Before the surgery
Before surgeries under general anesthesia every patient should prepare the following:
- Morphology
- Blood coagulation: APTT, INR
- Electrolytes levels
- Glucose levels
- TSH
- Urea, creatinine
- Iron
- D-dimers, Fibrinogen
- Level of protein and albumins
- CRP quantitatively
- ASPAT, ALAT
- Antigen HBS
- Antibodies HBV, HCV, HIV
- Blood group
- ECG with description
- Chest X-ray for people over 40ty y.o.
In case of breast surgery patient should also prepare a recent breast ultrasound with description. For nose surgeries patient should prepare: a CBCT-scan nose, sinus of nose and nasal swab. For ginecomastia patient should prepare: testosteron, estradiol, FSH, B-hCG, prolactin, ACTH, LH, TSH.
Before procedures under regional anesthesia every patient should prepare the following:
- Morphology
- Blood coagulation: APTT, INR
- Electrolytes levels and glucose levels in blood serum
- Antibodies HBV,HCV,HIV
Women cannot be operated just before and first days during menstruation.
Surgeon can also advise other possible medical tests.
Patient should not take any medication influencing blood clotting at least 2 weeks before every procedure (medication containing acetylsalicylic acid or its derivatives including herbal medication containing for example garlic and also statins lowering cholesterol levels). Patient should not take any medication containing paracetamol at least 2 days before the procedure and nonsteroidal anti-inflammatory drugs at least 5 days before the procedure.
Patient should go off hormonal birth control and other hormonal therapies at least a month before the planned procedure.
Every patient should report all health troubles and taken medication. Before the procedure under general anesthesia patient should fast for at least 4 hours, preferably 6. During the day of the procedure patient should absolutely give up smoking tobacco and e-cigarettes. In case of nose surgeries, abdominoplasty („tummy tuck”) and other stomach surgeries, breast lift or cheek lift patient should absolutely avoid smoking cigarettes and other tobacco products for at least 2 weeks after the procedure.