When you arrive at the Sports Surgery Clinic, check in at the Reception in the main Foyer. You will have been instructed prior to this about how long to fast before your arrival.
From here you will be escorted to either the Day ward or the ward that you'll be staying in. You'll be checked in by a nurse on the ward and if any outstanding tests are necessary, these are completed. You will then a gown to change into. For lower limb surgery, you'll be given a special TED stocking to wear on the normal side to help reduce your risk of developing a clot (DVT).
A wedding band is the only jewellery permitted and if you can't remove it easily, it can be taped over to ensure it is safe.
You''ll be seen by Mr McHugh who will put a mark on the leg to be operated on and confirm / complete the surgical consent form. Finally you'll be seen by the anaesthetist who will discuss the anaesthetic process with you.
After your surgery, you are brought to the recovery room where you are closely monitored until you wake up fully and are stable enough to return to the Day ward. A special recovery nurse stays with you during this time and ensures you are not in too much pain or nauseated. They will also check your heart rate and blood pressure frequently. You will usually be connected to some fluids (a drip) and some oxygen during this time.
Back in the Day ward, you will be given some sips of water initially and gradually progressed on to a snack. Once you are comfortable and fully alert, you will be seen by the physiotherapist who will ensure you are safe mobilising and also give you some exercises to complete.
When the nursing staff are happy and you have been seen by Mr McHugh, you will be able to home. Please note it is the policy of the Day ward and indeed most day wards that you should have some-one to collect you after the operation and to stay with you that night.
As for day surgery, you will be transferred to the recovery room after your operation. Here you are given any necessary pain relief, medication to combat sickness (anti-emetics), fluids and oxygen. You will also be closely observed by the recovery nurse until they are satisfied that you are stable for transfer back to the ward.
Back on the ward, nursing staff will continue to observe you and slowly progress you from sips of fluid to a snack later on. If your surgery was early in the day, you may well be seen by the physiotherapist later that afternoon and the gently mobilised. Otherwise, you will be seen the following morning.
For larger procedures such as a hip or knee replacement, you will receive an injection in your tummy for 3 days to help reduce the risk of a clot. Most patients will also be given 2 more doses of antibiotic afterwards through a drip. This is to help reduce the risk of developing a post-operative infection.
The day after knee surgery, the bulky wool and crepe dressing will be removed to enable you to start bending your knee more. Occasionally the dressings underneath will also need to be changed if heavily bloodstained. For hip surgery, the dressing remains in place until just before you are going home.
You will be reviewed regularly by the nursing staff and your blood pressure, pulse and temperature recorded. If you require additional pain relief, just mention it to them.
Depending on the procedure performed, a member of the Physiotherapy team will see you to: