The decision to have surgery is not to be taken lightly and you should not feel rushed or pressured into doing so. You should only make the decision to proceed with surgery after a full and thorough discussion with your surgeon and once you are satisfied you have all the information to make an informed decision about your care and treatment.
Mr Khan will talk to you about the risks and benefits of all the treatment options available to you, in his opinion. It is important to remember that a surgeon cannot guarantee that the surgery has no risks or that the surgery will meet all your expectations.
You will require a pre-operative assessment and this is usually conducted by a pre-operative assessment nurse. This may be face to face, over the telephone or online. You will be asked to complete a health questionnaire please ensure you complete it in full and give as much information as possible.
You may have tests on the day of admission or you may be asked to attend to have these performed in advance. The tests could include:
- A chest x-ray
- An ECG (heart tracing)
- Blood tests
- Swabs or
- A full health assessment
Please made sure you inform Mr Khan at your appointment, via email or add it to your Pre-assessment questionnaire if:
- You have diabetes
- You have any allergies
- You take warfarin, aspirin or any other blood thinning drug (as this may need to be stopped)
- You are undergoing any other medical or alternative treatments
- You will not have any one at home to help you after discharge
- You have any holiday/travel plans within 6 months following the surgery
If you are having a general anaesthetic, you must eat nothing 6 hours prior to your admission. You can have water only up to 2 hours before your admission.
Usually patients are admitted on the day of the procedure/operation.
A nurse will show you to your room and explain what will happen during your stay. You will receive a patient identification wristband with your details on. If you have any allergies you will receive a separate red band with these listed.
You will have your blood pressure, pulse and temperature checked (observations).
You will be measured for support stockings, which are put on just before the operation to minimise the risk of thrombosis (blood clots).
If you have not completed the health questionnaire or had a health assessment before your arrival to hospital, you will this will be completed when you are admitted.
You may need to have some more tests including x-rays, ECG and blood tests shortly after admission.
You will see the anaesthetist who will discuss your anaesthetic and pain relief after the operation.
Mr Khan will ask you to sign a consent form to confirm you understand the procedure and associated risks and benefits and that you agree to go ahead with it. Please do not hesitate to ask any questions that you may have about the operation at and stage of your treatment.
Depending on your procedure you may see a Physiotherapist who will plan your post-operative physiotherapy treatment.
You must remove all jewellery, makeup, nail varnish, contact lenses or glasses, dentures, dental plates and hearing aids. You should lock away any valuables or avoid bringing them with you.
You will be given pain relief in theatre to try to prevent you being in too much pain when you wake up. You will also have prescribed pain medication which the nurses will give you regularly following your surgery.
Some patients require more pain relief than others and it is important to stay on top of your pain and to prevent a breakthrough of pain. It is easier to treat pain before it gets bad.
If you need more pain relief please ask for help from one of the ward nurses. Pain medication can be increased, given more frequently or given in different combinations.
Mr Khan will advise you on how long you can expect to stay in hospital, this will be confirmed after your operation.
Please make arrangements for a friend or family member to take you home when you are discharged.
If you are having day surgery it is recommended that you have a responsible adult with you for the first 24 hours following surgery. If there is no one available to be with you during this time it is recommended that you stay in hospital overnight.
You will be given anti-inflammatory and pain relief medication to take home with you.
You will be given simple exercises, advice and information by the physiotherapists.
A letter will be sent to your GP (with your consent) explaining your operation and treatment.
- Rearrange furniture so you can manoeuvre with crutches.
- Remove any throws or rugs that could cause you to trip/slip.
- Ensure any cables/wires are taped down or removed to prevent trips.
- Place items in easy to reach locations
All surgical procedures have risks, despite the highest standards of practice. While every attempt is made to minimise risks, complications can occur that may have permanent effects.
Please ask questions if you are unsure or need more clarification as it is important that you have enough information to be able to make an informed decision regarding your surgery including weighing up the benefits and risks of surgery.
