Instructions for Patients Having Outpatient Surgery

(Including but not limited to: Laparoscopy, Hysteroscopy, D&C,Thermal Ablation, Cystoscopy, TVT, Laparoscopic Sterilization )

Pre-Operative Instructions

  1. STOP for 3 weeks prior to surgery date:  ANY anti-inflammatory or blood-thinning medications (including Advil, Aleve, Motrin, ibuprofen, or aspirin-like products) unless otherwise discussed with your physician, and ANY nutritional supplements (including vitamin, liquid, or tablet nutritional substances or over-the-counter diet preparations.)
  2. DO NOT eat or drink ANYTHING after 12:00 Midnight before your surgery (not even a sip of water,  gum, or hard candy).
  3. DO NOT take medications the morning of your surgery unless directed to do so by your physician.  You may bring your medications with you to the hospital.
  4. DO NOT smoke the morning of your surgery.
  5. DO NOT bring valuables with you to the hospital.
  6. DO NOT wear nail polish the day of your surgery.
  7. You should not wear your contact lenses to the hospital, but eyeglasses are fine and will be removed prior to surgery.  You may also wear your dentures to the hospital, but may be asked to remove them prior to surgery. 
  8. The surgery patient representative in our office will verify your insurance coverage and benefits prior to scheduling your surgery.  She can give you an estimate of your financial responsibility for the proposed services.  You will also be contacted by the surgical facility regarding their fees.
  9. You may be scheduled to see your physician prior to surgery for a pre-operative appointment.  He or she  will review your plan of care and answer any questions you may have about your planned surgery.
  10. You will also need to have pre-surgery lab (blood work) done.  Our surgery coordinator will give you the details about getting this done. 
  11. DO notify your doctor or the office of any change(s) in your physical condition prior to surgery (i.e. fever, cold, etc.).
  12. DO arrange for a responsible adult to drive you home upon discharge from the hospital upon discharge. The hospital will not allow you to leave on your own.

Post-Operative Instructions

HOSPITAL STAY: 
After surgery, the recovery room stay is usually two to three hours after which you are allowed to go home. Someone else must drive you home.

ACTIVITY & DIET: 
The day of surgery you may feel dizzy, lightheaded, or nauseated.  Rest and limit your activities accordingly.  Resume eating when you regain your appetite, beginning with soups and liquids.  Driving is permitted after 24 hours if strength allows and if you are NOT on pain medication or a sedative.  You will probably be able to return to work within 48-72 hours after your surgery.  Do not resume sexual activity until after your bleeding has stopped.

BLEEDING:
You may have some vaginal discharge and bleeding.  Tampons are permitted but should be changed at least every six hours.  Contact our office if your bleeding becomes heavier than a period.

PAIN & FEVER:
You may experience mild menstrual cramps following surgery.  However, severe cramping or a temperature of 101° or greater must be reported.  During anesthesia, a tube may be placed in the throat as a safety precaution.  If this results in a sore throat, over-the-counter lozenges and sprays may be used.

INCISION CARE:
You may take baths or showers after your surgery.  Use mild soap and warm water to thoroughly cleanse the area around your incision.  Be sure to dry the incision well after bathing.  Call our office if you notice any drainage, bleeding, or separation of the incision.  Also notify us if you experience signs of infection such as redness and warmth around your incision or increased pain.  Stitches normally dissolve within a few weeks following your surgery. 

BOWEL MOVEMENTS:
You may use stool softeners, fiber supplements, and very mild laxatives as you are accustomed.  If you have trouble with bowel gas you can try over-the-counter products such as simethicone, or Gas-X.  Call our office if you have any problems passing gas or having a bowel movement.

POST-OPERATIVE CHECK-UP:
Your post-op check-up appointment should be made when you are scheduling your surgery.  Post-operative check-ups are normally scheduled for two to four weeks after surgery.  If this was not done, call our office promptly after you are discharged from the hospital.  Make a list of questions to ask at your post-operative visit.

A division of Women's Care Center of Memphis, MPLLC.