Know your Surgery
After you give consent for your surgery the first activity your surgeon will do is get a pre anaesthetic check-up with blood investigations, x-ray and ECG for your anaesthetic fitness. You will be advised to come to hospital on the day of surgery with overnight fasting. You will be explained all the activities during the hospitalization period. You may be prescribed to take some medicine on the day before surgery and or on the same day morning. You have to take a shower with soap bath before the surgery. Consent for surgery, anaesthesia and blood transfusion will be obtained from you. At operation theatre anaesthetist will establish a venous access for intravenous drug administration and multiple wires and tubes will be attached with you for active monitoring of your cardiovascular and respiratory activity during the surgery and anaesthesia period. For most of the lower limb surgery we do prefer regional anaesthesia. For regional anaesthesia anaesthetist will introduce anaesthetic medicine in and around the spinal cord which will temporarily desensitized your lower limb below umbilicus. Anaesthetist will introduce a fine catheter within tissue space just outside spinal cord. Through this catheter anaesthetic agents can be introduced around spinal cord to extend the effect of regional anaesthesia or can be used for post operative pain management. Both of these effect depends on amount of drug is being introduced. During surgery you’re to be operated limb will separated from rest of the body with clean sterile clothes or disposable drape sheets. Anaesthetist will available near your head end throughout the time of surgery to help you. After the surgery is completed stitched skin surface will be covered with dressing and you will be shifted to post operative room or ICU and may be kept at post operative ICU overnight for observation. A urinary catheter will be inserted to monitor urinary output and avoid retention. You may be mobilized out of the bead on the same day evening or next day morning according to the surgery performed and or your level of pain control. You will be given intravenous antibiotic, analgesic and other medicine for two day and then oral analgesic. Anti DVT medication and other measures will also be taken to prevent incidence of DVT. During the rest of the hospitalization period physiotherapist will help you restore your active daily living. During discharge you will be advised home medication, wound care, physiotherapy, precautions and follow-up schedule.
In this section you will find information regarding all those orthopaedic procedures that I perform in my day to day orthopaedic practice.