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www.fifeshouldersurgery.co.uk Pre-operative information for patients having shoulder arthroscopy Mr. Sunil Sharma FRCS (Tr & Orth)
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www.fifeshouldersurgery.co.uk Advantages Quick & accurate information Can perform corrective surgery at the same time Small incision Day case procedure Few complications
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www.fifeshouldersurgery.co.uk Risks & Potential complications Shoulder Stiffness Failure of surgery Infection Anaesthetic complications Other possible complications
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www.fifeshouldersurgery.co.uk Anaesthesia General Anaesthesia Regional Anaesthesia (nerve block)
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www.fifeshouldersurgery.co.uk Pre-assessment clinic Past history + physical examination FBC ECG - if more than 40 years Other tests may be required depending on medical condition
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www.fifeshouldersurgery.co.uk Insurance information (for private patients) Check insurance requirements Check if referral needed from GP
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www.fifeshouldersurgery.co.uk Days before surgery Wash the shoulder Do not shave the area Protect the skin
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www.fifeshouldersurgery.co.uk 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
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www.fifeshouldersurgery.co.uk 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
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www.fifeshouldersurgery.co.uk 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
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www.fifeshouldersurgery.co.uk At home after surgery Apply ice packs / bag of frozen peas to shoulder Change dressing / band-aids Follow rehabilitation protocol Shower after 2 days
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www.fifeshouldersurgery.co.uk 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
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www.fifeshouldersurgery.co.uk Call your doctor if.. Excess pain or swelling in shoulder Fever or redness Other problems or complications
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