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If
you are advised surgery, you may require to undergo:
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If
you are advised surgery, you may require Blood
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- Evaluation
of status of your teeth, ear, nose, throat and kidneys
to rule out hidden infection.
- X-ray
of your chest.
- ECG.
- 2
D echo
Investigations
as follows:
- CBC,
ESR, Blood sugar fasting and after lunch.
- Blood
group and Rh factor.
- Kidney
function tests, Liver function tests.
- Test
for HIV.
- Test
for Australia Antigen.
- Test
to rule out Hepatitis C.
- Routine
examination of your stool and urine.
- Special
tests if indicated.
- After
assessing your reports, you will be referred to a physician
for medical fitness, and to the anesthetist for evaluation.
- Prior
to surgery you will be familiarised with the exercises
which you will be required to do after the surgery.
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During
the surgery, the bleeding is minimised using various techniques,
but after the surgery usually there is some ooze from
the surgical site and hence we usually keep a bottle of
blood reserved for majority of patients. We keep two bottles
of blood reserved if one is getting both knees operated.
You are advised to arrange for 2 healthy donors from your
family or friends for donation prior to surgery, to assure
that good quality of blood is available if needed.
If
your pre operation blood level is adequate, you may not
need any transfusion. The blood which will be given to
you is always checked for its purity and it is seen that
it's properly tested as per Government regulations.
If
your hemoglobin level is adequate and if you are under
65 years, you may considered for auto-transfusion. In
auto-transfusion, the patient's own blood is collected
prior to operation, and is given back to the patient after
the operation. The obvious advantage of this technique
is that there is no risk of any transfusion-related reactions.
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Once
date of surgery is decided:
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Checklist
for the day of Admission
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Booking
of the operation theatre will have to be done.
You will be given following request letters:
- Pre
authorisation form for Cashless mediclaim policy if any.
Letter requesting admission in the desired class.
- Letter
to the anesthetist for pre operative evaluation.
- Letter
to blood bank for auto transfusion or donation.
- When
you go for the room booking, it is advisable to deposit
the required amount of money to confirm the booking.
- You
are required to get admitted to the hospital one day prior
to the surgery.
- On
admission, you are required to sign consent for anesthesia
and surgery.
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Please
remember to carry following with you at the time of admission:
- All
the X-rays.
- All
the blood reports.
- Cardiogram,
2D Echo.
- Notes
of various doctors.
- Personal
toiletries items.
- Reading
glasses.
- Small
change to buy news paper etc.
- Please
do not wear any jewellery or keep valuables or cash with
you.
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Schedule
on
the day of Admission
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On
the day of the admission, you will be examined by the resident
doctor, who will check all the reports and put them in proper
order.
The anesthetist may visit you and prescribe pre operative
medications and procedures.
You
may request for a sedative on the night previous to surgery
and ask for bowel cleaning enema if you so desire.
On the
night before the operation you should take light meal and
if the surgery is scheduled for next morning, you should
not take any thing orally after 12 midnight.
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