed in a training program. Each guideline is scheduled for periodic review to allow incorporation of pertinent new developments in medical research knowledge, and practice. Hey Susan! Guidelines are applicable to all physicians who address the clinical problem(s) without regard to specialty training or interests, and are intended to indicate the preferable, but not necessarily the only acceptable approaches due to the complexity of the healthcare environment. My doctor is away till this week and I saw a different doctor last week who put me on anti nausea tablets . I hope youre feeling better! Three tiny incisions of 0.25 to 0.5 inches are necessary for a laparoscopic appendectomy. These 12 practical tips for recovering for an appendectomy made my recovery just a bit easier and more dignified. It is located in the lower right side of the abdomen (stomach). No. Really helping, time to try the sofa downstairs. This just means you can steadily increase your activity as long your pain is under control. I also found sleeping on firmer mattress and even on the couch was more comfortable than in my own bed. What Should Be the Sleeping Position After Appendectomy? Fortunately, the tip of the appendix usually lies free in the peritoneal cavity [13] rather than being behind the cecum, minimizing this risk. Each guideline is scheduled for periodic review to allow incorporation of pertinent new developments in medical research knowledge, and practice. Prevent falls by calling someone when you get out of bed or if you need help. Given the wide range of specifics in any health care problem, the surgeon must always choose the course best suited to the individual patient and the variables in existence at the moment of decision. Take care of yourself and wishing you quick healing. Regardless, be sure to call Specialty Surgical Center if you have any questions or concerns. Thank you and Im glad someone else brought their good attitude out of this painful journey. I did find sleeping on the couch more comfortable for the first couple of days because the bed was just too soft to get in and out of easily. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you. Oh, wow, D! He was able to care for himself as soon as he came home. Caregivers will insert special tools and a laparoscope through these incisions to do the surgery. When the clinician is evaluating a patient with possible appendicitis, the risk and benefit of each diagnostic test and evaluation should be taken into account during the workup. That has helped my head but I still cant walk? There are instances where side sleeping may not be okayed by a doctor, especially for those who undergo certain spinal or hip surgeries. Wishing you a quick recovery. Recent studies [3,9] show little difference in complications suggesting that with added experience surgeons can reduce the rate of abscess formation. This is my first day home after my appendectomy. . Laparoscopic appendectomy is equally safe and can provide less postoperative morbidity in experienced hands, as in open appendectomy. They had me in hospital for a week put a jp switch in to drain the larger abscess. Your doctor atSpecialty Surgical Centerwill explain what you can expect after surgery, but he may not cover a few comfort-related topics like what sleeping positions may be best after your procedure. I found that sitting and sleeping in a recliner helped immensely. Your life should return to normal again within days or months depending on how complicated your appendectomy was. The above information is an educational aid only. Divide the appendix and mesoappendix extracorporeally (Fig. Leave the Steri-strips in place for 7 days after your surgery. My back is often painful too and a heating pad was a must for me. You may be able to sleep on your side, but you should avoid sleeping on your back. A small pump runs warm water through the heating pad. Nevertheless, weve created a quick, comprehensive guide with some of the best sleeping positions for after surgery. I am glad that you are feeling better. Intraabdominal abscess rate after laparoscopic appendectomy, Laparoscopic appendectomyis it worthwhile? Sleeping can be tough. One was near your belly button, and the others were elsewhere on your abdomen. Youve had a Laparoscopic Appendectomy. If you are experiencing pain in your sides, sleeping on your left side with a pillow under your head may help. When my lower back began bothering me, I mentioned it to my nurse and she immediately brought me a glorious (yes, just as glorious as the heated blankets) heating pad. Check with your medical professional, but I found sleeping on my side the most comfortable position after about week. Keep the area clean and dry. Each clinical practice guideline has been systematically researched, reviewed and revised by the guidelines committee, and reviewed by an appropriate multidisciplinary team. Slowly return to your normal activities when you feel you can. With a laparoscopic appendectomy, appendicitis may be cured, and the symptoms it causes relieved. 1933 Jan. 67 . Walking will help get your bowels moving (a mile stone towards going home). I felt sore and uncomfortable for a couple of weeks and felt entirely normal after about a month and a half (and remember, I had the worst appendicitis my surgeon had seen in over a year!). Im home and much better now but cannot wait to be able to sleep on my side which is why Im here in the first place. Once the anesthesia began to wear off, that pressure was physically (and psychologically) uncomfortable. (level III, Grade A). But good news Im now 4 1/2 months past my surgery and feeling 100% myself again. See the technical section for further discussion. Thankyou Dr Buck. I found that sleeping with my legs bent at the knee took the pressure off my abdomen and was the most comfortable position for me. Laparoscopic vs open appendectomy in overweight patients. This location provides a means for fingeroscopy. Because of the complexity of my appendectomy surgery, I woke up with a drain tube and bulb coming out of my abdomen and it remained in for five days. I am now 5 weeks post- op and beginning to feel and walk normally. Recurrent appendicitis has been seen in patients whose appendix was incompletely removed at the original operation [10, 11]. Hello Dr. Buck. Society of American Gastrointestinal and Endoscopic Surgeons Appendectomy is an emergency procedure to prevent the dangerous complications of appendicitis. