Listed below are some important points to help your surgery go well:


Stop all blood thinning medication 2 weeks before surgery including:
  • Fish oil, glucosamine and all other supplement
  • Aspirin, Warfarin, Pradaxa, Plavix
    • Note: If you are on this medication for heart problems, strokes, or clots, then you must discuss stopping this medication with your GP

Please make sure that you bring all your Shoulder xrays, MRI scans and ultrasounds with you to the hospital.

Please remove all jewellery (especially rings) from both hands and arms. If you cannot remove the ring, we have special creams at the hospital to help it slide off. If that doesn't work we may need to cut the ring off, which can later be repaired.
 
The Sling
Most patients will need to wear a sling after shoulder surgery, usually for 4 to 6 weeks. You will be shown how to put the sling on and off by the hospital physio, however it will help if you familiarise yourself with the sling before surgery. The most common sling I use is the Breg Slingshot III.... if you would like to watch a video of how to use the sling, click here. Feel free to adjust the sling as much as you like - the key points in wearing the sling are that it supports the weight of the arm, and is comfortable.


Cooling Machine

If you plan to use the Cryotec cooling machine (useful only for helping with the pain), then please watch some videos(links below) to help you prepare, as often the nurses are not familiar with the use of the machine.
  1. Video demonstrating how to apply the cooling garment.
  2. Video showing how to work the cooling machine
Cryotec Cooling Machine

Do I shave my shoulder before surgery?

In the week leading up to surgery, do not do anything different to your shoulder other than your normal body cleansing routine. In particular, do not shave the shoulder or apply creams to remove hair from you shoulder. We will shave your shoulder if needed immediately before the surgery is due to commence. If you have any skin condition affecting the shoulder e.g. severe acne, then please contact my rooms so that we can offer advice.
Shave
   
   
 
You will be admitted on the day of surgery. The hospital will contact you the day before surgery to organize a time for you to come in to hospital, and advise you as to when you should stop eating and drinking. It is important that you do not eat or drink anything for a minimum period of 6 hours before surgery.

How will my pain be controlled during and after surgery?
The Anaesthetist is the doctor who ensures that you do not feel pain during the operation. He or she will discuss the option of an injection just above the shoulder (nerve block) to make it numb during the operation. I do recommend having this injection as the numbness normally lasts 12 to 24 hours and helps with pain control after the operation. In addition to the nerve block, you will be put to sleep with a light general anaesthetic to keep you comfortable during the operation.

After the Operation
If agreeable with you, I will call a family member / friend to let them know the operation is completed- please have their contact details available. You will be placed in a sling and have large bulky dressings on your shoulder. Your shoulder will be swollen after the operation, and it is normal for this fluid and blood to leak out of the shoulder for the first few days after the operation. Before you leave hospital, these dressings will usually be changed. I will give you the details of your next appointment when I see you before of after the surgery.

 

 

 

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