Patient information. Information for Patients Undergoing Lumbar Disc Surgery. Trauma and Orthopaedic Directorate PIF 1359/V3

Size: px
Start display at page:

Download "Patient information. Information for Patients Undergoing Lumbar Disc Surgery. Trauma and Orthopaedic Directorate PIF 1359/V3"

Transcription

1 Patient information Information for Patients Undergoing Lumbar Disc Surgery Trauma and Orthopaedic Directorate PIF 1359/V3

2 Your Consultant / Doctor has advised you to have a Lumbar Microdiscectomy. What is a Prolapsed Disc? Your spine is made up of small bones called vertebrae which all sit on top of each other to form your spinal column. To stop these bones from rubbing on each other you have intervertebral discs. These are soft cushions of tissue, which sit in between each of the bones in your spinal column and act as shock absorbers. The spinal cord and nerves run through the middle of your spinal column. This acts as a telephone exchange passing information from your brain to your body and back again. At the level of each bone (vertebra) your spinal cord sends out some nerves to transmit these messages to your body. A prolapsed disc occurs when one of these cushions (discs) rips at the edge and some of the internal tissue pokes out putting pressure on a nerve causing your trapped nerve symptoms.

3 What does a prolapsed disc cause? Prolapsed discs can cause various symptoms depending on which nerves they press upon. Prolapsed discs in your lower back area cause symptoms in your legs. Usually, the pressure on your nerve causes pain to go down your leg and this is called Sciatica. Occasionally, there may be numbness or weakness in your legs, in a few cases the pressure can affect the nerves that supply your bladder and your bowel and this can affect your ability to pass urine. In this very specific case it would be dealt with as an emergency and immediate attention is required. Treatment Most attacks of sciatica settle themselves after a few weeks and will not require any surgery. The non-surgical option for treatment is to allow your body s natural healing process to relieve the symptoms. This can be helped by including treatment from a physiotherapist, taking painkillers and keeping yourself active. The Spinal specialist may be able to inform you of other alternatives. If the pain does not settle spontaneously and persists with a degree of severity then surgery can be considered. Surgery allows reduction of pain and symptoms in 90% of cases. It will, however, be mainly to try and reduce your leg pain and may not be directed to relieving your back pain, which can be due to various other causes, e.g. muscle, ligaments and joint degeneration (wear and tear). Surgery also allows the relief of symptoms earlier than if you wait for a natural recovery. What does surgery involve? A microdiscectomy allows the part of your disc, which is causing the pressure on your nerve, to be removed with minimal disturbance of bone and tissue. This is achieved with a microscopic surgical technique. Microdiscectomy involves having a small cut on your lower back while under general anaesthetic. A microscope is used for the surgery to give a better picture of your tissues and to minimise the disturbance to the surrounding structures, improving the accuracy. The disc is approached from behind and the bit that is pressing on your nerve is removed, the complete disc is not removed. What are the benefits of having surgery? The advantages of surgery are that there can be up to an 80-90% chance of reduction of pain in acute cases but not chronic cases. However there is no guarantee that there will be any relief from back pain or an improvement in any leg weakness that you may have had prior to surgery. What are the risks of having surgery? All the risks will be discussed with you prior to your surgery and although they are not common you should be aware that there is the potential for them to occur. 1. Risk of anaesthesia. 2. Small risk of increased pain in back or leg. 3. Risk of injury to the nerves causing weakness or numbness in the legs. 4. Leak of spinal fluid. 5. Infection. 6. Haematoma, (Deep Vein Thrombosis, Pulmonary.Embolism).

