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Clinical Hub,Patient Education,Health and Nutrition Facts For You,Genitourinary

Retroperitoneal Lymph Node Dissection (RPLND) (5648)

Retroperitoneal Lymph Node Dissection (RPLND) (5648) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Genitourinary

5648





Retroperitoneal Lymph Node Dissection (RPLND)

An RPLND is surgery to remove the lymph
nodes from your abdomen and pelvis.

The Day before Surgery – Clear Liquids
Only
To get ready for your surgery you will need
to follow a clear liquid diet and clean your
bowels the day before surgery. Your nurse
or one of your providers will talk with you
about this prep. Please follow these
instructions with care. Mix up the
GoLytely® the morning you need it. Store it
in the refrigerator.

Clear Liquids include:
ξ Water
ξ Tea or coffee
with no creamer
ξ Clear broth
ξ Juice with no
pulp (apple,
cranberry, grape)
ξ Gatorade®
ξ Boost Breeze®
ξ Popsicles
ξ Jell-O®, must be
homemade and
plain only
ξ Carbonated
drinks, clear soda
ξ Hard candy

Avoid these:
ξ Alcohol
ξ No dairy products of any kind, such
as milk, cheese, yogurt, ice cream,
soups, or pudding
ξ Juices with pulp such as orange,
tomato, or prune juice
ξ Lemonade

1. At 11:30 a.m., take one
metoclopramide/Reglan® (10 mg.) pill
by mouth.
2. At 12:00 noon, start drinking the 4 liters
of GoLytely®. Drink 8 ounces every 10
minutes until it is gone.

3. One hour after you have finished the
GoLytely®, take the second
metoclopramide/Reglan® pill.
4. During the evening drink 1 liter of a
sports-type drink (ex.; Gatorade®)

Do not eat or drink anything after
midnight.

After Surgery – You will be in the
hospital 5 -7 days

Wound Care
Your abdominal wound will be closed with
staples. The staples will be taken out after
7-10 days. Be sure to look for signs of
infection daily:
ξ Increasing redness or warmth
ξ Pus-like drainage or blood
ξ Increased swelling

You may shower 2 days after surgery. You
will need to sponge bathe until you can get
your incision wet. Do not soak in a hot tub,
bathtub, or swim until your incision is
healed, at least 2 weeks.

Cover your wound with a gauze if there is
drainage, or rubbing on your clothes, or is in
a skin fold. Change the gauze if it gets wet
and at least once daily. Do not use lotion,
powder, or ointment on the wound.

Pain
It is normal to have pain along your incision
for a few weeks. Pain medicine will be
ordered for you to take if needed.


Diet
You will have a nasogastric (NG) tube
placed during surgery. Once your bowel
sounds return after surgery we will take out
the NG tube and you can drink clear liquids.
After that, you can start to eat solid food.
Most people are able to eat whatever they
like by the time they go home. You should
drink plenty of fluids to help your body heal,
about 8 (8 oz.) glasses everyday.

Avoid Constipation
Pain pills can cause constipation. A diet
with enough fiber and water may prevent
this.

Eat a balanced diet each day to include:
ξ 8-10 (8 oz.) glasses of fluids a day
(water, juice, tea, etc.)
ξ At least 5 servings of fruits and
vegetables
ξ At least 2-4 servings of whole grain
bread or cereal

You may want to increase fiber in your diet
slowly to avoid bloating and gas. You may
need to use a stool softener and/or a bulk
fiber laxative to prevent constipation. Buy
these over the counter. Follow package
directions.

Activity
ξ Moving and walking help with your
recovery. You will be helped up to
sit in the chair soon after surgery.
We will also help you walk 3-4 times
a day.
ξ Plan to walk several times a day at
home. Alternate with rest periods.
ξ Avoid straining with bowel
movements.
ξ While coughing, sneezing, laughing
or during a bowel movement, hold a
pillow firmly over your incision for
extra support.
ξ Do not lift more than 20 pounds for
4-6 weeks.
ξ No strenuous activity for 4-6 weeks.
ξ You may drive a car after 4 weeks.
ξ You may be off work for 4-6 weeks.
This depends on the type of work
you do. Please be sure to discuss the
type of work you do with your
doctor.

Follow Up Care
Your first follow up visit will be made for
you before you leave the hospital.

When to Call your Doctor
ξ Short of breath or chest pain call
911
ξ Temperature over 100.5 θ F (by
mouth) for two readings taken 4
hours apart
ξ Shaking chills or sweats
ξ Increasing redness or warmth at
wound site
ξ Pus or bloody drainage from your
incision
ξ Loss of appetite
ξ Bloating
ξ Swelling or tender areas in your legs
ξ Unable to have a bowel movement
for 3 days
ξ Pain not controlled by your pain pills

Phone Numbers
UW Health Urology
608-263-4757

UW Health at The American Center
Urology
608-440-6464

UW Health One South Park Urology
608-287-2900


After Hours, Nights, Weekends, and
Holidays, the clinic number is answered by
the paging operator. Ask for the Urology
Doctor on call. Leave your name and phone
number with the area code. The doctor will
call you back.
Toll Free: 1-844-607-4800

Your medical record number

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The Spanish version of this Health Facts for You is #7339


Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 10/2016 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#5648