7. Post-operative care

As with all transperitoneal surgery, a period of adynamic ileus should be respected after the procedure. The progression of the diet should be individualized, but typically requires less than 8 hours. Early ambulation is essential in this context, and it also helps to minimize thromboembolic events. Early administration of enoxaparin (starting 12 hours after the end of surgery) is indicated unless there are contraindications. Antibiotic prophylaxis should be restricted to the intraoperative period and certainly should not be initiated more than 24 hours after the procedure [15].
