The preparation for both before and after surgery is often overlooked. When done correctly, nutritional support can dramatically change surgery outcoms. Optimum nutrition in pre and post-surgery via food and/or supplementation facilitates quicker recovery times and reduces associated risks such as infections and poor wound healing.
It has been shown that as many as 50% of those undergoing replacement surgeries are malnourished before surgery, heavily impacting recovery outcomes (Somanchi et al. 2011). This statistic highlights the importance of engaging in thorough assessment well in advance of surgery to reduce any potential complications and to optimise recovery.
Preparing for Surgery
Adequate protein intake, fruit, vegetable, wholegrain and water consumption and limited sugar, caffeine and alcohol consumption aid in providing the body with the necessary building blocks for optimal healing and recovery.
Undergoing anaesthesia places a significant burden on the body, particularly the liver. During this time, the liver requires increased antioxidant and nutrient support to facilitate the detoxification process. An antioxidant rich diet and supplementation of a high-quality multivitamin containing activated B vitamins is recommended for at least 2 weeks in the lead up to surgery and even longer after surgery. Your practitioner may also recommend glutathione supplementation to further assist the detoxification process.
Antioxidant rich foods to support the liver include:
- Brightly colored fruits and vegetables – berries, oranges, grapes, carrots, tomatoes, capsicum, pumpkin
- Garlic, onions and leek
- Cruciferous vegetables – Cabbage, cauliflower, broccoli, brussel sprouts and rocket
What to AVOID before surgery
Vitamin C can reduce the effectiveness of anaesthesia, so it is therefore important to avoid any vitamin C containing supplements for at least 24 hours prior to surgery. Avoiding supplements containing CoQ10, fish oil, vitamin E in doses higher than 400IU per day, ginger and turmeric is vital for at least 5 days prior to surgery, as they thin the blood.
Foods to avoid
Due to the role that vitamin K plays in the formation of blood clots, it is recommended to avoid the following foods at least 2-3 days post-surgery.
- Soy, green and garbanzo beans
- Cruciferous vegetables – Broccoli, cauliflower, brussel sprouts, cabbage and kale
Nutrition and Wound Healing
After surgery, inflammatory and coagulation processes begin within the body, which increases the need for nutrients. Inadequate nutrition in this period can delay wound healing due to structural proteins such as collagen having reduced function, immunity is compromised, and new blood vessels struggle to form. To optimise recovery, the body needs to be provided with sufficient amounts of the nutrients required for these processes.
Increased intake of the following foods to facilitate recovery
Nutritional noms for healing!
Incorporating smoothies and bone broths and eating a diet rich in antioxidant and anti-inflammatory foods is a great way to consume maximum nutrition whilst the body is healing.
Salmon with healing and detoxifying salad
- 1 x Salmon fillet per person baked in the oven
- 2 cloves of garlic, chopped and fried
- 1 medium onion, copped and fried
- 1 tin of organic lentils
- 1 large beet, peeled and shredded
- 1 head green cabbage, finely chopped
- 1 fennel bulb, chopped
- 1 bunch of kale, de-stemmed and shredded
- 1/2 cup fresh coriander, finely chopped
- Zest of 1 lemon
- 1/4 cup lemon juice
- 1/3 cup tahini
- 1 Tbsp. fresh ginger, grated
- 1/4 cup raw unfiltered apple cider vinegar
- 1 Tbsp. raw honey or 5 drops for stevia
- Combine all the first set of ingredients in a large mixing bowl.
Healing Booster Smoothie
- 1 serve of protein and collagen powder
- 2 tbsn of oats
- 1 cup of leafy green vegetables
- 1 tbsn pumpkin seeds
- 5 x almonds
- 2 x brazil nuts
- ½ cup berries
- ½ tsp of turmeric
- 1 cup of almond milk
- Combine lemon juice, tahini, ginger, apple cider vinegar and honey in a food processor or blender and blend for 1-2 minutes, or until smooth and creamy.
- Toss the salad ingredients with the dressing. Plate and top off with a generous sprinkling of the fresh lemon zest.
- Bones from raw or cooked meat (avoid chicken frames)
- 2 carrots
- 2 celery sticks
- 2 brown onions
- 1/4 cup of apple cider vinegar
- Water (enough to cover bones and a bit more)
- Place all ingredients (veges to be chopped) in a crock pot and simmer for 24 hours on low
- Remove bones and strain
- Consume half a cup per day
Nutrition and blood loss
Blood loss during surgery is inevitable and it is therefore vital to provide the body with the required nutrients needed for new blood formation. Foods rich in B vitamins 6, 9 and 12 and iron assist in replenishing blood stores. These include:
- Beans and legumes
- Red meat
- Nuts and seeds
- Leafy greens – consumed with a citrus source for maximum absorption.
Iron supplementation may be required when large amounts of blood is lost, and this can be determined via testing through a qualified practitioner.
Natural anti-inflammatories and pain relief
Post-surgery pain is a result of trauma to the bone and its surrounding tissues and the inflammation that occurs as the wound begins to heal. NSAIDs can provide relief, however it is important to keep in mind that they only mask the symptoms and delay the body’s natural healing process. There are several natural alternatives which can both reduce pain and facilitate the body’s natural healing process.
To learn more about nutritional support for surgery, contact a nutritionist in Adelaide now!
Optimal nutrition well before surgery is the best way to ensure that you will have the greatest surgical outcome with a quicker and complication free recovery.
Burgess L, Phillips S and Wainwright T 2018, ‘What Is the Role of Nutritional Supplements in Support of Total Hip Replacement and Total Knee Replacement Surgeries? A Systematic Review’, Nutrients 2018, vol. 10, no. 820, pp. 1-5, viewed 24thSeptember 2018, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6073268/
Hegazi R, Hustead D and Evans D 2014, ‘Preoperative standard oral nutrition supplements vs immunonutrition: results of systematic review and meta-analysis’, Journal of American College of Surgeons’, vol. 219, no. 5, pp. 1078-1087, viewed 24thSeptember 2018, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4902354/
Somanchi M, Tao X and Mullin G 2011, ‘The facilitated early enteral and dietary management effectiveness trial in hospitalised patients with malnutrition’, Journal of Parenteral and Enteral Nutrition,vol. 35, no. 2, pp. 209-216, viewed 24thSeptember 2018,https://www.ncbi.nlm.nih.gov/pubmed/21378250
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