You need to re-read all of these instructions allowing enough time to call us for any clarification before your surgery.
Avoiding drugs & foods that cause bleeding or do not mix with other drugs:
• Aspirin, Ibuprofen (or other similar drugs called NSAIDs) or medication containing such drugs
should not be taken within a minimum of seven days prior to surgery.
• Vitamin E tablets or moisturisers should not be used a minimum of seven days before surgery. • Alcohol, particularly red wine, should be avoided for 2 days prior to surgery. • Dietary Supplements such as garlic tablets & powder, ginkgo biloba, willow bark extracts,
feverfew (Chrysanthemum/Tanacetum parthenium) and St Johns Wort should be avoided for at least 4-5 days before surgery.
Arnica Tablets (a homeopathic remedy that will help to minimise bruising and swelling) should be taken. Two tablets three times per day sucked or chewed (not swallowed) for seven days prior to surgery and seven days after surgery. Please purchase 84 tablets (6X 14 days) from your chemist.
• Sunbathe for one week prior to surgery. • Smoking. If you smoke we recommend that you stop before your surgery. Nicotine reduces the
healing process by encouraging infection and poor circulation.
• Have anything to eat or drink for at least 6 hours before surgery. Anything by mouth could
• Tell us of any medications you are taking. • The morning or evening prior to surgery you are requested to wash your hair and take a
• Arrange for transport to and from the hospital. Perhaps include a pillow and blanket in the car
• Arrange for someone to stay with you at home for 24 hours after your surgery. • Prepare for your return to your own home • Remove any potential obstacles from bed to bathroom. • Choose your favourite magazines or book for your bedside table. • Gather extra pillows for comfort and / or elevation.
• Remove nail polish, contact lenses, jewellery and all makeup whilst at home. • Bring loose fitting, front opening, and comfortable clothing to wear home.
Day of surgery
• Please arrive at your specified admission time and make allowances for traffic delays. • You will be admitted by our nurse who will assist you with your pre operative forms. • Mr Yelland will meet with you to review your surgery. He will be able to address any of your
concerns. Our anaesthetist will meet with you prior to surgery.
• You will be given the anaesthesia that is the most appropriate for you.
• Driving: Do not drive during the first week to ten days after surgery. • Keep your wound dry for at least 2 days after your operation. Wounds are waterproof after this
time but do not soak in a bath or use bubble bath or soap on the wounds. A shower is best after which the wounds can be dabbed dry with a towel.
• You are advised to limit your activities to avoid unnecessary bleeding. Avoid strenuous
• Discomfort & Tiredness. Moderate discomfort is to be expected. You can expect your most
discomfort the second night and third day after surgery. Listen to your body. You have experienced a major surgical procedure. Rest when it tells you to rest.
• You will be given a course of antibiotics to combat infection. Do complete the course. • No alcohol should be taken for 48 hours after surgery. • We discourage smoking for 48 hours at least. • Do not use any electrically operated machinery or appliances for first 48 hours after surgery
• Do not take on any serious decision making for 48 hours. • Continue taking Arnica as instructed. • Do not sunbathe for 6 weeks postoperatively. • Aspirin, Ibuprofen (or other similar drugs called NSAIDs) or medication containing such drugs
should not be taken for seven days after surgery.
• Vitamin E tablets or moisturisers should not be used a minimum of seven days after surgery. • Dietary Supplements such as garlic tablets & powder, ginkgo biloba, willow bark extracts,
feverfew (Chrysanthemum/Tanacetum parthenium) and St Johns Wort should be avoided for at least 4-5 days after surgery.
Intranasal Corticosteroid Prapaporn Pornsuriyasak, M.D.*, Paraya Assanasen, M.D.** *Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, **Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. Siriraj Med J 2008;60:90-95 E-journal: http://www.sirirajmedj.com R apidly metabo
Abstracts 1. Predictive elements of success for restoring sinus rhythm by overdrive in atrial flutter. A.de Meester, J.J. Buy, L.De Roy. Acta Cardiol 1991; 46: 502-503. Xth Meeting of the BWGCPE. Nivelles 1990. 2. Can the ECG differentiate between ischemic and non-ischemic ventricular tachycardia. J.Smeets, LM.Rodriguez, J.Schlapfer, B.Xie, A.Katsivas, A.de Meester, HJJ.Wellens. Circulation