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Surgery 101: Essential things to know before your operation

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Olga Guryanova/Unsplash

Surgery can be a daunting experience for many, whether it’s your first time or you’re familiar with the process. Being prepared and understanding what to expect ahead of time can alleviate stress and make the experience smoother. Here’s a comprehensive guide to help you understand the basics of surgery, including what you should know before going under the knife.

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(National Cancer Institute)

1. Understanding the Type of Surgery
There are two main categories of surgery: elective and emergency. Elective surgery is planned and is not necessarily life-threatening, such as cosmetic surgeries, joint replacements or hernia repairs. Emergency surgery is performed in urgent situations, often to save a life, such as in the case of an accident, appendicitis, or other critical conditions. It’s crucial to understand whether your surgery is elective or an emergency, as this will shape the timeline and preparation needed.
Within these categories, surgeries are further classified based on the specific area or condition being treated. For example:
Orthopedic surgeries focus on bones, joints, and muscles.
Cardiovascular surgeries deal with the heart and blood vessels.
Gastrointestinal surgeries address issues within the digestive system. Understanding the type of surgery you are undergoing helps you grasp the risks, recovery time, and post-operative care needed.

2. Choosing the Right Surgeon and Hospital
Selecting a qualified and experienced surgeon is critical to the success of your operation. Research the credentials of your surgeon, their experience with the specific type of surgery and reviews from other patients. You may also want to ensure that the hospital where your surgery will be performed has a high success rate with similar procedures. Check for accreditation and ask about the hospital’s infection rates, equipment and surgical team support.
You can ask your surgeon the following questions to feel more comfortable with your decision:

  • How often do you perform this procedure?
  • What is the typical success rate?
  • Are there alternative treatments I should consider?

3. Preoperative Preparation
Before any surgery, you will undergo a series of assessments to ensure that you’re fit for the procedure. This may include:
Blood tests to check for issues like anemia, infection or other conditions that could affect surgery.
Imaging tests such as X-rays, MRIs or CT scans, which help doctors visualize the area of focus.
Heart and lung evaluations to ensure your cardiovascular and respiratory systems can handle anesthesia and surgery.
You’ll be advised to follow specific guidelines in the days leading up to surgery, such as fasting. Most surgeries require that you avoid food and drink for a certain number of hours before the operation, as eating can interfere with anesthesia and increase the risk of complications.

4. Anesthesia
Anesthesia is an essential part of the surgical process, ensuring that you are pain-free and comfortable during the procedure. There are three main types of anesthesia:
General anesthesia: You are put to sleep for the duration of the surgery.
Regional anesthesia: A part of your body, such as the lower half, is numbed while you remain awake.
Local anesthesia: A small area is numbed, often used for minor procedures.
Your anesthesiologist will evaluate your medical history, allergies, and other factors to determine the best type of anesthesia for your procedure. Discuss any concerns or previous reactions you have had to anesthesia with your doctor in advance.

5. Understanding Risks and Complications
All surgeries come with inherent risks. The most common risks include infection, bleeding, blood clots, and reactions to anesthesia. While advancements in medical technology have reduced these risks significantly, it’s important to be aware of them and ask your surgeon how they will mitigate them.
Discuss any personal risk factors, such as pre-existing conditions, smoking or medications that might increase the risk of complications. Your surgeon may advise lifestyle changes, such as quitting smoking or losing weight, before surgery to improve your outcome.

6. The Day of Surgery
On the day of surgery, arrive at the hospital or surgical center early, wearing comfortable clothing and without any jewelry or makeup. You will meet with your surgical team, including your surgeon, anesthesiologist and nurses, to review the procedure. Expect to sign consent forms, which outline the risks and confirm that you understand the details of the surgery.
Once in the operating room, the team will prepare you by cleaning and sterilizing the surgical site. Depending on the type of anesthesia used, you’ll either fall asleep or be numbed as the procedure begins.

7. Recovery and Postoperative Care
After the surgery, you’ll be moved to a recovery area where the medical staff will monitor you as the anesthesia wears off. For minor surgeries, you may go home the same day. For more complex procedures, you may need to stay in the hospital for a few days to ensure that everything is progressing smoothly.
Postoperative care is crucial for a successful recovery. You’ll likely receive pain medications, antibiotics to prevent infection and detailed instructions on how to care for the surgical site. Follow-up appointments will be scheduled to check your healing progress.
It’s important to adhere to all postoperative care instructions, including restrictions on activities such as lifting, exercise or driving. Rest and proper nutrition can aid in faster recovery. If you experience unusual symptoms, such as intense pain, swelling, fever or difficulty breathing, contact your surgeon immediately.

8. Emotional and Psychological Preparation
Undergoing surgery can be emotionally challenging. It’s normal to feel anxious or scared before a procedure. Talk openly with your healthcare provider about your concerns and consider speaking with a counselor if needed. Having a strong support system of family and friends can also help you manage stress and aid in your recovery.

Surgery, while often intimidating, is a vital part of medical care for many conditions. By understanding the process, choosing the right healthcare team and preparing both physically and emotionally, you can approach your surgery with greater confidence and ensure the best possible outcome.