General Surgery

Using advanced tools and technology, our surgeons are highly experienced in the following areas of inpatient and outpatient surgical specialties:

• Abdominal wall reconstruction
• Bariatric surgery
• Breast surgery, partial/total mastectomy and reconstruction
• Colon and rectal surgery
• Colonoscopy
• Colorectal polyps
• Diverticulitis and complex anal fistulae
• Endocrine surgery: treatment and procedures of thyroid disease
• Esophageal surgery
• Fecal incontinence
• Gall bladder removal
• Hemorrhoidectomy
• Hepatobiliary surgery
• Hernia
• Laparoscopic surgery
• Lap-Nissen for the treatment of reflux diseases
• Lower gastrointestinal problems
• Orthopedic surgery
• Plastic surgery
• Rectal prolapse
• Skin lesion removal
• Soft tissue surgery
• Spine surgery
• Trauma and critical care surgery
• Vagotomy

Thank you for choosing CHI Health for your surgery. We take great pride in making your experience as comfortable as possible. A registered nurse will contact you by telephone several days prior to your surgery. The nurse will

• Provide you with information on your surgery
• Ask for your medical history
• Answer any questions you may have

Please complete the pre-admission questionnaire in the MyChart portal prior to the nurse contacting you. Based on your medical history and/or procedure, you may also be asked to make an appointment for a preoperative anesthesia clinic visit. You may receive a call to verify your insurance and notify you of any co-pay required the day of the procedure.

Plan ahead and arrange for transportation to and from the hospital. You may NOT drive yourself home or take public transportation after your procedure without a responsible designated person. Please make arrangements before arriving at the hospital.

Before your surgery

• Please do not wear jewelry or hair pins and remove all piercings.
• Leave all unnecessary valuables at home.
• Wear loose fitting, comfortable clothing that will be easy to put back on after surgery.
• Please avoid using any alcohol-based products in your hair, including gels, hairspray or mousse products.
• Take your morning medication as instructed by your provider or nurse.
• Follow specific fasting instructions.
• If you become ill the morning of surgery, you are running late or unable to make it to your procedure, please notify your doctor right away.

Items to bring with you the day of surgery

• Insurance card, identification card and your co-pay
• Copy of advanced directive or living will, if not currently on file
• Storage containers for eyeglasses, contacts, dentures and hearing aids
• An up-to-date medication list
• Cane, crutches or walker, if needed
• C-Pap or Bi-Pap machine, if needed
• Small bag of personal items if staying overnight (robe, slippers, toothbrush, pajamas, undergarments)
• Portable oxygen for your trip to and from the hospital, if needed
• Rescue inhalers, if needed

Medications and surgery

Some medications may need to be stopped prior to surgery. Recommendations will vary based on your medical history and the type of procedure you are having.

• Blood thinning medications may need to be stopped several days before surgery. It is important that you discuss with your surgeon and/ or provider the optimum timing for stopping these medications.
  
• Herbal medications/supplements and prescription diet medications should be stopped one week prior to surgery.
• Aleve and Naproxen should generally be discontinued at least three days before surgery. Ibuprofen should be stopped 24 hours prior to surgery. Acetaminophen can be taken up to the day of surgery.
• If you are taking certain rheumatologic medications, please discuss the timing of discontinuation with your rheumatologist.
• If you have insulin dependent diabetes, refer to your endocrinologist or primary care physician for day of surgery insulin dosing.

When to stop eating and drinking before Surgery

“Fasting or NPO” means not eating or drinking for a certain period of time. Fasting is necessary to prevent food or liquids in your stomach from entering your lungs (aspiration) when you are given anesthetic medication for your procedure. If you do not follow preoperative fasting instructions as recommended, your surgery may be delayed or canceled.

If you are instructed to drink a bowel preparation prior to your surgery or procedure, you may only drink clear liquids from the start of your prep up until the recommended stopping time.

If you were instructed to take medication the morning of surgery, please take it at least two hours prior to your scheduled procedure time with clear liquids.

Patients with medical conditions that may affect stomach emptying (uncontrolled gastroesophageal reflux, hiatal hernia or gastroparesis) should not eat eight hours prior to your surgery with the exception of clear liquids as recommended.

First, you will be taken to a Preoperative room. Once settled in your private room, you will be asked to put on a hospital gown. Depending on the type of surgical procedure you are having, you may be asked to cleanse your skin with an antimicrobial agent. Your nurse will start an IV and review medications and medical history. Your surgeon, anesthesiologist, nurse anesthetist and operating room nurse will also visit with you, reviewing medications and medical history. They will answer any questions you may have.

Next, you will be taken to the Operating room. Once in the operating room, the team will call a “time out” to perform additional checks to ensure your safety. Your skin will be cleansed with an antimicrobial agent. All body areas will be draped except the part that will be operated on. Depending on the length and complexity of your surgery, a number of other team members will be present. During your procedure, your health care providers will keep you safe and continuously monitor you. Download our Surgery Recovery Infographic here.

After your Surgery

After surgery, you will then be taken to the post anesthesia care unit or your recovery room.

Recovery Phase I

Your nurse will monitor your vital signs and provide medication for your pain and/or nausea. Average recovery time is one to two hours. Visitors are not allowed during this recovery time. If you are staying overnight in the hospital, you will be moved directly from the recovery room to the room you will be staying in. Your family will be notified of your inpatient room at this time and may meet you there.

Recovery Phase II

If you are going home the same day, you will be moved to a post-recovery room where you can see your family and/or friends. At this time, you are generally awake; you may start drinking small amounts of fluid and can go to the restroom with assistance. When discharge criteria have been met, you will be given post-operative instructions and will be transported by wheelchair out of the hospital.

How will my pain be managed?

Your comfort after surgery is a priority and of great importance to us. We will often use a variety of ways to help make you comfortable – including oral medications, intravenous medications, injection of local anesthetic, peripheral nerve blocks and relaxation techniques. Pain is different for everyone. We will be assessing your comfort level from the time of admission until you receive your post-operative call at home. During your stay at the hospital, you will be asked to rate your pain using a numerical scale (0 to 10) or the “Faces Pain Scale.”

Patient Satisfaction

CHI Health is committed to providing high-quality health care. A few days after surgery, you will receive a survey and phone call from a member of our hospital staff to discuss your stay and see how you are feeling. We encourage you to take this opportunity to provide us with comments and suggestions regarding our services. Thank you for trusting us with your health care needs.