4 In six per cent of patients another piece of disc at the same level can move out and cause pressure or a prolapsed (slipped) disc can occur at another level in the spinal column at some time in the future. Admission to Hospital Pre-operative assessment You will be brought in to the hospital for your pre-operative assessment. This may include being assessed by the anaesthetist. He/she will have a chat with you, discuss any relevant medical history and explain what having a general anaesthetic will involve. You may have some blood tests performed, a member of the team will discuss your medical history with you and you will be examined. If any X-rays or a heart trace (ECG) are required these will also be done. This may be done at the pre-operative assessment clinic, an appointment will be sent to you if you are required to attend for this. If you are unable to attend the pre operative assessment clinic you must contact them as soon as possible. If you are on medication that thins the blood you will be asked to omit this medication as follows before your surgery. Asprin seven to ten days. Clopidrogrel seven to ten days. HRT one month. Warfarin four days. This will be explained to you in pre-operative assessment. Patients will usually be admitted on the day of their operation and stay overnight. Operations may be delayed, postponed or cancelled depending on your suitability of anaesthetic or availability of high dependency beds if it is indicated you require one. Everything will be done as quickly as possible but you will appreciate that the medical staff also have to care for the patients on the wards, and will see you as soon as possible. You can eat and drink up to midnight the night before your surgery and in some cases up to 6am on the morning of your surgery. This varies depending on what time you are due to go for your operation. The day of surgery You will be kept fasted (nothing to eat or drink) and need to wear a theatre gown following your morning bath or shower at home. Your details will be checked with you on the ward, before you go to theatre. You will be wearing a wrist band and have to answer a list of questions, for example, your name, your date of birth and confirm that you have removed all jewellery and make up etc. You will be collected for theatre and taken to the theatre reception area where the nurse will check your details again, this can appear repetitive but it is all done to ensure your safety. You will then be taken to the anaesthetic room. Here the anaesthetist will give you your anaesthetic medication through a needle in your hand/arm and once you are asleep you will be taken into theatre.

5 After surgery you will be taken into the recovery room where you will be monitored whilst you wake up from your anaesthetic, and you will be made comfortable for your transfer back to the ward. You will be transferred back to the ward after spending time in Recovery. In Recovery and on return to the ward your observations, for example blood pressure and pulse will be monitored regularly, as well as your wound and your limb power and movement. An intravenous infusion (drip) will be in your hand/arm until you are awake enough to eat and drink again, and you will have an oxygen mask over your nose and mouth until you are fully awake from your anaesthetic. Your pain will be controlled with injections initially, unless you prefer tablets, and then following this you will be able to have tablets. You will be encouraged to move around the bed as much as possible and if you feel well enough you will be able to get out of bed. Your oxygen mask will usually be removed following a few hours back on the ward, and you can get up to go to the toilet with assistance after surgery. The day after surgery The day following surgery your drip will be removed and your dressing will be checked but these are not normally removed for the first seven days. You will be encouraged to get out of bed and move around, the physiotherapist will see you to explain correct posture and the exercises that you will need to do and will check you are up and walking with the correct posture. You will also be reviewed by the medical staff. For routine spinal operations it is quite normal practice to go home the day after your operation. Going Home Medication will be organised for you to take home if you do not already have any, a district nurse will be arranged to check your wound and remove your stitches in approximately one week. Please make sure that if you are not going home to your usual address and are going to stay with someone else you let the staff know in advance. The nursing staff will inform you of the date the district nurse will need to remove your stitches and perform a wound check. It is advisable to arrange own transport home before your admission. If you are travelling home by car sit in the front passenger seat and recline the seat back to make you more comfortable whilst travelling. You will have absorbable sutures (stiches) and the dressing will remain in place seven to ten days post operatively. You will then attend your family doctor (GP) or district nurse to have the sutures trimmed. You will be sent an outpatient appointment to return for a check-up in approximately two months. Discharge Information Pain relief and medication The nursing staff will advise you about painkillers before you leave the hospital. Please tell the nurses what painkilling tablets you have at home. It is not unusual for you to get increased back pain for a few days to a few weeks after surgery. Occasionally there may be a flare up of leg pain in the first few days and there may be a few twinges and pains in your leg for a few weeks following your operation.

