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In most
cases you will stay in hospital for one or two nights, depending on the
type of your surgery,
your general condition and you surgeon's advice so that your safety could
be fully guaranteed.
Day surgery is surgery that is completed in one day, and allows the patient
to leave the hospital
within 24 hours, and very often does not require the patient to stay in
hospital overnight.
Generally, you have to arrive several hours before your operation is scheduled.
Check in
Once you have checked in at the registration desk, you are taken to the
surgery unit and asked to fill in various forms that include information
about insurance, emergency contacts
You will also need to read and sign a written request and consent for
the surgery and anaesthesia. Then you will change into a hospital gown.
Medical issues to consider
After settling into the day surgery or surgery
section of the hospital, you will be checked by a nurse (this may include
recording your pulse, blood pressure, weight and temperature).
Your anaesthetist will visit you. They will examine you, review your health
history questionnaire and may ask you more questions.
Several hours before the operation
There are several things that you should be aware of and that may happen
before you go into surgery including:
Tests-you
may have a physical examination. Your anaesthetist or surgeon may order
additional tests to supplement those performed prior to your arrival.
If you can not present any of the necessary tests, those may be performed
on the day prior to the operation.
Fasting-if there is food or drink in your stomach during and immediately
after the
anaesthetic, it can be very dangerous. This is why you should not eat
or drink anything after 00.00 am.
Anaesthesia-your anaesthetist will discuss the appropriate anaesthetic. A sedative
may be offered to be given an hour or so before the operation as a pre-medication
that will help you feel drowsy and relaxed. You can discuss whether you
need this with the anaesthetist.
Safety-you
will be asked to remove any false teeth and jewellery. You may ask the
nursing staff to take care of your values.
Before the operation
Immediately
before the operation, you will be taken to the anaesthetic room or operating
room to have the anaesthetic. The type of anaesthetic depends on the type
of surgery, your health and, to some extent, your choice.:
General anaesthesia-in the operating theatre, your anaesthetist administers the
general anaesthetic (usually with an injection into a vein in the back
of the hand) to render you unconscious. You will also be provided with
a continuous drip to maintain venous route and supply fluids (usually
saline).Remember, your anaesthetist will be dressed in theatre uniform,
so they may be hard to recognise. Your anaesthetist is responsible for
constantly watching over your vital parameters such as breathing, pulse
and blood pressure during your operation.
Regional anaesthesia-local anaesthetic is injected into either the epidural space or the
spinal fluid. In case of having a spinal anaesthetic, you will feel numb
from the injection point down. You will not be able to move your legs.
If you have an epidural, you will have a band of numbness at the surgical
site and your legs may also feel weak.
This regional effect is temporary. The numbness and weakness wear off
over a few hours with both epidural and spinal anaesthesia. You may be
awake and alert or receive light sedation. You will be pain free.
Local anaesthesia-is generally used for small and simple procedures like excisions of
minor skin lesions
The operation
The operation is done, as discussed and agreed between you and the surgeon.
Usually performed by a team of surgeons.
Immediately after the operation
After your operation is over, you are taken to the recovery room. This
is a special area, close to the operating theatre and staffed by nurses
trained to look after patients who are waking up following an anaesthetic.
Because of the effect of the drugs you have been given, you may remember
little of this time and your first recollection after the operation may
be of your surgery bed.
If you were given a local anaesthetic for a small procedure, you are
discharged shortly after your surgery.
Our staff will help you to manage the next couple of days in your hotel,
and of course provides help with transportation.
Side effects and possible complications
Some of the side effects and possible complications of anaesthesia may
occur: drowsiness, sore throat, nausea, dizziness blurred vision, short
term memory loss, bleeding at the injection site, infection at the injection
site, low blood pressure, headache, temporary nerve damage, dental injury,
kidney failure, liver failure, allergic reaction to the anaesthetic, seizure,
muscle aches .
Taking care of yourself at home
If you have been given sedatives, pain relievers or general anaesthesia,
you may feel drowsy after
the procedure. This is because a small amount of the anaesthetic may still
remain in your body, that will be shortly metabolized by your liver and
kidney, but
this can slow your reaction time and affect your judgement for the next
24 hours..
During this time, you should not drive a car, operate potentially dangerous
machinery, drink alcohol, sign any important documents or care for young
children without other adult help. Please be guided by your doctor and
anaesthetist, but other general suggestions to help you take care of yourself
at home include:
Your anaesthetist
and surgeon decide together and discuss with you whether you need pain
relievers to take home if they expect some postoperative pain or discomfort
after your discharge.
Take medications strictly as directed; do not exceed the recommended maximal
doses. If you need more pain relief, please contact your surgeon.
You must assume
responsibility for your own after-surgery care, as you will not be staying
in the hospital overnight. Ask your surgeon or doctor for specific instructions.
Kell ez ide?
If you have
any concern, contact your doctor or surgeon.
Long term outlook
Serious complications
from anaesthesia are very rare. Generally, anaesthetics are considered
to be safe with no long term side effects.
If you need
further information you are very welcome to see us in a free consultation,
dates provided on our website.
It is also possible to take your questions prior the operation via email,
phone, or personally, on the day before your operation.
Things to remember
Day surgery
is surgery that is completed in one day, and allows the patient to leave
the hospital within 24 hours, and very often does not require the patient
to stay in
hospital overnight.
Major operations
require at least one or two nights hospitalization before discharge so
that your safety could be fully guaranteed.
The presence
of food or drink in the stomach is extremely dangerous, both during and
immediately
after the anaesthetic.
Serious complications
from anaesthesia are very rare.
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