Ginecoweb

- Share

Surgery: what to do before and after

Preoperative

Emotional preparation

A woman who has heard that hysterectomy is going to ruin your sex life or let it prostrate for months can, for example, become depressed, have adverse reactions to your body and condition how woman.

The decrease of surgical time, reduced tissular aggression, lower complication rate, less immediate postoperative pain, shorter hospital stay and recovery quicker immediate (24 hours) and medium term (first week), are elements to consider and make her feel more quiet with respect to Gynecologic Surgery which will be subjected

General and physical preparation

These strategies have impact on the speed of his recovery, decrease in the rate of complications and effective return to their routine work or domestic activity

Eat a balanced diet that includes an adequate amount of protein, fiber and lots of fluids. The fruit of citrus or take 500-1000 mg of vitamin C per day may be beneficial to promote better healing
Avoid aspirin or other similar medications interfering with blood clotting for five to seven days prior to surgery; be sure to discuss it with your doctor before you stop taking any medicine. In general, keep, uninterrupted, chronic medicated treatments you use: thyroid hormone, antihypertensive, antiarrhythmic, etc. except formal contraindication issued by your family doctor or the specialist responsible for your pre-operative assessment
Exercise regularly to improve your cardiovascular status and perfusion of muscles, Central and peripheral.
Try to lose weight or at least not upload it during the weeks prior to your surgery
If necessary, make arrangements so that someone will care for your children while you are in the hospital.
Food, medication, use the bathroom, hygiene, etc.

The type of surgery that we allows you to fend for itself in 1-3 days.

Income

I used to be strictly punctual regard at the time of her surgery and this will be scheduled at 1 PM (Monday or Wednesday, Caracas medical center) or at 7:30 AM (Tuesday or Thursday, Center doctor Docente La Trinidad).

Enter the clinic 2-3 hours before the scheduled time of your surgery
Preoperative fasting:
- Surgery at 7:30 AM: you can eat whatever you want up to the 10 PM the night before but I suggest you to avoid heavy foods that makes you gas or gastrointestinal upset. After that time and until the surgery do not drink or eat anything.
- Surgery at 1 PM: the day of the surgery I would like (with the backing of Anesthesiology) a very light breakfast before 5 am. Then the patient should not eat absolutely anything, or water. That I give the 8 hours of fasting required by anesthesiologists.
Eating or drinking anything less than 8 hours prior to your surgery can generate the postponement or total cancellation of their surgical turn
If applicable, bring your abdominal support girdle. This is not necessary in laparoscopy or vaginal surgery.

Surgery

Your surgery will take place in General surgery or childbirth room depending on the chosen institution and type of surgery. If your surgery is in delivery room (medical center of Caracas) control of timeliness is more efficient since emergencies are unusual. In the event that your surgery is in General Surgery (medical center of Caracas and Center doctor Docente La Trinidad) delays are more likely – by the occurrence of emergency – but we always try to minimize them.

Remember that I am extremely punctual!

I repeat you that not you may have consumed any solid or liquid food 8 hours before your surgery. Eating any food before your surgery can generate the postponement or total cancellation of their surgical turn.

I know very well the instruments and surgical materials and the use in the manner intended by the manufacturer and the medical literature, including the use of energy (radiofrequency, ultrasound, mono or bi-polar instruments) surgery and surgical instruments traditional to prevent complications and/or undesirable collateral damage. We minimize surgical risks through the proper preparation and communication of all medical and paramedical personnel involved in your surgery, recovery post surgery and convalescence hospital.

Hospitalization and discharge

Painkillers will be shown every 6 hours continuously until their exit.

You will graduate with their priest as he came out of surgery, esto limited cases of surgical wound infection

An abdominal fascia covering the wound to decrease porstoperatorio pain during ambulation may be. They are those of magical closing. In your home it will continue to use her girdle for 3-5 days

In most of our cases the patient will graduate in 24 or 48 hours. Esto will depend on the type, duration and complexity of the surgery.

At home: The wound not manipulated or it will change your dressing should be cleaned with antiseptic or apply topical antibiotics.

Only it will take in an analgesic indicated in their exit, usually ibuprofen or a mixture of ibuprofen with acetaminophen as needed.

Stitches will be removed in 7 or 8 days. If for some reason you cannot attend to pull out points you can remove them at home following the instructions in the video below, after having removed the dressing:

RetiroPuntosSinAsa

Preoperative tests

Laboratory:

It consists of general profile for evaluation of basic organic and metabolic functions and their State of blood coagulation.

Radiology:

Ray X (RX): usually request a study simple Rx thorax PA/LAT (posteroanterior and lateral chest) if the patient is older than 35 or smoker.

Advanced Imaging: If the case warrants requested advanced studies with or without contrast of the surgical area to determine key elements about your diagnosis and the type of surgery: tomography (TAC), resonance (NMR), etc.

Preoperative evaluation:

The comprehensive assessment of the patient and their risk health before anesthesia and surgery as such practice by medical practitioners or cardiologists. Based on a protocol developed by the American Association of Anesthesiology (ASA) to determine and classify in a group at risk of death by surgery when the patient exposed to an anesthetic procedure

Anesthetic risk ASA

I healthy.

Patient without organic, physiological, biochemical, or psychiatric conditions. The person is healthy and has excellent tolerance to exercise

II.-mild systemic illness.

There are no functional limitations; you have an illness well controlled system of body; high blood pressure or diabetes controlled without systemic effects, smoking cigarettes without pulmonary disease (COPD) chronic obstructive; mild obesity, pregnancy

III.-serious systemic illness with discrete functional limitation

Mild functional limitation; a controlled disease of several body systems; danger of death; failure heart congestive (ICC) controlled, angina pectoris stable, old infarction, poorly controlled hypertension, obesity, chronic kidney disease; bronchial disease

IV. serious systemic illness with threat of life.

At least one serious disease poorly controlled or at the final stage; possible risk of death; Angina unstable, symptomatic, symptomatic ICC, Hepatorenal failure

V dying patient, not expected that it will survive if not operating

Not expected it to survive > 24 hours without surgery; multi-organ failure, sepsis with hemodynamic instability, uncontrolled coagulopathy, hypothermia

VI. brain death

Patient with a substantiated diagnosis of brain death to intervene for organ donation.

Surgery

Transverse incision

Pfannensteil incision and Joel Cohen during the initial stage of a cesarean or gynaecological surgery. The size can range from 5 to 14 cm

: Resultado estético al retirar los puntos de sutura al 8vo día. Al transcurrir el tiempo la cicatriz se hace practicamente invisible siempre que no haya tendencia a la hipertrofia

In the synthesis (suture) of wound we use standards of plastic surgery for a tight seal with low surface tension favour the aesthetic result and limiting the appearance of hypertrophic and keloid scars.