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Surgery Preparation

Weeks Before Surgery

  1. PRE-OP CHECK! — for all surgical procedures, minor and major, RCH recommends you see your internist / pediatrician for appropriate PRE-OP RISK ASSESSMENT. This is needed especially if you have existing medical conditions and/or taking maintenance medication. This includes thorough history and physical examination, laboratory and imaging tests. Some patients might need further work-up like more advanced imaging tests and stress/exercise cardiac testing. Make sure you have this document on hand before the surgery.


  2. BLOOD RESERVE — Depending on your kind of surgery, you might need replenishing of your blood stocks. As blood loss is an accepted risk in any surgical procedure, our skilled surgeons will make sure you lose the least amount necessary. Our Laboratory Service houses the Blood Bank where all donated blood is thoroughly screened and cleaned before transfusion. Please ask your surgeon for options regarding the need to prepare blood stores for your procedure.


  3. MEDICATIONS — — if you are taking maintenance medication or just your daily vitamin/supplement fix, you might be required to temporarily halt some if not all of these prior to the surgery as these might have undue effect on the procedure and your recovery. Some medications take a week or just a day to clear out of your system. During your PRE-OP CHECK! please make sure you divulge all you’re taking and inform your surgeon of these medications.



Anesthesia

Your surgery cannot be performed without the help of anesthesia. These cocktail of drugs ensure you are comfortably asleep during the procedure. Our certified anesthesiologists will be your constant companion when “you go under”. They will make sure you are stable right before, during and after the surgery. They will also do their Pre-Op Check and Post-Op Follow-Ups on you.


There are 2 major types of anesthesia:


  1. General — this involves being put to sleep with medications given through your IV line. Once you are asleep, a breathing tube will be placed in your windpipe and your breathing will be assisted with a ventilator. You will remain asleep and comfortable until the surgery is complete at which time you will start breathing on your own, the tube in your windpipe will be removed and you will awaken comfortably in the operating room.


  2. Regional — an injection will be given that will numb the nerves going into the area to be operated on. You will be positioned and comfortably sedated before the injection—this can either be directly on the site involved or be administered in your lower back (a.k.a. spinal anesthesia). These medications will last for hours after the procedure and you may need to rest in the recovery room (if out-patient) or in your room (if in-patient).


RCH also recommends you see your Anesthesiologist (a.k.a. Pain Expert) before the surgery. If you are already admitted, they will visit you a day prior your schedule.

Operating/Recovery Rooms
OR / PACU

At least 3-4 hours prior to your scheduled procedure, you will be brought to the Surgical Complex where the Surgical Nurse teams will receive you and prepare you for the procedure.


Operating Room — you will then be brought to the appropriate operating room depending on your procedure / specialization of your surgeon. The OR is typically a sterile environment and is hence devoid of any infectious agent or contaminant that might complicate your procedure. Rest assured our skilled surgeons and compassionate nursing staff will make sure everything goes smoothly.


PACU — also known as the “recovery room”, the Post-Anesthesia Care Unit is where you will be for the next 4-6 hours after the surgery is complete. This is where you will recuperate and will be observed for immediate events that could be from the procedure itself or the anesthesia used. Once your anesthesiolgist declares you to be stable, you will then return to your room (if in-patient) or go home (if out-patient).

THE BIG DAY!
Recovery

Immediately post-operation, it is normal to feel some degree of pain especially in and around the operative site or see minimal discharge from it. Regardless, our surgical staff will be on hand to assist you get back on your feet.


  1. SSI Monitoring Program — advocated by the Hospital’s Infection Control & Hospital Epidemiology Department, this program follows-up all post-operative patients and the status of their wounds. Surgical Site Infections or SSIs are to be prevented and treated as soon as they are picked up. Should you feel that the discharge is getting voluminous or the redness and pain doesn't seem to subside, please call your surgeon or our Surgical Care Team for assistance.


  2. Rehabilitation Medicine — depending on your surgery, physical therapy sessions may be prescribed by your attending surgeon and refer you to a rehab specialist. ORO Rehabilitation Center is staffed by competent physical / occupational therapists and rehabilitation medicine physicians. They can start your PT sessions in-patient and you may opt to continue at home or at the center. Evidence has shown that a good rehab program translates to better surgical outcomes.


  3. Follow-up — Please stick to your surgeon’s follow-up schedule to monitor your progress. Do drop by your attending internist / pediatrician so that they can resume your care program before undergoing surgery i.e. resume previous maintenance medications etc.


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