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How to prepare yourself for surgery?

Surgery preparation

So, you have been diagnosed with a medical disorder which necessitates a surgical procedure. You went to the hospital, met a surgeon and fixed up a date. The time flies and so does the butterflies in your stomach. The D-day is approaching. You are not sure how to prepare for it. Here is your cheat sheet.

Preparation

Positive and relaxed

It is important to have a positive attitude. You should not be all stressed up, stay relaxed and calm. Take help of various methods of relaxation such as meditation and yoga.

Preparation

Know everything

You should make an effort to understand the disease, the planned surgery and likely outcome. You should understand the risks and benefits of the surgical procedure and the other nonsurgical options if any. You have to know your surgeon and the operating team well. Make sure your surgeon is qualified enough and the hospital is well equipped. You should also meet the anaesthesia team.

Preparation

List all medical conditions and medicines

You might be on some medications or, you might be suffering from another disease or, you have been treated earlier for a disease or, you have undergone a surgical procedure earlier. Make sure, you apprise your surgeon of all these things. Don't think something is trivial and you don't need to mention them, it could be extremely crucial for the decision making. If you are taking blood thinners, then it may need to be stopped a few days prior to surgery. Don't forgert to mention any allergies, specifically allergy to drugs.

Preparation

Second opinion

Don't hesitate in taking a second opinion, but make sure you get it from a credible source.

Preparation

Discuss pain

Pain management is an integral aspect of surgery. The operation is done under anaesthesia while you are sleeping but you are awake once the surgery is over. The pain after surgery depends upon the magnitude of surgery and length of incisions. There are various options for managing pain and it would be good for you if you know beforehand, how your surgeon is planning to manage your pain.

Preparation

Let your doctor know of the key persons

During your recovery, you might not be in a condition to discuss and understand your daily progress. Make sure the operating team understand one or two key individuals who will be in charge of the decision-making process. Many times every visitor will talk to them and it will create confusion.

Preparation

Eat healthily

Some of your well-meaning friends and relatives might suggest you not to eat this or that. But surgery is like a battle for the body. Your body needs energy and so you need to eat well and eat healthily.

Preparation

Avoid dehydration

Drink plenty of water and avoid dehydration.

Preparation

Exercise

you need to prepare yourself for the battle. Exercise is an integral aspect of it. Do whatever is comfortable for you. Walking, jogging, weights.. anything would do. Add respiratory exercises to the routine, it will help you fend off pneumonia after surgery. Practice deep breathing and coughing exercises. Ask your treating team for the incentive spirometer.

Preparation

Quit smoking and alcohol

Smoking raises your risks of infections and other surgery complications. Quitting before your operation may also help you heal more quickly. It's good to stop smoking at least 4 weeks before surgery. Stretching that time frame to 10 weeks or more would be even better. Sudden stopping of alcohol can cause seizures, delirium and death. Regualar intake of alcohol puts you at increased risk of complications including bleeding, infection, heart problems and longer hospital stay.

Checklist

Do these things on the day of surgery

  • Do not wear makeup.
  • Do not wear nail polish.
  • Do not wear your eye contacts.
  • Leave valuables and jewellery at home.
  • Take off your earrings, nose pins and rings (including an engagement ring).

Detect Early, Treat Right, Save Lives!

Dr. Nikhil Agrawal

About Author

Dr. Nikhil Agrawal
MS, MCh

Dr. Nikhil Agrawal is a leading GI-HPB Surgical Oncologist with 20+ years of experience in complex cancers of the esophagus, stomach, colon, rectum, liver, pancreas, gallbladder, and bile ducts. He leads the GI-HPB Oncology Program at Apollo Hospitals, Delhi and Gurugram, with expertise in advanced robotic and laparoscopic cancer surgery.

His practice focuses on evidence-based, multidisciplinary care with an emphasis on individualized treatment and long-term outcomes.

He trained at BHU, SGPGI Lucknow, AIIMS New Delhi, and SNUBH, South Korea, and is a robotic surgery proctor who trains surgeons in advanced GI-HPB cancer surgery. He is also regularly invited as faculty at national and international scientific meetings.

This website helps patients and families understand GI and HPB diseases and cancers, treatment options, and what to expect during recovery and long-term care.