Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr....
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Transcript of Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr....
www.fifeshouldersurgery.co.uk
Pre-operative information for patients having shoulder
arthroscopy
Mr. Sunil Sharma FRCS (Tr & Orth)
www.fifeshouldersurgery.co.uk
Advantages
• Quick & accurate information
• Can perform corrective surgery at the same time
• Small incision
• Day case procedure
• Few complications
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Risks & Potential complications
• Shoulder Stiffness
• Failure of surgery
• Infection
• Anaesthetic complications
• Other possible complications
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Anaesthesia
• General Anaesthesia
• Regional Anaesthesia (nerve block)
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Pre-assessment clinic
• Past history + physical examination
• FBC
• ECG - if more than 40 years
• Other tests may be required depending on medical condition
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Insurance information(for private patients)
• Check insurance requirements
• Check if referral needed from GP
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Days before surgery
• Wash the shoulder
• Do not shave the area
• Protect the skin
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Day before Surgery
• Phone up hospital and confirm time of admission
• Nothing to eat or drink after midnight
• Put up a note as a reminder
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Day of Surgery
• Your surgeon with mark your limb and discuss the risks and benefits of the surgical procedure
• Your anaesthetist with discuss the anaesthetic and the post-operative pain control plan with you
• If you have not already signed your consent form you will at this stage
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Recovery
• You will wake up drowsy but should not have much pain
• However the nerve block / local anaesthetic will wear off several hours later and the shoulder can get painful
• You will be given painkillers (Codeine 30 mg + Paracetamol 500 mg along with Voltarol 50 mg) before the nerve block wears off
• You will need a family member / friend to bring you home from hospital
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At home after surgery
• Apply ice packs / bag of frozen peas to shoulder
• Change dressing / band-aids
• Follow rehabilitation protocol
• Shower after 2 days
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Follow-up
• Follow-up in clinic will be arranged for 2 – 3 weeks after surgery for a wound check
• Physiotherapy if required will be arranged
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Call your doctor if..
• Excess pain or swelling in shoulder
• Fever or redness
• Other problems or complications