Pre Operative Care

Preopeative care

Before your operation it is important that you understand as much as possible about what is going to happen.  You should understand why you are having your surgery, what the operation entails and the likely outcome.  You  should also understand the possible complications of your surgery and the risks of failure of your operation.

About your operation

You will have discussed your operation with me in my clinic before we agreed that you would benefit from surgery.  Sometimes it can be difficult to take in all the information about an operation,  there can be a lot to discuss and it is easy to miss something.  It is very important that you understand as much as possible about your surgery.  If you feel that you would like further explanation, or you have specific questions regarding your surgery please get in touch with Liz in my office.  She will make arrangements for a telephone call or another visit to my clinic.

Of course there is a lot of information about operations on the internet and on this web site.  I have tried to provide specific information about each of the operations that I perform, which I hope you will find helpful.  There is also a lot of very useful information available on the NHS NICE website

Preopeative assessment

It is important that we know as much as possible about you from a medical point of view, before your operation.  Your anaesthetist will use this information to make sure that you have an anaesthetic which is tailored to you and is as safe as possible.  Your preoperative assessment also helps your nurse to understand any additional needs that you might have when it comes to your discharge planning.  Depending on your age and general fitness, your preassessment may include an interview, blood tests, and an ECG.  We may also take nasal swabs to check for MRSA bacteria which can cause problems if undetected.

On the day of surgery

You will have been given your joining instructions by the Hospital.  This usually means arriving at 07.30 for a morning list or 12.00 for an afternoon list.  Occasionally patients are booked onto an evening list with a 15.00 arrival.

Your joining instructions will also include instructions regarding fasting before your operation and when you can have your last fluids before surgery.  Generally if your surgery is planned for the morning you will have fasted from midnight and if it is in the afternoon you will have fasted from 6am.  

When you arrive on the ward your nurse will complete your admission papers and prepare you for surgery.  Your anaesthetist will visit you as will I.  We will review your planned surgery and we will sign your consent form together.

Unfortunately it is impossible for everybody to be first on the list and so you may have to wait for some time before you surgery.

In the anaesthetic room

Once you have been called to theatre you will be brought to the anaesthetic room.  You will meet your ODP, a specilaist who assists the anaesthetist, and they will connect you to all of the monitors that will ensure your safety during your surgery.  Your anaesthetist will insert a small cannula into the back of your hand and then you will recieve the drugs which will start your anaesthetic. 

Having a general anaesthetic is not an unpleasnt experience the last thing you remember is feeling very sleepy and the next thing you remember is waking up in the recovery area.

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Thank you for providing such personal care.

- Bill Smith