Prior to proceeding with surgery additional evaluations may be necessary for medical clearance to ensure your safety. This may include blood work, an EKG and x-rays. We may ask your primary care physician and any other physician that cares for you to help us with this evaluation. A letter from those physicians may be necessary stating that you are cleared to have surgery with a general anesthetic. Additionally, it may be necessary to evaluate you for Methicillin Resistant Staph Aureus (MRSA). This is usually done with a nasal swab. If you have had a previous Staph infection, please report this to Dr. Lenarz and his staff prior to undergoing any surgical procedure.
Unless otherwise instructed by the surgery center nurses, you should not eat after midnight the night before your surgery. Your stomach must remain empty prior to a general anesthetic or there is a risk of aspiration and subsequent pneumonia.
If having shoulder surgery, do NOT apply deodorant to the operative shoulder the day of surgery.
You will not be able to drive a vehicle after having had a general anesthetic. It will be necessary to have someone drive you to and from your surgery. We also advise that someone be available to stay with you for a minimum of the first 24 hours following outpatient surgery.
If having a surgery on your leg, please review the DVT Safety Instructions.
A deep vein thrombosis (DVT) is a blood clot that occurs in the veins of the body, especially in the lower extremities (legs). DVTs can occur without symptoms, but in many cases the affected extremity will be painful, swollen, red, and warm, and the superficial veins may be engorged. Should you develop these symptoms you should seek the evaluation of a physician immediately.The most serious complication of a DVT is that the clot could dislodge and travel to the lungs, which is called a pulmonary embolism (PE). DVT is a medical emergency, so, all limb swellings, however trivial, should be regarded as a DVT until proven otherwise. Untreated lower extremity DVT has a 3% risk of PE that may result in death. DVTs associated with upper extremity are extremely rare.
Risk factors for developing a DVT include advanced age, obesity, infection, immobilization, trauma, lower extremity surgery, hormonal contraception use, tobacco use, air travel, active cancer, hereditary coagulation (clotting) disorders and a history of DVT.
Having an injury to your lower extremity and being in a boot can increase your risk of developing a DVT and in my medical opinion, you should take an aspirin daily (325mg) during your recovery from the injury unless contraindicated by an allergy or other medical condition. Please consult your physician for any questions.
If surgery is indicated for you problems it is our pleasure to assist you in scheduling your surgery at an appropriately indicated time frame for your injury or condition. Surgery may be scheduled while you are in the office or over the phone after your office visit. We are privileged at the following hospitals and surgery centers around the Saint Louis area in order to service the patients.