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Patient and caregiver guide for Lumbar Laminectomy

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What to expect

Length of stay after surgery is 1-2 days.

What to bring to the hospital?

  • Comfortable-loose clothing
  • Non-slip, closed shoes
  • Toiletries (scent free)
  • Eye glasses, hearing aids and dentures
Note: Please leave all valuable items at home.

What to expect after surgery?

Day of Surgery (Day 0)

  • Nurse will monitor your vitals regularly
  • Rest

Day after surgery (Day 1)

  • Pain team to assess medications and adjust as needed
  • Nurse to assist with sitting at the edge of the bed or to sit on a commode
  • PT will assess and assist with ambulation on the unit
  • Sit in the chair for 30 minutes and for meals
  • PT would practice stair climbing if pain is well controlled
  • PT may recommend a rental gait aid if needed
  • There is a possibility that you may go home if you meet the criteria for discharge

Post-op day 2

  • Practice stair climbing if unsuccessful on the first day
  • Therapists to review home exercises and post-op activities
  • Request from therapist an insurance letter for equipment if needed
  • Discharge home when cleared by surgeon and spine team
  • Arrange transportation from hospital

Rehabilitation after surgery

  • Inpatient rehab will be determined by the team if day to day activities are impacted by severe deficits
  • Pain is not a criteria for inpatient rehab

Post-op precaution

  • No heavy lifting more than 5 to 10 pounds. Avoid lifting pets and children
  • Avoid stretching activities to the back
  • Keep yourself active as much as possible. Let pain be your guide
  • Consult your surgeon for return to driving and return to work
Note: These precautions are for 6 weeks.

Planning for home prior to surgery

  • Arrange for someone to stay with you after discharge for the first few days
  • Arrange for someone to assist with heavy house chores, groceries, and transportation
  • Arrange for private services if social supports are not available

Post-Operative Care After Discharge

Incision Care:

  • Change incisional dressing as instructed on discharge (Strip dressing provided on discharge)
  • If area becomes wet, gently pat area dry with a clean towel
  • Staples are removed 10-14 days after surgery by your family doctor
  • Please make sure to bring staple remover (provided on discharge) to your family doctor appointment
  • Notify your family physician and your surgeon for presence of swelling, discharge, and severe pain from your incision site

Showering after surgery:

  • Follow the instructions provided by your surgeon and/or clinician at discharge regarding showering after surgery
  • NO soaking in the tub or swimming while staples are in

Pain Management

  • Effective pain control after surgery can help the overall success of the back surgery
  • You may be prescribed a narcotic to help with pain, in combination with a stool softener to prevent constipation
  • If you are prescribed a narcotic, please make sure to also drink adequate amounts of fluids to prevent constipation
  • Please speak with your family doctor if the pain medications prescribed are not effective and/or if your pain worsens

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