When noninvasive procedures or medications are inadequate, the last medical solution to consider is surgery. Laparoscopy is a surgical procedure that may either be used to diagnose an unknown condition, or to treat an abdominal problem. If a person is in need of a Laparoscopy, Singapore has several state-of-the-art clinics that offer such procedure. Once patients have visited a center that does laparoscopic surgery in Singapore, they can expect to hear the following things they should need to do and to know, as part of the pre-surgical preparation.
- If a patient is currently taking medications, they should inform the doctor about it. Whether these drugs are with prescription or bought over-the-counter, the doctor will instruct how to use them before and after the procedure. It’s possible that a patient get an order to discontinue or change the dose of certain drugs, if adverse outcomes rise after laparoscopy.
These medications include: – Anticoagulants; such as nonsteroidal anti-inflammatory medicines (NSAIDs) e.g. aspirin or ibuprofen, – Herbal or dietary supplements, especially vitamin K. These drugs are known to affect the blood coagulability. They may either cause massive bleeding or produce abnormal clots.
- Pregnant or suspected pregnant women should inform the doctor about their condition. These patients may need to see an Ob-Gyn to assess and take action on how to reduce the risk for the baby.
- It’s important to comply with every order from the physician. Most of the time, patients need to undergo a series of laboratory tests such as urinalysis, complete blood count, electrocardiogram (ECG or EKG), and chest x-ray. Imaging tests ordered include ultrasound, MRI, and CT scan. These tests will aid in understanding the problem to be treated via laparoscopic surgery. Imaging scans will provide a better visual guide of the internal abdominal organs.
- Patients will be on NPO, which means that they won’t eat or drink anything (even water) for at least eight hours. Laparoscopic surgery is usually performed using a general anesthesia – the type which will make patients asleep all throughout the procedure. The body’s reflexes will be diminished, especially the gag reflex, which keeps a person from being choked.
- Patients should arrange with a friend or family member to drive them home after the surgery. One of the effects of anesthesia is drowsiness, which will make the patients incapable of driving on their own.
- Patients should ensure that they fully understood the procedure. One patient’s laparoscopic surgery is different from another. One patient’s case is different with the other seven patients who will also undergo the same procedure. The doctors always encourage questions from their patients, to make sure that they completely understand every step of the process.
- Patients will be provided with post-surgical instructions, even prior to the procedure. Because they have not yet undergone anesthesia and their minds are still fully aware, the doctor or nurse will start to order them things to do (or not to do) after the procedure. These instructions include, but not limited to, deep breathing exercises, early ambulation, use of incentive spirometer if needed, passive range-of-motion exercises, frequent position changes, and type of food to eat.
- Anxiety or fear to the unknown is normal before an operation but should be kept at a mild level. Patients should try to verbalize their feelings, and to raise any concern to their doctors.
In summary, preparation is important in order to reduce the severe risk of surgery. The patients themselves are the master of their health, so they should make sure that they are physically, mentally, and emotionally ready to undergo any procedure.