6 Try and avoid driving for long distances (more than 30 minutes) for the first two weeks. Usually you may return to work two weeks following surgery. After six weeks you can return to swimming and air travel and after ten to twelve weeks you can return to all sports and back care for long term which will be explained to you during your admission. Getting back to normal Remember that you have just had an operation. It is normal to feel more tired than usual for a few days afterwards. Research has shown that patients who return to a normal routine as quickly as possible make the best recovery. You should start walking immediately You should progressively return to your normal daily routine as quickly as possible. Returning to work You can return to work as soon as you feel you can cope even if your back is still uncomfortable. Heavy lifting should only be performed in the correct way and should be avoided for the first three months. The information contained within is a guide to help you understand what microdiscectomy is and what to expect. It may be that in order to address individual needs your experience is slightly different from that described. If you have any queries you can contact us.

7 Further Information The Spinal Team The consultants are: Mr Marcus DeMatas Mr Sathya Thambiraj Mr Prokopis Annis Mr Radu Popa Mr George Ampat Spinal Specialist Nurse Mark McGowan Tel: Bleep 4099 Textphone Number: Bleep 4099 Spinal secretaries Jackie Landry Collette Rowan Julie Melia Barbara Mills Tel: Textphone Number: Author: Trauma and Orthopaedic Directorate Review Date: September 2018

8 All Trust approved information is available on request in alternative formats, including other languages, easy read, large print, audio, Braille, moon and electronically.

Patient information. Information for Patients Undergoing Lumbar Spine Surgery. Trauma and Orthopaedic Directorate PIF 1357/V3

Patient information. Information for Patients Undergoing Lumbar Spine Surgery. Trauma and Orthopaedic Directorate PIF 1357/V3 Patient information Information for Patients Undergoing Lumbar Spine Surgery Trauma and Orthopaedic Directorate PIF 1357/V3 Your Consultant / Doctor has advised you to have Lumbar Spine Surgery. How is

More information

Lumbar Microdiscectomy. Patient Information

Lumbar Microdiscectomy. Patient Information Lumbar Microdiscectomy Patient Information 1 Information for Patients undergoing Lumbar Microdiscectomy Admission to hospital can be a daunting experience for most people. The information enclosed in this

More information

Lumbar Nerve Root Decompression for Foraminal Stenosis

Lumbar Nerve Root Decompression for Foraminal Stenosis Lumbar Nerve Root Decompression for Foraminal Stenosis Issue 5: March 2016 Review date: February 2019 Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed as

More information

Patient information. Total Ankle Replacement Trauma and Orthopaedic Directorate PIF 1335 V2

Patient information. Total Ankle Replacement Trauma and Orthopaedic Directorate PIF 1335 V2 Patient information Total Ankle Replacement Trauma and Orthopaedic Directorate PIF 1335 V2 Your Consultant has advised you that you are suitable to have a total ankle replacement. The aim of surgery is

More information

Review date: February Lumbar Discectomy

Review date: February Lumbar Discectomy Review date: February 2019 Lumbar Discectomy Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed as having a lumbar disc protrusion, resulting in nerve root

More information

Crossover Bypass Graft Surgery Vascular Surgery Patient Information Leaflet

Crossover Bypass Graft Surgery Vascular Surgery Patient Information Leaflet Crossover Bypass Graft Surgery Vascular Surgery Patient Information Leaflet Originator: Mr Jayatunga, Consultant Vascular surgeon. Joy Lewis, Vascular Nurse Specialist Date: October 2011 Version: 1 Date

More information

Femoropopliteal/distal. bypass grafts. Vascular Surgery Patient Information Leaflet

Femoropopliteal/distal. bypass grafts. Vascular Surgery Patient Information Leaflet Femoropopliteal/distal bypass grafts Vascular Surgery Patient Information Leaflet Femoro-popliteal/distal bypass grafts This leaflet tells you about the operation known as a femoropopliteal bypass graft.

