Sunday, February 6, 2011

General Preparation For Male To Female SRS Before Surgery


Preparation before the surgery:  
The surgeon wants to make your surgery experience as comfortable as possible. If you have any questions about your surgery, be sure to talk with your surgeon.
 The surgeon ensures safety and proper diagnosis of his patients by following the criteria for approval prior to the surgery.
 
Criteria for approval are as follows:
  1. Letter of recommendation from a psychiatrist.
  2. Discontinued hormonal therapy at least 14 days prior to surgery. Hormones should be stopped before surgery to reduce the risk of thrombosis (blood clots).
  3. Physical check up prior to SRS. Laboratory test should be taken. It includes the following: CBC, HIV, FBS, Creatine, Urinalysis, and Alkaline phosphatase, SGOT LDH EKG and chest x- ray. You can have your private doctor perform the physical examination and send the results via email.
  4. Patient must stop smoking 2-4 weeks prior to the surgery. Smoking interferes and delays wound healing process.
  5. Patients must stop taking medications such as anticoagulants (aspirin), anabolic steroids and supplements (Vit. E)  at least 4-6 weeks to prevent complicating medical factors prior to surgery.
  6. Assessment of the medical history and physical examination will be performed during the consultation with the surgeon as well as explanation of the course of surgery, recovery period, risk and complications.
  7. No intake of food or water 8 hours prior to surgery.
  8. The surgery usually takes 4-8 hours and is usually done through general anesthesia.
  9. Appointments should be one month prior to the date and time of the surgery.
One month before the surgery:
 

Prepare and Plan: Put your schedule together for the day before, day of, and first few days
Following the surgery.
 

Appointment: should be one month prior to the date and time of surgery.
 

Preoperative tests: Make certain all test ordered (CBC, EKG, X-ray) by your surgeon MUST be completed at least 5 days before surgery and no more than 30 days before surgery.  Test results should be received by the surgeon for clearance. If medical clearance is not yet received at the expected date of completion, surgery maybe delayed or cancelled.

Stop smoking: Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
 

Stop taking medications: Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
 

Stop drinking alcohol: You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period. 
 

Vital information: A preoperative visit or call is essential to review your health, your goals and any vital information including allergies and health considerations.

One week before the surgery:

Confirm your day of surgery: Review all orders and instructions and put your schedule together a few days before the surgery.
 

Continue to practice healthy habits: No smoking, no drinking alcohol and stop taking medications to ensure safety.
 

Relax: Get plenty of rest.  Anxiety is common over the thought of surgery, so don’t hesitate to contact our office.  We are here to support you and answer all of your concerns regarding surgery.

One day before surgery: Pack your personal belongings for the day of surgery.
 

Nothing by mouth. No candy, gum or mints. Anything more than a small amount of water as needed for brushing teeth or swallowing medication may result in the need to cancel surgery.

Dress appropriately:  do not wear jewelry, hair clips, body piercing, cosmetics.  (If there is something you cannot remove, let the admitting nurse know right away)
 

Wear comfortable, clean, loose- fitting clothing: Do not wear jeans or any tight fitting bottom; rather have a pair of loose, drawstring sweatpants to wear home. You may wear a robe. Wear slip on, flat shoes with a slip proof sole; no heels. Wear clean cotton socks as the operating room can feel cool.

It is important that you follow the written instructions given to you when you are discharged.

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