Allergies to anaesthetic agents, antiseptic solutions, suture materials or dressings, pain and discomfort around incision sites, nausea (usually from anaesthetic and quickly settles), wound infection, swelling, bleeding from incisions, separations of wound edges, slow healing (mostly in smokers or in people with diabetes), scars, numbness, stiffness, neurovascular injury, failure of surgery, need for further surgery, revision surgery, removal of implants, DVT/PE.
Please see below for further information:
This is dependent upon your surgery and Mr Khan will discuss this with you pre-operatively. If Mr Khan has said you can drive it is recommended that if you do not drive or operate heavy machinery within the first 72 hours following your surgery. You will be given more specific guidelines depending on the type of surgery you had.
Mr Khan will review your progress 12-14 days after your discharge from hospital and discuss these issues in more detail with you.
You should notify your motor vehicle insurance company of your surgery in case they have any clauses or require further information.
Please discuss any potential travel plans as soon as possible with Mr Khan as the type of surgery you are having will determine the advice given. You may be advised against flying or you may be able to fly if you are given VTE prophylaxis. Each patients’ requirements are different and need to be addressed individually.
You should discuss costs before treatment rather than afterwards.
If you are insured the procedure codes will be provided to you. Please contact your medical insurance company and confirm that your treatment and hospital stay as well as any other medical costs that you may incur will be covered.
If you are a self pay patient you will be provided with a quote for the surgical, anaesthetic and hospital fees. It is advised that you speak with the hospital self-pay team before admission to ensure you are aware of what items will be covered within the quote and what items are not included.
If you are a self-pay patient and further treatment is needed due to complications or you choose other options, extra costs are will apply.
Mr Khan charges in line with the insurance companies published fee schedule and his fees will not exceed these amounts. If your procedure is very complex Mr Khan will discuss an uplift (increased fee) with your insurance company prior to any surgery.
Please contact your insurers to discuss the level of cover that they provide for you.
If you have any questions please contact Mr Khan’s admin team.
The potential risks with any type of surgery include: allergies to anaesthetic agents, antiseptic solutions, suture materials or dressings, pain and discomfort around incision sites, nausea (usually from anaesthetic and quickly settles), wound infection, swelling, bleeding from incisions, separations of wound edges, slow healing (increased risk in smokers or in people with diabetes), scars, numbness, stiffness, neurovascular injury, failure of surgery, need for further surgery, revision surgery, removal of implants, DVT/PE.
Mr Khan will discuss the associated risks and benefits of your surgical procedure with you in detail in clinic when you decide to proceed with surgery and again before you have the surgery. You will be asked to sign a consent form which Mr Khan will also sign, the consent form will list what has been discussed and you will be given a copy when you are discharged. If you have any questions please contact Mr Khan’s admin team and they will assist you.
This varies from patient to patient; however it is important that you eat and gradually increase your fluid intake post-operatively to help flush the medication out of your system. The anaesthetic/drugs drug usually stay in your system for up to 48-hours. You should not sign any legal or important paperwork during this period, and you should avoid making important decisions. The side effects of anaesthetic are very common and include feeling dizzy, drowsy, tired and nauseous.
Usually you go home with anti-inflammatories and a codeine-based pain medication. You are encouraged to take the medications as prescribed and to complete the course of the anti-inflammatories as these will help with swelling. Depending on how you feel and your level of pain you can wean yourself off the pain medication. Please contact Mr Khan’s office if you wish to do this. Pain medications can cause constipation which can be prevent by increasing your fibre intake and ensuring you are well hydrated and drink plenty of water.
Please ensure that you inform us of any allergies.
You will be told before you are discharged which dressings can be removed when.
It is important that you keep the skin (opsite) dressings clean and dry until you are followed up.
When washing some patients cover the skin dressing with a waterproof one or secure cling film or around the area/limb which will act as a temporary waterproof cover. You will be given some spare dressings to take home in case they peel off. It is important that you do not touch the incision sites or pull at any protruding sutures.
It is best not to have a bath until the wound has healed and you can safely transfer in/out of the bath.