More information

Posterior Lumbar Decompression for Spinal Stenosis

Posterior Lumbar Decompression for Spinal Stenosis Posterior Lumbar Decompression for Spinal Stenosis Issue 6: March 2016 Review date: February 2019 Following your recent MRI scan and consultation with your spinal surgeon you have been diagnosed with

More information

Treating your abdominal aortic aneurysm by open repair (surgery)

Treating your abdominal aortic aneurysm by open repair (surgery) Patient information Abdominal aortic aneurysm open surgery Treating your abdominal aortic aneurysm by open repair (surgery) Introduction This leaflet tells you about open repair of abdominal aortic aneurysm,

More information

Gynaecology Department Patient Information Leaflet

Gynaecology Department Patient Information Leaflet Vaginal repair Gynaecology Department Patient Information Leaflet Introduction This leaflet gives information about vaginal repair surgery used to treat a vaginal prolapse. The leaflet explains what a

More information

Department of Vascular Surgery Femoral to Femoral or Iliac to Femoral Crossover Bypass Graft

Department of Vascular Surgery Femoral to Femoral or Iliac to Femoral Crossover Bypass Graft Department of Vascular Surgery Femoral to Femoral or Iliac to Femoral Crossover Bypass Graft Why do you need this operation? You need this operation because you have either pain in your legs or a leg ulcer

More information

NS01 Lumbar Microdiscectomy

NS01 Lumbar Microdiscectomy NS01 Lumbar Microdiscectomy What is sciatica? Sciatica is pain down your leg caused by pressure on a nerve where it leaves your spine. Your surgeon has recommended a lumbar microdiscectomy. However, it

More information

Anaesthesia and pain (Daycase Patient) Patient information Leaflet

Anaesthesia and pain (Daycase Patient) Patient information Leaflet Anaesthesia and pain (Daycase Patient) Patient information Leaflet February 2018 INTRODUCTION Welcome to Tameside Hospital, this leaflet gives basic information to help you prepare for your anaesthetic,

More information

Repair of Hydrocele. Patient Information. Day Surgery. Ward 3, Leigh Infirmary

Repair of Hydrocele. Patient Information. Day Surgery. Ward 3, Leigh Infirmary Repair of Hydrocele Patient Information Day Surgery Ward 3, Leigh Infirmary Author ID: LS Leaflet Number: SW3.002 Version: 5 Name of Leaflet: Repair of Hydrocele Date Produced: August 2017 Review Date:

More information

Crossover bypass graft surgery Vascular Surgery Patient Information Leaflet

Crossover bypass graft surgery Vascular Surgery Patient Information Leaflet Crossover bypass graft surgery Vascular Surgery Patient Information Leaflet Crossover bypass graft surgery Information for patients from the Vascular Surgery Service This leaflet tells you about the operation

More information

Posterior Lumbar Spinal Fusion

Posterior Lumbar Spinal Fusion Posterior Lumbar Spinal Fusion Information to help patients prepare for a Posterior Lumbar Spinal Fusion Operation Directorates of Orthopaedic and Rheumatology, and Neurosciences Produced: February 2007

More information

Anterior Cervical Discectomy and Fusion for Cervical Radiculopathy or Cervical Myelopathy (ACDF)

Anterior Cervical Discectomy and Fusion for Cervical Radiculopathy or Cervical Myelopathy (ACDF) Anterior Cervical Discectomy and Fusion for Cervical Radiculopathy or Cervical Myelopathy (ACDF) About your condition The pressure from your bulging disc(s) might be causing your pain, numbness or weakness.

More information

Department of Vascular Surgery Femoral-Popliteal and Femoral-Distal Bypass Grafts

Department of Vascular Surgery Femoral-Popliteal and Femoral-Distal Bypass Grafts Department of Vascular Surgery Femoral-Popliteal and Femoral-Distal Bypass Grafts Why do you need the operation? You need this operation because you have either pain in your legs or a leg ulcer or gangrene

More information

Aortobifemoral bypass graft Vascular Surgery Patient Information Leaflet

Aortobifemoral bypass graft Vascular Surgery Patient Information Leaflet Aortobifemoral bypass graft Vascular Surgery Patient Information Leaflet This information sheet includes extracts reproduced with permission from the Circulation Foundation. www.circulationfoundation.org.uk

