Pre surgical preparation

One month before the surgery:

  • You should appoint a consultation preferably with all the family for details referring to the surgical procedures;
  • Start the recommended pre surgical exercises;
  • If you are a smoker try to stop/reduce the number of the cigarettes. In order to create the premises of an optimal recovery stop the smoking two weeks before the surgery and six weeks after it;
  • Pay a special attention to your health
    • Avoiding the local infections, viral diseases, decompensation of preexisting conditions, avoid the activities which endanger the integrity of the skin especially in the area of the surgery
  • Resolve the major dental problems

Three weeks before the surgery:

  • Keep on doing the pre surgical exercises
  • Set the postoperative/post surgical care strategy with the members of the family. Who will take care of you knowing that orthopedic disorders sometimes involve a longer recovery period with the need for a person to help you with the postoperative/ post surgical care.
  • Make some changes in/around the house for a safer and easier mobilization. These changes may reduce the risk of falling and at the same time can make your mobilization easier with the help of walkers or crutches.
    • Release the access ways so you can go with the walker. (Move / remove excess furniture, try to get mobilized with the walker so that all major areas: kitchen, bathroom, bedroom can be accessible)
    • In case of total hip arthroplasty you need the lifting of the toilet seat, a bed mattress and to find a comfortable armchair, without wheels, where you can sit without thigh flexed over 90 degrees.
    • If possible limit the number of steps that should step on daily;
    • Remove the electrical cables in the in which you have to move;
    • If you have pets arrange for someone to take care for them;
    • Make sure you have comfortable shoes / easy to put on;
  • Complete all the necessary tests required by the treating physician for an early detection of certain diseases or complications appeared in the meantime (infections, viruses)

A week before the surgery:

  • You may have a last appointment with the treating doctor and the anesthesiologist. Remember to bring all the medical records showing the medication which you take
  • Stop taking all NSAIDs or anticoagulants (in agreement with your treating doctor) you take as a routine (Aspirin, Ibuprofen, Naproxen, Coumadin, Sintrom, Plavix, etc.). These may affect clotting times and can lead to excessive intra- and postoperative (post surgical) bleeding
  • If you get sick call the treating doctor.

One day before the surgery:

  • Make your luggage for admission (see below "what to take to hospital for admission?")
  • After midnight no longer eat solid food or drink liquids
  • Take a shower as usual including the area to be operated. Use soap washing the area to be operated. Do not shave the limb to be operated except for your doctor’s indication. (Do not shave the member to be operated until your doctor tells you)
  • It is mandatory to stop smoking after midnight, preferably two weeks before the surgery (see above)
  • If you catch a cold, influenza, viruses, if you are feverishly - contact your treating doctor

In the surgery morning:

  • Do not eat food or drink liquids
  • Do not use make up, do not use facial powder/perfume/other lotions
  • You can brush your teeth without swallowing water
  • Take only the medication previously agreed with the treating doctor and with a small quantity of water, if it is necessarily needed. Generally the medication to be taken in the surgery morning addresses to heart disease, and to the hypertension treatment
  • Go to the admissions office.
  • If your intervention is not scheduled for the first hour, a magazine or a book to read might make your waiting easier to be tolerated.

What should I bring with me for the hospital admission?

  • Initially it is recommend to bring only the necessary stuff for the first 24 hours (tooth/brush paste, glasses, dentures), then arrange with someone to bring you the rest of your personal stuff later
  • Slippers with soles that will not slip
  • Personal care stuff
  • Drugs you usually take (as a routine)
  • A Mobile phone containg the numbers of people who may be called if something else is needed
  • Magazines, books, laptop or any other items which make your transition time easier

What should I not take with me to the hospital?

  • Tight clothing
  • Shoes with laces
  • Jewelry or other valuable assets
  • Clothing, shoes or food in excess.

For any other questions: see facebook Orthopedic Tip