You do not need to change the dressings every day. You will be given spare dressings to take home to be used only if needed. Unless there is excessive wound leakage or the dressings become loose it is best to leave it. The wounds need to be covered two weeks after surgery. If you encounter wound ooze, please contact the ward you were discharged from, the number will be on your discharge summary.
You need to have your stitches out 12-14 days post-op. Depending on Mr Khan’s availability you usually have your follow up appointment with him 2-weeks post-surgery and the dressings are removed, stitches trimmed/removed and the wounds checked.. If your follow-up falls outside this period, you can arrange for your GP practice nurse or one of the outpatient nurses remove your stitches and perform a wound check. If you are unsure or need advice please contact Mr Khan’s admin team who will assist you.
Depending upon your procedure most patients will see a physiotherapist on the ward before they are discharged and given exercises to embark upon over the initial two weeks post-operatively. Mr Khan will progress this and commence a full rehabilitation programme when he sees you at 2-weeks post-operatively. Physiotherapy is vital to your progress and rehabilitation.
No. Mr Khan will specify when you can start your physiotherapy rehabilitation post-operatively. If you have been advised to start physiotherapy within the first 2-weeks you can continue carefully under the supervision of you physiotherapist.
Yes, the ward physiotherapist will assess you and make sure that you are safe to cope at home. Depending on your procedure and weightbearing status you may be given crutches and you will be taught how to get up and down stairs/steps prior to discharge. Your arm may be immobilised in a body belt/sling, but you will be shown how to perform certain activities.
Mr Khan will advise how long you will need to use the crutches for and will be in regular communication with the physiotherapist over seeing your rehabilitation. The crutches are used to maintain stability and so you do not develop an abnormal gait pattern. Mr Khan and your physiotherapist will guide you on when you can stop using the crutches.
Mr Khan will advise you specifically on when any of these can be removed. Each is procedure and patient specific, please adhere to the instructions given to you by Mr Khan in your pre-admission letter, post-operatively on the ward and when he sees you at follow-up. If you are unsure, please contact Mr Khan’s admin team who will speak to Mr Khan and advise you. Do not remove these unless Mr Khan has said that you can do so.
This depends on your procedure, what you do for work, how you get to work and, in some cases, reaching certain milestones. Generally, for smaller surgical procedures you are advised to take a minimum of 1-week off. For more complex surgical procedures such as ligament reconstruction, tendon repair, stabilisation, or a joint replacement, you will need a longer recuperation period, therefore you may be off work for at least 4-6 weeks.
If you are going to be off work for a long period of time perhaps consider if you able to arrange to work from home, make adjustments to working hours, adapt how you travel to and from work and avoid rush hour, especially if you are in a knee brace, using crutches or have your arm immobilised in a body belt/sling. Mr Khan will discuss this with you pre-operatively. If you have any questions, please contact his admins team.
When you do return to work consider that your body is still healing, you may feel tired, have some residual swelling and tenderness. Sitting may make you stiff or uncomfortable, therefore it is important you are able to have regular breaks. It is also important to note that some pain medications affect your concentration and vision.
When returning to work you need to consider how you are getting to work. If you are mobilising with crutches you might not feel comfortable travelling on public transport. You might need to make adjustments such as travelling to work a bit later to avoid rush hour? Can you work from home? If you do need to go back to work, please discuss this with Mr Khan so together you can ensure it is safe and appropriate for you to do so.
You just need to bring your usual toiletries and loose comfortable clothing. The hospital has Wi-Fi. If you already have crutches, a knee brace or sling then please bring them.
If you are having shoulder surgery a buttoned shirt, jacket with a zip or a very stretchy t-shirt will be easier for you to wear.
If you are having knee surgery loose comfortable bottoms such as jogging bottoms, wide leg trousers or shorts may be easier to get on and off initially.
Please respond promptly to all contact from the hospital where you are having your surgery and to Mr Khan’s admin team. If you have any questions, please contact Mr Khan’s admin team who will assist you.