Before Surgery

Paperwork:


You will be provided with an admission pack containing information about the relevant hospital. There will be paperwork to complete and return to the hospital.

Preadmission clinic:


Depending on your general health you may need to attend the preadmission clinic.

Medications:


Most regular medications should be taken right up to and including the day of surgery. However some medications may need to be ceased some time prior to surgery.

Please discuss this with Dr Smith if you are unsure as to what you should do before your surgery.
Aspirin and anti-inflammatory agents
Cease 1 week preoperatively
Lipid lowering agents
Cease 1 day preoperatively and resume when stable and eating a full diet
HRT and Oral Contraceptives
In high risk surgery stop at least 4 weeks preop and during any period of postoperative immobility.
MAO Inhibitors
Discuss with Anaesthetist
Herbal Products
Stop 2 weeks preoperatively
Warfarin
Stop 5 days preoperatively after consultation with your GP and / or Specialist
Clopidogrel / Plavix
Stop 2 weeks preoperatively after consultation with your GP and / or specialist
ACE Inhibitors
Please see Day of Surgery

Smoking:


Smoking increases the risks of the operation including those related to the anaesthetic and the surgery itself. It is advisable to stop at least 2 weeks before the date of your operation. It is also preferable that you are off nicotine replacement, such as patches, before the operation.

If you feel you can give up but need more time, it may be advisable to postpone the surgery to give you a chance to do so. Please discuss this with your General Practitioner and Dr Smith.

Rings and Jewellery:


Following surgery there may be some swelling of the arm or hand so it is important to remove all rings on the arm to be operated prior to surgery. If you are unable to remove these rings yourself it is advisable to ask a jeweller to remove them for you in advance of the operation. Rings that have not been removed before surgery may need to be cut off and this may cause damage to precious items.

Additional preparation:


You should take care in the two weeks before surgery to avoid scratches or wound in the area of the surgery. These or active infections elsewhere in the body may result in the procedure needing to be postponed due to the increased risk of post surgical infections.

PHONE
(02) 9587 4720

Sydney Orthopaedic Trauma and Reconstructive Surgery
Suite 5, Level 2
19 Kensington Street
Kogarah NSW 2217

Orthopaedic & Arthritis Specialist Centre
Level 2, Gallery Arcade
445 Victoria Avenue
Chatswood NSW 2067