More information

Mr Sanjeev Sarin MS FRCS. Aortic Aneurysms Patient Information Sheet

Mr Sanjeev Sarin MS FRCS. Aortic Aneurysms Patient Information Sheet Aortic Aneurysms Patient Information Sheet The aim of this information sheet is to ensure that you understand the nature of the treatment you wish to undertake. Please read it carefully and discuss any

More information

Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy Treatment Centre Laparoscopic Cholecystectomy What is a laparoscopic cholecystectomy? You need this operation because stones have collected in your gallbladder (the area where a small amount of bile is

More information

Wound care Keep your wound clean and dry. You do not need to have a dressing over it unless you are told otherwise by your hospital staff.

Wound care Keep your wound clean and dry. You do not need to have a dressing over it unless you are told otherwise by your hospital staff. After thoracic or lumbar spinal surgery We ve given you this factsheet because you have recently had thoracic or lumbar spinal surgery at Wessex Spinal Unit. It contains useful information and advice that

More information

Enhanced Recovery Programme

Enhanced Recovery Programme Enhanced Recovery Programme Enhanced Recovery Programme This leaflet should increase your understanding of the programme and how you can play an active part in your recovery. If there is anything you are

More information

Shoulder Stabilisation A guide for patients Gateshead Upper Limb Unit Mr Andreas Hinsche Mr John Harrison Mr Jagannath Chakravarthy

Shoulder Stabilisation A guide for patients Gateshead Upper Limb Unit Mr Andreas Hinsche Mr John Harrison Mr Jagannath Chakravarthy Shoulder Stabilisation A guide for patients Gateshead Upper Limb Unit Mr Andreas Hinsche Mr John Harrison Mr Jagannath Chakravarthy Page 1 of 7 Shoulder Instability Your shoulder is a ball and socket joint

More information

Oxford Centre for Respiratory Medicine Ultrasound guided pleural biopsy Information for patients

Oxford Centre for Respiratory Medicine Ultrasound guided pleural biopsy Information for patients Oxford Centre for Respiratory Medicine Ultrasound guided pleural biopsy Information for patients Provisional appointment date and time.... Important information about your ultrasound guided pleural biopsy

More information

Enhanced Recovery Programme Liver surgery

Enhanced Recovery Programme Liver surgery Enhanced Recovery Programme Liver surgery General Surgery Patient information leaflet Introduction When you are admitted to hospital for your surgery you will be taking part in an enhanced recovery programme.

More information

Thoracic Epidural Injection

Thoracic Epidural Injection Thoracic Epidural Injection 1 Introduction Before you agree to have your lumbar epidural, it is sensible to know all you can about it. This means knowing why you may need the epidural, what the procedure

More information

Patient information. Your Spinal Anaesthetic. Directorate of Anaesthesia PIF 763/V4

Patient information. Your Spinal Anaesthetic. Directorate of Anaesthesia PIF 763/V4 Patient information Your Spinal Anaesthetic Directorate of Anaesthesia PIF 763/V4 This leaflet explains: What a spinal anaesthetic is. How it works. Why you could benefit from having one for your operation.

More information

Your visit to theatre

Your visit to theatre Your visit to theatre Information for you about your anaesthetic and your visit to the operating theatre This leaflet provides information about coming into hospital for your operation It explains anaesthetic

More information

Ankle arthroscopy. If you have any further questions, please speak to a doctor or nurse caring for you

Ankle arthroscopy. If you have any further questions, please speak to a doctor or nurse caring for you Ankle arthroscopy This leaflet aims to answer your questions about having an ankle arthroscopy. It explains the benefits, risks and alternatives, as well as what you can expect when you come to hospital.

More information

PERCUTANEOUS NEPHROLITHOTOMY

PERCUTANEOUS NEPHROLITHOTOMY PERCUTANEOUS NEPHROLITHOTOMY AN INFORMATION LEAFLET Written by: Department of Urology May 2011 Stockport Tel: 0161 419 5698 Website: www.stockport.nhs.uk Tameside Tel: 0161 922 6696/6698 Website: www.tameside.nhs.uk

More information

Laparotomy for large retroperitoneal mass:

Laparotomy for large retroperitoneal mass: Laparotomy for large retroperitoneal mass: procedure-specific information UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Inguinal hernias may be present from birth but may not become evident until later in life. They are usually more common in men.

