General description
In our facility we perform a number of surgical procedures from aesthetic medicine to vascular surgery. The patient should prepare for each of these procedures in a specific way. Below are the main problems that should be solved during the preparation.
It is not advisable to remove hair from the skin of the operated site a few days before the surgery.
THE DAY BEFORE THE PROCEDURE:
- Take a full body bath, including washing your hair. Particularly carefully wash the area around the navel, armpit, groin, perineum and feet and (if possible) the place operated on with an antibacterial preparation, dry the body with a clean towel, then put on clean underwear.
- The pharmacy offers antibacterial preparations for washing the body and hair, e. g. Octenisan emulsion.
ON THE DAY OF THE PROCEDURE:
the procedure should be repeated as on the day preceding the procedure.
FOLLOWING THE RECOMMENDATIONS SIGNIFICANTLY REDUCES THE RISK OF INFECTION OF THE OPERATED SITE.
For local anaesthesia, a product is used that leads to the local exclusion of pain innervation. The agent is applied with an injection into the area to be treated. It’s usually a few milliliters of drug solution. Anaesthesia works for about an hour to one and a half. It is good to take the first dose of analgesics after the procedure, which will reduce or even completely eliminate the feeling of pain in the operated area.
Local anesthesia does not require special arrangements. Patient doesn’t have to be fasting. They can normally eat a meal and drink a lot of water to improve tissue hydration. They should take all the medicines taken on a regular basis, unless agreed with the treating physician otherwise.
In case of drugs taken under the control of INR index (acenocumarol, warfarin), one week before the procedure, under the control of the doctor conducting the procedure, it is necessary to replace warfarin and acenocoumarol with low molecular weight heparins in an appropriate dose – selected by the doctor for each patient individually. Before the procedure (one day) it is advisable to check whether a week’s withdrawal of blood thinners is sufficient for the clotting to return to normal. Performing procedures when the INR blood thinning index has therapeutic values, i.e. between 2 and 3. 5, may cause complications such as hematoma or may hinder wound healing. Therefore, whenever you take such medicines, you should tell your doctor. If you are taking chronic aspirin derivatives, for the time being, it is believed that minor treatments can be performed without having to stop taking these drugs.
It is not advisable to remove hair from the skin of the operated site a few days before the surgery.
THE DAY BEFORE THE PROCEDURE:
- Take a full body bath, including washing your hair. Particularly carefully wash the area around the navel, armpit, groin, perineum and feet and (if possible) the place operated on with an antibacterial preparation, dry the body with a clean towel, then put on clean underwear.
- The pharmacy offers antibacterial preparations for washing the body and hair, e. g. Octenisan emulsion.
ON THE DAY OF THE PROCEDURE:
the procedure should be repeated as on the day preceding the procedure.
FOLLOWING THE RECOMMENDATIONS SIGNIFICANTLY REDUCES THE RISK OF INFECTION OF THE OPERATED SITE.
All available medical records and current results of the following tests must be presented prior to the examination:
- double blood group or Blood Group Identification Card
- Complete Blood Test
- coagulogram
- ionogram (K, Na)
- ECG (ECG examination can be performed on the day of the procedure, please report it on the Reception Desk)
DUp to 3 months, the above mentioned tests are considered valid.
Before general anaesthesia, each patient is asked to fill in a special health questionnaire. This makes it easier for the anaesthesiologist to assess the state of health and safely perform an anesthesia tailored to the needs of the patient, procedure and doctor performing the procedure. Therefore, the Patient should come to the reception desk 20-30 minutes earlier. You should refrain from eating and drinking six hours before the procedure.
If the procedure is performed under general anaesthesia, the patient must be healthy (without fever, rhinitis or cough). If you experience any of these symptoms, you should call the day before the planned examination to report your malaise.
After the examination under general anaesthesia, an adult should pick up the patient. No motor vehicles may be driven 24 hours after anaesthesia.
We kindly inform you that the condition for reserving the time limit for the examination under general anaesthesia is to pay a deposit of PLN 500 or 1000 respectively (hernioplasty). The fee is not refundable unless the Patient cancels the examination 24 hours before.
Account number to which the deposit should be paid: mBank 15 1140 2004 0000 3602 7568 3111, in the title please enter the Patient’s name. In case of lack of payment, the examination is cancelled 24 hours before.
Before procedures under general anaesthesia (colonoscopy, gastroscopy, endoscopy of the gastrointestinal tract) you should be fasted – which means that 8 hours before the procedure you are not allowed to eat or drink. It is also forbidden to chew gum or smoke cigarettes. This is due to the fact that under general anaesthesia muscles are relaxed and there is a risk of the contents of the stomach going back to the oral cavity. If you are asleep, you may then take some of this content to the airways while you are breathing, which may lead to pneumonia. Additionally, each patient is asked to fill in a special health questionnaire before general anaesthesia (available in the download section), which will make it easier for the anaesthesiologist to individualize the concentration of drugs necessary to perform anaesthesia.
Unless your doctor says otherwise, you should take all your medication, especially if you are talking about medication for hypertension, heart or asthma. The exception is blood thinners such as warfarin and acenocoumarol. Also diabetic patients, if they do not take a meal, should not take standard doses of insulin – a thorough blood sugar control should be carried out here, which will facilitate the proper dosage of diabetic drugs – both oral and insulin.