Instructions prior to my surgery

Instructions prior to my surgery

Before surgery ALL patients must undergo: Preoperative studies Assessment with our psychologist, and in some cases with our psychiatrist. Evaluation with our internist or an internist you trust, endocrinologist or cardiologist. You need to understand exactly what will happen before, during and after surgery. PREOPERATIVE NUTRITIONAL PLAN AND THE IMPORTANCE OF FOLLOWING IT Due to the experience of Dr. Rey Romero and his multidisciplinary team of specialists, in addition to the support of publications that indicate this, the Center for Bariatric and Metabolic Surgery requires that patients perform a pre-operative diet. The number of days on this diet will largely depend on the patient's Body Mass Index (BMI). Approximately we can say that a patient with a BMI of 30-40 should follow a diet for 3 days, patients with a BMI of 41-45 should follow a diet for 5 days, and patients with a BMI of 46 -55 must follow a diet for 7 days. There are some cases in which the patient must follow a diet for more than 10 days. Remember that each patient is different, and the number of days the diet is required in each case will be provided by our nutritionist according to the previous evaluation and the data provided in your medical history. The nutritional plan before surgery is EXTREMELY IMPORTANT for the success of the surgery. The biggest advantages of this plan is the rapid intra-abdominal weight loss which decreases the size of the liver and fat within the abdomen. This increases the space within the cavity, improves vision and makes the procedure technically simpler. And how does that benefit the patient? Performing a simpler procedure produces many benefits for the patient, such as: Fewer incisions will be made, since additional instruments will not be necessary. Fewer incisions lead to better aesthetic results and less postoperative pain. Decreases the possibility of complications, such as bleeding or injury to an intra-abdominal organ. Decreases surgery time, which translates into less anesthetic medication and less nausea and discomfort after surgery. itself.All this translates into a faster recovery. WHAT HAPPENS IF I DON'T DO THE PREOPERATIVE DIET? First of all, we hope that you don't do it, as we told you, it is of utmost importance. If you break the diet, no matter how minimal it may be, you must notify a member of our team, who will evaluate how far you have left the program, adjust your diet to continue or in some cases it will be necessary to suspend and reschedule the procedure. Remember that if you did not eat properly, and we have to suspend the surgery for this reason, we will be able to reimburse only part of the procedure, not all of it. That is why we invite you to follow it to the letter. If you think you will not be able to follow it, it is possible to stay in the hospital days before to help you follow it, or use other methods. Remember that you can always talk to one of our team members, we are here to help you. Some frequently asked questions from our patients before surgery CAN I SMOKE? You should not smoke 10 days before surgery and 10 days after surgery MANDATORY. Although we will always recommend that you stop smoking permanently. If you can avoid smoking much before and after, much better. This is very important since smoking inhibits proper tissue healing, which increases the risk of complications such as leaks, and also increases the risk of thrombus formation and some lung problems. WHAT MEDICATIONS CAN I TAKE BEFORE SURGERY? 10 days before surgery, you must inform your surgeon or our medical coordinator about the medications you are taking. You should stop taking any nutritional supplements or natural vitamins (such as cat's claw, shark cartilage, ging sen, garlic tablets, vitamins of any type, special juices, etc.) ... no matter if they are natural or natural, they could interfere with your clotting at the time of surgery, so you should avoid taking them at least 10 days before your surgery. In summary, EVERYTHING you take 10 days before surgery must be reported to our team so that we can tell you what you can or should take and what not. Anticoagulant medications should continue to be suspended 1 month after the surgical procedure. CAN I EXERCISE BEFORE SURGERY? If you can take short walks, or do light stretches. At least 10 days before surgery you should avoid heavy physical exertion, such as playing sports, running, swimming or any strenuous activity before surgery. The reason is because you could have an inadvertent injury that prevents us from performing the procedure properly. CAN I DRINK ALCOHOL BEFORE SURGERY? It is strictly prohibited 10 days before surgery. He didn't even come. Additionally, 4 MONTHS AFTER surgery, alcohol will also be prohibited. After that you can drink but in a controlled and restricted manner. WHAT SHOULD I DO THE DAY BEFORE MY SURGERY? Just relax. Go for a walk, if you are not from the city you will enjoy it more. You can visit museums, sit on the beach or go to the movies. Or simply be at your home or hotel, watch a movie or do office work. If you prefer to go to work, you can do so but keep in mind to stay away from temptations, you should not break your diet. If you have any skin disease you should report it to your surgeon. If you come from another city, you probably have preoperative studies scheduled, and the evaluation with our internist and psychologist, wear comfortable clothing and fast for 6 hours to undergo the studies. You will be in communication at all times with our patient coordinator by phone or WhatsApp. As you can see, you will never be alone, someone from our team will always be accompanying you. Try not to go to bed late, get up early the day before so you can sleep well. If for some reason you are nervous about surgery, you can try taking Melatonin 5 mg one tablet 15 before bed. In Mexico they are sold in any pharmacy without the need for a prescription. The most common trade names are: Benedorm, Normolem or Melatol. When you get up, do not drink water or eat any food. If your blood pressure or diabetes medication schedule is early, you can take your pills with very little water, just enough to help you swallow them. Only take the medications that were indicated. You can brush your teeth and rinse your mouth, but DO NOT SWALLOW ANYTHING. Take a bath with the soap of your choice and go to the hospital at the time indicated by your coordinator. REMEMBER THE MORE HELP YOU SEEK, THE BETTER YOU WILL FEEL! We have seen that if your friends, family, friends are aware, your process can be more enjoyable. You can also help yourself in different ways such as individual or group therapies. The decision whether or not to tell your friends and family about the surgery is completely yours, however you must take into account that the recommendation by the centers specialized in bariatric surgery and our team is to tell the truth. Mention the fact that you have had surgery! This will facilitate your weight loss process, cause less stress and prevent you from having a bad time having to lie all the time. Don't worry about hiding it, your friends will be suspicious a few weeks after surgery, because your weight loss will be very evident.
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