Inguinal hernias may be present from birth but may not become evident until later in life. They are usually more common in men. This booklet is designed to give you information about inguinal hernia repair done under general anaesthesia. We hope it will answer some of the questions that you or those who care for you may have at

More information

Patient information. You and Your Anaesthetic Information to help you prepare for anaesthetic. Anaesthesia Directorate PIF 344/ V5

Patient information. You and Your Anaesthetic Information to help you prepare for anaesthetic. Anaesthesia Directorate PIF 344/ V5 Patient information You and Your Anaesthetic Information to help you prepare for anaesthetic Anaesthesia Directorate PIF 344/ V5 Types of anaesthesia Anaesthesia stops you feeling pain and other sensations.

More information

Femoral endarterectomy

Femoral endarterectomy Femoral endarterectomy The femoral arteries run from the groin to the thigh delivering blood to your legs. When there is a narrowing or blockage in these arteries, the blood supply to the legs is reduced,

More information

Leg artery bypass (fem-pop bypass)

Leg artery bypass (fem-pop bypass) Leg artery bypass (fem-pop bypass) The femoral artery runs down from the groin and into the thigh. This artery delivers blood to your legs. When the femoral artery reaches the back of the knee it becomes

More information

Lumbar Spine - Discectomy/ Decompression (page 1 of 5)

Lumbar Spine - Discectomy/ Decompression (page 1 of 5) i If you need your information in another language or medium (audio, large print, etc) please contact Customer Care on 0800 374 208 or send an email to: customercare@ salisbury.nhs.uk You are entitled

More information

Anterior cervical discectomy and replacement / fusion

Anterior cervical discectomy and replacement / fusion Anterior cervical discectomy and replacement / fusion Advice sheet for patients by Mr Alexander Montgomery, Consultant Spinal Surgeon This advice sheet is intended specifically for patients of Mr Alexander

More information

Anterior Sphincter Repair Operation

Anterior Sphincter Repair Operation Anterior Sphincter Repair Operation How will the operation help me? The investigations that you have had indicate that your anal sphincter is damaged or very weak, and this is why you are having trouble

More information

Coccygeal Denervation

Coccygeal Denervation Coccygeal Denervation 1 Introduction Before you agree to have your coccygeal denervation, it is sensible to know all you can about it. This means knowing why you may need coccygeal denervation, what the

More information

ARTERIAL BYPASS GRAFTS IN THE LEG

ARTERIAL BYPASS GRAFTS IN THE LEG The Christchurch Department of Vascular Surgery is actively involved in research projects aimed at improving treatment for patients with arterial disease. Marilyn Ollett Department of Surgery Christchurch

More information

Lumbar Discectomy and Decompression

Lumbar Discectomy and Decompression Lumbar Discectomy and Decompression Advice sheet for patients by Mr Alexander Montgomery, Consultant Spinal Surgeon Informed consent is the process of the surgical team providing information to the patient

More information

Having a ureteric stent inserted

Having a ureteric stent inserted Having a ureteric stent inserted This leaflet explains more about having a ureteric stent inserted. It describes the benefits, risks, alternatives and what you can expect when you come to hospital. If

More information

Arthroscopic capsular release. Information for patients Orthopaedics - Upper Limb

Arthroscopic capsular release. Information for patients Orthopaedics - Upper Limb Arthroscopic capsular release Information for patients Orthopaedics - Upper Limb Introduction The Upper Limb Unit team would like you and your family to understand as much as possible about the operation

More information

If you have any further questions, please speak to a doctor or nurse caring for you.

