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November 24, 2009
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Sinus Surgery (cont.)

What happens before the surgery?

In most situations, the surgery is performed as an outpatient at either the hospital or the surgicenter. In both facilities, quality care can be provided without the expense and inconvenience of an overnight stay. An anesthesiologist will monitor you throughout the procedure. Usually, the anesthesiologist will review the medical history before surgery, often the evening prior. If he or she is unable to reach you the night before surgery, they will talk with you that morning. If your doctor has ordered pre-operative laboratory studies, you should arrange to have these done several days in advance.

Arrange for someone to spend the first night after surgery with you, if possible.

After surgery, your doctor will usually advise you to start using saline irrigation. It is best to use a water pick for these irrigations. You will need to either purchase or borrow a water pick to start using after surgical wound packs have been removed. Your doctor will instruct you on how and when to start using your water pick irrigator. He will also give you a special device to attach to the water pick to make it easier to use.

You should not take aspirin, or any product containing aspirin, within 10 days prior to the date of your surgery. Non- steroidal anti-inflammatory medications (such as Advil) should not be taken within 7 days of the date of surgery. Many over-the-counter products contain aspirin or Advil-like drugs. Therefore, it is important to check all medications carefully. If there is any question please call your doctor's office or consult your pharmacist. Acetaminophen (Tylenol) is an acceptable pain reliever. Usually your doctor will give you your prescriptions for post-surgery pain medications at the preoperative visit. It is best to have these filled prior to the date of your surgery.

You must not eat or drink anything 6 hour prior to the time of surgery. This includes even water, candy, or chewing gum. Anything in the stomach increases the chances of an anesthetic complication. Smokers should make every effort to stop smoking, or at least reduce the number of cigarettes. This will help to reduce postoperative coughing and bleeding.

If you are sick or have a fever the day before surgery, call your doctor. If you wake up sick the day of surgery, still proceed to the surgical facility as planned. Your doctor will decide if it is safe to proceed with surgery.



Next: What takes place the day of the surgery? »

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