Patient information

How do I decide I need surgery?

The decision to have surgery is yours and should not be made in a rush. This decision should only be made after discussion with your surgeon and only once you are satisfied with the information you have received and when you believe you have been well informed.

It is important to keep in mind that your surgeon cannot guarantee that the surgery will meet all your expectations or that the surgery has no risks.

Preparing for your surgery

You may be sent a health questionnaire to fill in and return before your admission.

You may also be asked to come in for some tests on advance such as:

  • A chest x-ray
  • An ECG (heart tracing)
  • Blood tests or
  • A full health assessment

Please made sure you inform Professor Haddad if:

1. You have diabetes or any allergies.

2. You take Warfarin, Aspirin, or any other blood thinning drug as you may need to stop taking this prior to your operation.

3. You are having medical or alternative treatments.

4. You will not have anyone at home to help you after your discharge from hospital.

How long before my surgery should I stop eating and drinking?

If you are having a general anaesthetic, you must eat nothing for 6 hours before your operation. You can have water only up until 3 hours before.

What happens when I arrive at the hospital for my operation?

You will usually be admitted on the day of your operation.

A nurse will show you around your room and explain what will happen during your stay.

You must remove all jewellery, makeup, nail varnish, contact lenses or glasses, dentures, dental plates and hearing aids. You should lock away any valuables.

He/she will check your blood pressure, pulse and temperature.

A nurse will measure you for support stockings, which are put on just before the operation to minimise the risk of thrombosis (blood clots). You will also receive a patient wristband with your details on.

You may need to have some more tests including x-rays, ECG and blood tests shortly after admission.

If you have not completed the health questionnaire or had a health assessment before your arrival in hospital, you will be asked questions about your lifestyle and relevant medical conditions.

Your anaesthetist will see you to discuss your anaesthetic and pain relief after the operation.

Professor Haddad will ask you to sign a consent form to confirm that you understand the procedure and agree to go ahead with it if you have not already done so.

Please do not hesitate to ask any questions that you may have about the operation.

The Physiotherapist will spend time with you and plan your post-operative physio therapy treatment. He/she will teach you bed exercises as well as how to get in and out of bed safely.

You must remove all jewellery, makeup, nail varnish, contact lenses or glasses, dentures, dental plates and hearing aids. You should lock away any valuables

Will I be in pain after my operation?

Good pain relief is important and some people need more pain relief than others.

It is much easier to relieve pain if it is dealt with before it gets bad.

Pain relief can be increased, given more often, or given in different combinations.

Please ask help from the nurses on the ward if you are in any discomfort.

When will I be discharged from hospital?

Professor Haddad will advise you approximately how long you can expect to stay in hospital, this will be confirmed after your operation.

Please make arrangements for a friend or family member to take you home.

If you are having day surgery it is recommended that you have a responsible adult with you for the first 24 hours following surgery.

If there is no one available to be with you during this time it is recommended that you stay in hospital overnight.

You will be given medications and painkillers to take with you.

You will be given advice and information by the physiotherapists on the exercises and the ‘do’s and don’ts’.

A letter will be sent to your GP (with your consent) explaining your operation and treatment.

Tips to make your homecoming more comfortable following surgery:

  • Securely fasten electrical cords around the perimeter of the room.
  • Rearrange furniture so you can maneuver with a walker or crutches.
  • Remove any throw or area rugs that could cause you to slip.
  • Temporarily change rooms to avoid using stairs ie. make the living room your bedroom (mainly for patient’s having joint replacement surgery)

Are there complications to having surgery?

All surgical procedures have risks, despite the highest standards of practice. While every attempt is made to minimise risks, complications can occur that may have permanent effects.

Please ask questions if you are unsure or need more clarification as its important that you have enough information to fully weigh up the benefits and risks of surgery.

General risks of surgery include:

  • Allergies to anaesthetic agents, antiseptic solutions, suture materials or dressings
  • Pain and discomfort around the incisions
  • Nausea, typically from the anaesthetic, this usually settles down quickly
  • Heavy bleeding from the incisions
  • Separation of wound edges
  • Slow healing – most likely to occur in smokers and people with diabetes
  • Wound infections

Advice on Deep Vein Thrombosis (blood clots in the calf) and prophylaxis against this complication can be found in the following two documents:

DVT Advice Sheet

VTE Prophylaxis

How soon can I drive/ fly after my operation?

Its recommended that you do not drive or operate heavy machinery within the first 72 hours following your surgery. You will be given more specific guidelines depending on the type of surgery you had.

Professor Haddad will review your progress 7-10 days after your discharge from hospital and discuss these issues in more detail with you.

It may be in your interest to inform your motor vehicle insurance company that you are resuming driving after your operation, once you have been cleared by Professor Haddad to start driving again.

How much will it cost?

You should discuss costs before treatment rather than afterwards.

If you are insured the procedure codes will be provided to you and we ask that you check with your health insurance that your treatment and hospital stay as well as any other medical costs that you may incur will be covered.

An estimate of the surgical, anaesthetic and hospital fees will be provided to you if you are a self pay patient.

If further treatment is needed due to complications or you choose other options, extra costs are likely to apply.

Our fees have remained unchanged for five years, some insurance companies however have recently changed their fee structures and may therefore not fully cover your consultation or surgery fees. Please contact your insurers to discuss the level of cover that they provide for you.

Please read these documents from the Federation of Independent Practitioner Organisation:

Patient Charter

Fees

Please view the links below for the complications section for your specific surgery

Hip-replacement

knee-replacement

acl

knee-arthroscopy