Preoperative work up helps to assess a patientís ability to withstand the stress of anesthesia.
Preoperative measures for the surgical procedure are:
Many months before the surgery, the patient's doctor may advise for weight loss to help reduce the risks of surgery and to improve the surgical results.
In diabetics the control of sugar is advocated.
In smokers Ė cessation of smoking for over a month or more before surgery is recommended.
If on any blood thinning tablets like aspirin Ė it should be stopped for 3 to 5 days before surgery. Some of the newer medications like clopidrel need to be stopped for a week before surgery.
However do check with surgeon first before stopping any tablets.
Close to the time of the scheduled surgery, the patient will have standard preoperative blood and urine tests, an electrocardiogram, and a chest x ray to make sure that heart and lungs and major organ systems are functioning well.
Starting the night before surgery, patients must not eat or drink anything.
The lower chest, abdomen, groin and genital area may be shaved and prepared for the surgery.
The night before surgery a bath maybe advisable. While bathing thorough cleaning of the abdominal and genital area with soap and water a few times can help in lowering the bacterial count and lessen the chances of any infection from surgery.
An enema maybe administered to the patient prior to performing the surgery. Sometimes a laxative maybe given instead of an enema to clear the bowels prior to surgery.
Once in the hospital, a tube may be placed into a vein in the arm (intravenous line) to deliver fluid and medication during surgery.
The patient will be given a preoperative injection of antibiotics before the procedure. A sedative may be given to relax the patient.
On the evening before the operation a light easily digestible meal is advised.