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During the three-hour-long operation on Wednesday, using general anesthesia, doctors removed increasingly painful scarring that resulted from previous abdominal surgeries as well as repaired a hernia in the abdominal wall, with the insertion of a prosthetic support netting, or mesh.

Alfieri said while Francis' recovery has been medically uneventful, any extra physical exertion, like rising from bed to move to an armchair to recite the traditional Sunday noon blessing and commentary to the public through a video link, could be risky at this point.

While the Vatican said earlier in the week that Francis had occasionally been sitting in a chair to read newspapers, the weekly noon appointment customarily involves the pope speaking to the public for about 15 minutes and giving his blessing.

Advice by his doctors and the pope's trusted Vatican nurse to forgo the Sunday appearance is aimed at achieving "the least strain on the abdominal wall in order to allow the implanted mesh and the muscle fascia repaired to heal optimally,'' Alfieri said.

“In the next few days, if he's not careful about healing, the netting could tear and he'll be back in the operating room,� the surgeon said.

“If he has a careful recovery, he'll be back better� than before at the Vatican, Alfieri said. “It's prudence that we suggested and that he wisely accepted.�

Francis has graduated from a liquid to a semiliquid diet and had no fever, according to his medical staff.

His cardiac and respiratory status was also fine, Alfieri said in his first medical briefing on the pontiff's condition since the one he gave Wednesday shortly after the pope came round from the anesthetic.

“For his age, 86, he doesn't have pathologies� regarding his heart or respiratory systems, Alfieri said in response to a reporter's question.

Francis will recite the traditional Sunday noon prayer privately in his hospital room, and faithful are encouraged to join in the prayer, Bruni said.

While praying privately, Francis will unite “spiritually, with affection and gratitude, to the faithful who want to accompany him, wherever they are� in prayer, Vatican spokesman Matteo Bruni said in a separate, written statement.

Meanwhile, thousands of people turned out in St. Peter’s Square for a gathering to promote the value of brotherhood — a quality so dear to Francis that he wrote an encyclical on its importance in 2020.

But since Francis couldn't speak to them, a cardinal read out the pontiff's speech, which acknowledged his absence.

“Even though I am unable to greet you in person, I would like to welcome and thank you wholeheartedly for coming,'' the prepared speech began. Those listening heard a reminder from Francis that there is �the possibility of being brothers and sisters even when we are not close, as has happened to me."

Francis is convalescing in the 10th-floor apartment reserved for papal use at Gemelli Polyclinic.

No date has yet been announced for his release from the hospital.

"We hope we will convince him to stay at least the whole next week,'' Alfieri said on Saturday.

Alfieri said by opting to spend more of his convalescence in the hospital instead of leaving after a handful of days, the pope can return “to his work with more strength and safety.�

Alfieri recalled his remarks, hours after the surgery, that Francis had experienced no complications during the surgery or from the general anesthesia.

During the operation, the surgical team removed adhesions, a kind of internal scarring not infrequent after previous surgery. Two years earlier, Francis had part of his colon removed following a narrowing of a section of the bowel. The hernia that was repaired had formed over a previous scar.

Alfieri had performed the 2021 bowel surgery as well. When he operated this time, “I found the same scars I found two years ago," the surgeon said Saturday. “Then they weren't causing symptoms.� But in the time since, the adhesions were increasingly causing pain.

Post-surgery, Francis “doesn't have much pain," Alfieri said, adding that the pontiff was on “bland� anti-pain medication “so he can breathe well.�

Francis has two trips abroad set for August, the first to Portugal, for a Catholic youth jamboree, and then, at the end of that month, to by a pontiff to that Asian country.

Asked about the prospects for those strenuous trips given his surgery, Alfieri said the pontiff, “made these calculations" when deciding to go ahead with the June 7 surgery, an indication that Francis felt that the timing of the operation would allow him to stick to his travel plans.