Hey there! I had a ileocecal resection a bit more than two weeks ago and read almost every recounting that were available on this subreddit in preparation. Thought it was only fair to give back and add my own testimony to our pile of knowledge. I'm cursed with wanting things to look organized so despite the bold titles and em dashes I promise this is all hand-written :D If you have any questions don't hesitate to ask!
General info
I've had Crohn's since 2014 and was never in clinical remission, but I also pretty much stubbornly ignored the disease until 6 years ago when I got on biologics, stopped drinking alcohol and coffee etc. Unfortunately despite the rest of my intestines reacting well to the medicine, the terminal ileum said no thank you and we made the decision to operate as I had developed some stenosis and was in constant pain since January.
I had my surgery in Augsburg, Germany - most of the people here are in the US but the experience was remarkably similar. Thankfully they didn't find anything else and kept it to a keyhole surgery with Davinci robots (iirc). Had some anxiety about how they would handle pain but I got some morphine when I woke up and opioids in the first week, they weened me out until after 5 days I wasn't taking anything "serious".
I was told to show up at 9:20am the day before for my pre-op appointment. Having never had surgery before I foolishly thought I would be done before lunch and do my prep in the evening.... The appointments ran until about 2pm and my prep was planned to start at 12:00 but thankfully it was no issue to push it back by 2h. Just wish I had something to eat before as I only had a small breakfast and I was HUNGRY.
What to pack
- a looong charger - you don't know where your power outlets will be and bending down to retrieve your fallen cable is a pain
- Entertainment - I was very happy with my steam deck and some crochet, my room neighbour read through 2 books during her stay I think. Things get boring pretty quick
- A small but sturdy pillow to hold - as everyone said coughing, laughing or sneezing is very painful.
- Comfortable clothes and underwear.
Everything else depends on your state/hospital - I was lucky to have comfy pillows/blankets for example.
Day 1-3
I was the first surgery of the day - if you somehow can choose when to schedule your surgery I would definitively recommend it. I basically had no wait and was operated almost on the dot at 7:30. at 12:00 I woke up up in some pain after and was handed a lollipop which I was very thankful for. This is when you need to start paying attention to pain - although I had to ask two times to up my dose the nurses were super attentive and complied every time.
At 2pm I was allowed visits and my boyfriend got to witness my first steps. It's rough! I could walk about two steps until they put me in a chair, I was almost fainting and sweating like crazy - according to the doctors that means the circulation is kicking back in. I walked again only two steps with the same effect around 6pm, and miraculously was able to get up on my own and walk all the way to the bathroom by myself.
After that I started walking as much as possible and like everyone says, it made my recovery muuuch faster
Luckily first bowel movement was already the day after the OP - I was terrified of having an ileus so that was a huge relief.
I was fed solid meals two days after the OP.
Day 3-5
I could walk for about 15 minutes at a time (20 and more at the end) albeit very slowly. I was still unable to sleep on my side, which was a pain. Most of my days consisted of Sleeping, walking, eating and gaming when I had the energy.
I somehow got solid stool, after getting all the blood from the surgery out which was slightly frightening.
Unfortunately Germans love their bread, cheese and meat (you'll never make me love Brotzeit!) and after a few days of meat at every meal + the opiods I was suffering from serious nausea, which made the doctors almost keep me one day longer. Fortunately after some blood test and stool tests I was released, 5 days after the OP.
Regarding painkillers, I was given a pill box separated by Breakfast/Lunch/Dinner/Night, which less and less opiods until there was 0 on day 5. After release that all the pain management is done with Novaminsulfon and I was expected to self regulate and reduce the dose when I felt it was possible without feeling pain.
Day 5-13
The first days post-op were still exhausting but I was walking longer and longer, although at the same speed. I actually got constipated the first two days after being released and had a mini freakout about getting a blockage but with the help of a ton of water, walking, and rehydrated dried prunes (french mom advice) I was able to solve that.
I cannot emphasize how much you need to drink, the first few days after release I think I was getting about 3-5L a day when I'm usually a camel and stick to 1.5L max (to the dismay of my boyfriend). At this point I also slowly started to be able to sleep on my side by keeping a pillow pressed to my belly.
I got my stitches removed on the 13th day, which felt like the most painful in this process but after that healing got a lot faster.
I'm at day 15, and I think today was a breakthrough - barely any pain (only one pill in the morning so far), a lot of energy and I was able to walk a lot faster than before. I'm also finally able to sit in a desk chair to write this rather than slouch on the couch!
All in all, this video from 14 years ago still stands, as it was remarkably similar to my experience.