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

Lower Leg Bypass Graft (4888)

Lower Leg Bypass Graft (4888) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, PVS


Lower Leg Bypass Graft

This handout will tell you how to take care of yourself at home after your lower leg bypass graft
(surgery to restore blood flow to your legs). Your nurse will review this sheet with you before
you go home. If you have more questions once you are home, you may call PVS clinic at
(608) 263-8915. To reach a doctor after hours, call hospital paging (608) 263-6400 and ask for
the vascular surgery doctor on call. Give paging your name and phone number with the area
code. The doctor will call you back. If you live out of the area, call 1-800-323-8942.

Care of the Incision
There are several layers of stitches holding your wound together on the inside. By the time you
go home, your skin is usually closed on the outside with staples. At your first clinic visit, your
staples may be removed and small pieces of tape called Steri-Strips may be placed along the
incision to help support it for a few days. You may get the staples wet in the shower, but do not
swim or take tub baths. Clean the area gently with mild soap and water removing any dried
drainage. Leave the incision open to air unless told otherwise.

You may also shower with the Steri-Strips in place, but do not soak them for any length of time.
Also, do not rub the incision; just allow the water to flow gently over the area. When done in the
shower, gently pat the incision dry. As your wound heals, the Steri-Strips will begin to curl up
at the ends. You may trim the curled ends with a scissors. In time the Steri-Strips will fall off
on their own. If they do not, then you can remove them after one week.

By the time you are discharged from the hospital, you should be back to some of your basic daily
activities, but you will need to allow for extra rest times. You may notice that you get tired easier
than before surgery, this is normal. Your strength and energy level will increase as your body
recovers from surgery.

Walking is good for you. Start slowly and increase your distance a little bit each day. This will help
you become stronger. Walking also helps prevent constipation and blood clots. If your legs swell,
raise your legs when sitting.

There are some things that should be avoided in the first few weeks after surgery.
ξ Do not lift anything heavier than 5-10 pounds for 2 weeks. This includes groceries, pets, and
children. One gallon of milk weighs about 8 pounds.
ξ Do not drive until your doctor says it is okay. Do not drive while taking narcotic pain
ξ Avoid contact sports or vigorous exercise.
ξ Ask your doctor at your follow-up appointment when you may return to work and resume
sexual activity.
ξ Do not sit with your knees bent for long periods of time, use a recliner if possible.

Pain Control
It is normal to have some pain at the suture line. You will have less pain as the incision heals.
Your doctor has prescribed pain medicine for you to use at home. This is often the same
medicine you have been getting here. As time passes, you should need less pain medicine. You
may then wish to use an over-the-counter pain medicine but talk to your doctor before starting
this. It may interfere with other medicines you are taking. Do not drive while taking narcotic pain

Narcotic pain medicine can make you constipated. Use over-the-counter stool softeners as
needed. Drink plenty of fluids and eat high fiber foods. Fruits and vegetables (prunes, raisins,
apples, oranges, potatoes, spinach, and carrots) and whole grain breads and rice have fiber.
Staying active also helps prevent constipation.

Eat a heart healthy diet:
ξ Eat less saturated fat. Eat less fatty meats, fried foods, butter and whole milk dairy
products. Eat more fish, chicken, turkey and veal and less beef, lamb, and pork.
ξ Limit eating organ meats (liver, kidneys, etc.) to once a month.
ξ Use polyunsaturated oils, such a canola, safflower, soybean, sunflower, sesame, and
cottonseed oils.
ξ Drink skim milk instead of whole milk.
ξ Eat sherbet or Italian ice instead of ice cream.
ξ Eat less trans fats. Eat fewer sweets such as donuts, cookies, and desserts.
ξ Eat fewer carbohydrates. Eat less sugars and sweetened drinks.
ξ Eat less sodium. Eat less processed foods. Do not add extra salt to your food.
ξ Eat less cholesterol. Eat less egg yolks and shrimp.

Are You at Risk for Poor Blood Flow to the Legs and Feet?
You are more likely to have poor blood flow to the legs if you:

ξ Smoke
ξ Have high blood pressure
ξ Have high cholesterol
ξ Have diabetes
ξ Are over age 50
ξ Do not exercise
ξ Have heart disease in your family

How Do I take Care of Legs and Feet with Poor Blood Flow?
ξ Look at your legs and feet daily. If you can’t see them, have someone else check them.
Let your doctor know if you see any sores, scratches, cracks, blisters or reddened areas.
ξ Wash your legs and feet daily with mild soap and water. Dry them well.
ξ Put lotion on dry skin daily. Do not put lotion between your toes.
ξ Avoid soaking your feet for long periods. It dries out your skin. Always check the
temperature of the water with your hand or elbow instead of your foot.
ξ Let a doctor or nurse clip your toenails or show you how to clip your toenails.
ξ Wear shoes that fit well.
ξ Wear white cotton or wool socks.
ξ Check shoes and socks for stones, sharp things, or holes.
ξ Protect your feet from extreme heat or cold.
ξ Do not use heating pads or hot water bottles on legs or feet.
ξ Avoid walking barefoot.
ξ See a podiatrist if you need corns, calluses, or ingrown toenails removed.

Try to quit smoking. Smoking delays wound healing, and can decrease blood flow, shrink
arteries, and raise your blood pressure. If you would like help quitting, call the Quit Line:
1-800-QUITNOW (784-8669)

Follow Up
You will be seen in the Vascular Surgery Clinic about 2 weeks after you go home. If you still have
staples, they may be removed at this visit.

When to Call your Doctor
Twice each day you should look at your staples. Please call the Vascular Surgery Clinic or the
vascular surgery doctor on call if you have:
ξ An increase in redness or warmth at the site of the incision
ξ Red streaks on your skin that extend from the incision
ξ Bulging or swelling at the incision
ξ New drainage or bleeding from your incision; Call if the drainage is cloudy, yellow,
green, or foul-smelling.
ξ Open spots between the staples where the skin is pulling apart

ξ If you notice the skin along the incision is getting darker or turning black
ξ Sudden increase in pain that is not relieved by your pain medicine
ξ A temperature of more than 101.5 θF (38.5 θC) by mouth for two readings taken 4 hours
ξ A new onset of weakness or numbness in your foot or leg
ξ Your leg or foot becomes cooler to the touch
ξ A change in the color of your leg; it becomes grey/white or bluish/purple.
ξ More swelling in your leg than you have had before if it does not go down after raising
them overnight

Phone Numbers

Vascular Surgery Clinic at (608) 263-8915 from 8:00 am to 5:00 pm Monday through Friday.

After hours, your call will be answered by a paging operator. Ask for the Vascular Surgery doctor on
call. Giver your name and phone number with area code. The doctor will call you back.

If you live out of the area, call 1-800-323-8942.

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 © 5/2015 University of Wisconsin Hospitals and Clinics Authority,
All rights reserved. Produced by the Department of Nursing. HF#4888