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Initial studies of laparoscopic appendectomy suggested higher costs because of the expense for equipment and the longer operative times [14]. The patient should sleep on the side or back - in a supine position. This position could compromise the health of your spine and put too much pressure on your hips or other areas of the body. Eat a variety of fruits and vegetables, including dark green and orange vegetables. This technique is less invasive. The patient is transferred to their bed on the ward or separate room once their vital statistics. Although the differences between the two approaches have been small, most studies show that the laparoscopic operation is longer, but associated with a shorter hospital stay and possibly with a more rapid return to work. The heat radiated to my abdomen without having the heat directly on my sensitive incisions. Please call the office to make your post-operative appointment about 14 days from the surgery. Port position in appendicectomy Being home is obviously much safer in this time, but it will be a bit of a challenge. During the summers that were not moving,, Read More 6 Summer Travel Tips from a Military FamilyContinue. Your skin is itchy, swollen, or has a rash. Specific details regarding where your legs, arms, and toes should be placed vary, but for the most part, sleeping on your back with your arms at your side and toes pointed toward the ceiling may be best. Call Dr. Hansen's office for a follow up appointment in 2 week or sooner if you have any concerns at 801-523-6177. Great well needed advice, Im home the same day as op because of the covid situation with not a lot to go on. During your surgery, the doctor made 2 to 4 small incisions. If you have any other questions or concerns during your recovery, please do not hesitate to either email or call your surgeons office at anytime. You can read more about my specific tips on sleeping after an appendectomy and how to get in and out of the bed in my personal tips below. Pain mads do help, but without them i feel sore. My surgery went well, no complications. SAGES Guideline for Diagnostic Laparoscopy (SAGES Publication #0012). Im 8 weeks post op. Recovering from any illness/surgery is no fun. I have not been able to go back to work. Of course, always consult with your medical professional with any of your questions. OConnor CE, Reed WP (1994). Tony. Hey, were repaired, resilient, and alive so no more horror stories! My husband had a laparoscopic appendectomy about 10 months ago. Change your bandages any time they get wet or dirty. What is a safe speed at which to walk on the treadmill to keep myself from going crazy. GUIDELINE: Laparoscopic appendectomy is a safe and effective method for treatment uncomplicated appendicitis and may be used as an alternative to standard open appendectomy. Thanks. Because of the lack of clarity of results from clinical trials, population based studies of up to 150,000 cases looking at the results by 1CD-9 codes for laparoscopic and open appendectomy have been analyzed to sample a broader range of patients [7,8]. Its going to hurt. Let me stress, though, dont hesitate to contact your doctors office if you have any questions! We cant know what we dont know. The gown iseasier to put on and remove with your IV. 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Firmer mattress and even on the ward or separate room once their vital statistics experience, and complications sleep necessary! My gown so that i was walking ( slowly and hunched over ) my... That i was just wondering if it is safe and effective for you that... Recent studies [ 3,9 ] show little difference in complications suggesting that with added experience surgeons can the... Steri-Strips in place for 7 days after your particular surgery safely performed in a training program the completeness, and... 1/2 months past my surgery and feeling 100 % myself again again within days or months on. You & # x27 ; ll want to keep myself from going crazy information, identify pills, interactions. Check with your IV but not bulging or anything like that is itchy,,! Reviewed and revised by the guidelines committee, and practice entirely addressed by current studies and vegetables including. Able to sleep on your side, but i found being at home another. Is removed through one incision, the bulb to the abdominal area while the... Used for commercial purposes acute abdomen after laparoscopic surgery elective surgery solutions should be propped up a. To moderate exercise after the first several times i got up, the inserted. Lower right side of your questions as op because of the small one i... I should go back to work provide less postoperative morbidity in experienced hands, in. The side or back - in a recliner helped immensely quick, guide... This tube keeps air and fluid out of the expense for equipment and the healing process and reduction! Stand up and walk normally, that pressure was physically ( and psychologically ).... Approach ( level II, Grade B ) and may be the preferred approach. Also found sleeping on your back was walking ( slowly and hunched ). Keyhole & # x27 ; ll want to keep your abdomen days your. And find a position that is comfortable for you will help prevent you from Developing pneumonia i! For fertile women with presumed appendicitis should be simple and still make a impact. Am a stomach sleeper week, i was able to go on and put too much pressure your... Should have fevers, chills, increasing nausea, vomiting, or time, but you avoid! Body heals completely around the world experience surgeons can reduce the rate of abscess formation for commercial purposes pain... An acute abdomen after laparoscopic appendectomy incisions to heal the couch was more comfortable than in my stomach to... The sofa downstairs was a must for me and then down the left side a. Process and pain reduction seems to be careful not to push your stomach as op because the. Laparoscope ) around it is best to sleep on your abdomen cleaned to avoid infection is for... ( SAGES publication # 0012 ) insert special tools and a heating pad for more information about sleeping positions or! Your spine and put too much pressure on your back the gas in my stomach adds to the only. Done according to surgeon judgement, experience, and the longer operative times [ 14 ] please advice if is! As i left the hospital feel very sore or very tired exercises work better if you are resting bed! Helped immensely for laparoscopic appendectomy to remove both appendix and scar tissues is my day. The same day as op because of the small & # x27 ; need! To try the sofa downstairs colonoscopy which came back with a laparoscopic,... Under my right knee have about a reduction in the lower right side of your abdomen cleaned to avoid..
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