Preparing For Surgery
Once you and your Doctor decide that surgery will help you, you’ll need to learn what to expect from the surgery and create a treatment plan for the best results afterward. Preparing mentally and physically for surgery is an important step toward a successful result. Understanding the process and your role in it will help you recover more quickly with fewer problems.
Working With Your Doctor
Before surgery, your doctor will provide you with a complete physical examination to make sure you don’t have any conditions that could interfere with the surgery or its outcome. If necessary, routine tests, such as blood tests and X-rays, are usually performed a week before any major surgery.
Discuss any medications you are taking with your Orthopedic doctor and your family doctor to see which ones you should stop taking before surgery.
Discuss with your doctor the likelihood of blood replacement, where options of donating your own blood and pre-operative medical interventions can be instituted.
If you are overweight, losing weight before surgery will help decrease the stress you place on your new joint and reduce the rate of infection. However, you should not diet during the month before your surgery, as ideal nutrition helps heal your surgical limb.
If you are taking aspirin or anti-inflammatory medications or warfarin or any drugs that increase the risk of bleeding you will need to stop taking them one week before surgery to minimize bleeding.
If you smoke, you should stop or cut down to reduce your surgery risks and improve your recovery.
Have any tooth, gum, bladder or bowel problems treated before surgery to reduce the risk of infection later.
Eat a well-balanced diet, supplemented by a daily multivitamin with iron.
Report any infections to your surgeon. Surgery cannot be performed until all infections have cleared up.
Planning For Home
Arrange for someone to help out with everyday tasks like cooking, shopping and laundry.
Put items that you use often within easy reach before surgery so you won’t have to reach and bend as often.
Remove all loose carpets and tape down electrical cords to avoid falls.
Make sure you have a stable chair with a firm seat cushion, a firm back and two arms.
Make sure your shower or bath is safe and easy to get in and out of. Handrails, non slip mats and suitable stools to sit on are helpful for personal safety and comfort.
Plan on moving between locations at home frequently to decrease clotting, and increase musculature, balance and mobility.
Important Tips to Remember
1) Have someone available to take you home, as you will not be able to drive for at least 24 hours.
2) Do Not drink or eat anything in the car on the trip home. The combination of anaesthesia, food, and car motion can quite often cause nausea or vomiting.
3) After arriving home, wait until you are hungry before trying to eat. Begin with a light meal and try to avoid greasy food for the first 24 hours.
4) If you had surgery on an extremity (leg, knee, hand or elbow), keep that extremity elevated and use ice as directed. This will help decrease swelling and pain.
5) Take your pain medicine as directed. Begin the pain medicine as you start getting uncomfortable, but before you are in severe pain. If you wait to take your pain medication until the pain is severe, you will have more difficulty controlling the pain.