Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr....

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www.fifeshouldersurgery.c o.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)

Transcript of Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr....

Page 1: Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)

www.fifeshouldersurgery.co.uk

Pre-operative information for patients having shoulder

arthroscopy

Mr. Sunil Sharma FRCS (Tr & Orth)

Page 2: 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

Page 3: Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)

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Risks & Potential complications

• Shoulder Stiffness

• Failure of surgery

• Infection

• Anaesthetic complications

• Other possible complications

Page 4: Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)

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Anaesthesia

• General Anaesthesia

• Regional Anaesthesia (nerve block)

Page 5: Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)

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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

Page 6: Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)

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Insurance information(for private patients)

• Check insurance requirements

• Check if referral needed from GP

Page 7: Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)

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Days before surgery

• Wash the shoulder

• Do not shave the area

• Protect the skin

Page 8: Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)

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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

Page 9: Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)

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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

Page 10: Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)

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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

Page 11: Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)

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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

Page 12: Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)

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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

Page 13: Www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)

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Call your doctor if..

• Excess pain or swelling in shoulder

• Fever or redness

• Other problems or complications