Prior to surgery basic tests would include Blood tests, Urine Tests, Pulmonary Function Tests, X-Ray, ECG and Echo Cardiogram if you have a cardiac condition. These tests are a pre-requisite for Anaesthetic fitness. Most tests can be done at our center. If specialized studies are required you may be referred to another hospital or lab. It is safe to have the results of these tests ready at least a week prior to surgery.
Fitness for Surgery
Ideally, except in emergencies it is prudent to obtain Anaesthetic fitness prior to surgery. Based on your medical condition (eg.Cardiac) you might need clearance from a Cardiologist as well.
As pelvic surgery involves a position where the hips and thighs are flexed and stretched outward patients might feel cramps after surgery. Hence it is important to stretch the thigh and the calf muscles in the week prior to surgery.
Type of Anaesthesia
The type of Anaesthesia is a decision taken after discussion with your Anaesthetist. Ideally most Pelvic Floor/Incontinence Surgeries are done under Spinal/Regional Anaesthesia. If you are not comfortable with a Spinal, then General Anaesthesia or IV sedation can be given.
Medicines to be discontinued (5days prior)
A number of medicines would interfere with the coagulation profile and blood circulation. Hence these medications need to be stopped at least 5 days prior to surgery. Drugs like but not limited to Aspirin, Brufen, Clopidogrel may be a few…
When to Report
As surgeries are done on a day care basis or with overnight stay, patients may opt to come even on the day of surgery. Eg. For a 9am surgery patients should report at 6am. Patients should not have consumed food or liquids at least 6 hrs prior to surgery.
It is important that the bowels are prepared prior to surgery. A gentle soap and water enema is given either on the night before or on the morning of surgery.
Depending on the type of Anaesthesia, patients can either feel numbness below the hip for 4-5 hrs (spinal) or be groggy for about 1-2 hrs (general). Fluids are usually restricted for about 3 hrs after surgery. Patients will receive IV fluids till this time. Patients will be encouraged to eat semisolid diet if they can tolerate oral fluids well.
Advice on Discharge
At our center due to the nature of minimally invasive procedures, patients are either discharged on the first or second post operative day. Dressings are changed before discharge. Advice would usually involve refraining from lifting weights (>5kgs) , avoid intercourse for 6 weeks and not to do exercises which involve an increase in intra-abdominal pressure. Over the counter pain medications may be given.