PRE-OPERATIVE (BEFORE SURGERY) INSTRUCTION

The following instructions are provided to help you understand and prepare for your upcoming surgery. This information may not answer all of your questions about your upcoming operation, so feel free to ask your doctor or nurse.

Checking for General Health Status and Fitness Before Surgery
Depending on your surgical procedure and general health, you may require a physical examination and some diagnostic tests. These tests may include blood work, chest X-rays, ECG, stress tests, and lung function studies. Your surgeon will advise you on what tests you need.

Medications to Discontinue Before Surgery

  1. If you are on the following medications, you may need to stop them before surgery. Discuss with your hand surgeon, when should you start to withhold your medication.
    • Aspirin or Cardiprin
    • Warfarin
    • Ticlid (Ticlopidine)
    • Plavix (Clopidogrel)
    • Pradaxa (Dabigatran)
    • Ginkgo
    • NSAIDs (Ibuprofen, Naproxen)
    • Any traditional or herbal supplements
  2. If you are diabetic on insulin or oral hypoglycaemic drugs, your surgeon will advise you on your medications intake prior to your surgery.
  3. You may continue the following medications (including in the morning of surgery):
    • Antihypertensive drugs
    • Cholesterol Lowering drugs
    • Anti-reflux or gastritis medication

Preparing For Surgery: Pre-operative Instructions

  1. Fasting
    • Do not eat, drink or smoke at least 6 hours before your operation. If your surgery is scheduled at 5.00pm, you need to start fasting from 11 am.
    • If you need to take medications, swallow them with small sips of water
  2. Do not drink alcohol (beer, wine) or use recreational drugs for at least 72 hours before surgery.
  3. Do not shave the surgical site.
  4. Do not apply any nail varnish.

What to bring with you for admission or daycare

  1. Please arrive at the admission counter on the date and time specified. Avoid late arrival.
  2. Please bring along:
    • admission letter
    • medical insurance card if applicable
    • all your medications and list of allergies
    • imaging films eg X-rays, MRIs
    • relevant blood tests
  3.  What other things to bring with you:
    • Eyeglasses instead of contact lenses
    • Dentures
    • Toiletries (if admitted)

Cancellation of operation

  1. If your surgeon need to cancel or postpone your operation, we will contact you.
  2. If you need to cancel or postpone your operation, please contact your surgeon.
  3. If you are unwell, having fever, cough or running nose within 1 week from the surgery date, please contact your surgeon for postponement of the surgery.