If you have any further questions, please speak to a doctor or nurse caring for you. Surgical Removal of a Paraganglioma of the Temporal Bone This leaflet explains more about surgery for the removal of a paraganglioma of the temporal bone, including the benefits, risks and any alternatives

More information

LUMBAR DECOMPRESSION / DISCECTOMY SURGERY INFORMATION

LUMBAR DECOMPRESSION / DISCECTOMY SURGERY INFORMATION LUMBAR DECOMPRESSION / DISCECTOMY SURGERY INFORMATION WHAT IS LUMBAR DECOMPRESSION / DISCECTOMY SURGERY? During lumbar decompression/ discectomy back surgery, a small portion of the bone over the nerve

More information

Disorders of the Rotator Cuff and Acromio-clavicular Joint

Disorders of the Rotator Cuff and Acromio-clavicular Joint Disorders of the Rotator Cuff and Acromio-clavicular Joint The rotator cuff is a sheath of muscles which surrounds the shoulder joint, it helps to stabilise the shoulder and powers the wide range of movements

More information

information The Enhanced Recovery Programme for Total Hip Replacement (1 of 6) What will happen before I come into hospital?

information The Enhanced Recovery Programme for Total Hip Replacement (1 of 6) What will happen before I come into hospital? information If you need this information in another language or medium (audio, large print, etc) please contact the Customer Care Team on 0800 374 208 email: customercare@ salisbury.nhs.uk. You are entitled

More information

Total knee replacement: The enhanced recovery programme

Total knee replacement: The enhanced recovery programme INFORMATION FOR PATIENTS Total knee replacement: The enhanced recovery programme This leaflet aims to explain the enhanced recovery programme after total knee replacement surgery, to outline certain common

More information

Having an Anaesthetic Your Questions Answered

Having an Anaesthetic Your Questions Answered PATIENT INFORMATION Having an Anaesthetic Your Questions Answered This leaflet explains what you can expect when having an anaesthetic for a planned operation. What is anaesthesia? Anaesthesia means loss

More information

Leg Bypass Surgery Includes:

Leg Bypass Surgery Includes: Leg Bypass Surgery Includes: Ilio-femoral bypass Femoro-popliteal bypass Femoro-distal bypass Femoro-femoro crossover Vascular Surgery Patient Information Leaflet This information sheet includes extracts

More information

Patient information. Nerve Blocks. Directorate of Anaesthesia PIF 1347 / V3

Patient information. Nerve Blocks. Directorate of Anaesthesia PIF 1347 / V3 Patient information Nerve Blocks Directorate of Anaesthesia PIF 1347 / V3 What is a Nerve Block? This is an injection of local anaesthetic near to the nerves that go to the area of your operation, making

More information

Recovering at home. How will I feel when I get home? How should I look after my wound?

Recovering at home.   How will I feel when I get home? How should I look after my wound? How will I feel when I get home? Following your operation it is normal to have feelings of stress, anxiety or depression. Being affected emotionally is normal. It may help to talk about how you feel with

More information

Having an operation on the pancreas

Having an operation on the pancreas Having an operation on the pancreas Let us assume you (the reader) are going to have a pancreatic resection. The following section attempts to answer some of the questions you may have in mind, and the

More information

Tension-free Vaginal Tape (TVT)

Tension-free Vaginal Tape (TVT) Page 1 of 7 Tension-free Vaginal Tape (TVT) Introduction This leaflet will provide you with basic information about the Tension--free Vaginal Tape (TVT) procedure. What is a TVT? TVT is an operation to

More information

Arthroscopy of the knee joint Orthopaedic Department Patient Information Leaflet

Arthroscopy of the knee joint Orthopaedic Department Patient Information Leaflet Arthroscopy of the knee joint Orthopaedic Department Patient Information Leaflet Page 1 Arthroscopy of the knee joint Welcome to the Dudley Group NHS Foundation Trust Orthopaedic Department. This booklet

More information

Spinal Anaesthesia and Analgesia. Patient information Leaflet

Spinal Anaesthesia and Analgesia. Patient information Leaflet Spinal Anaesthesia and Analgesia Patient information Leaflet February 2018 Introduction For many operations, patients receive a general anaesthetic and remain asleep during the operation. A spinal anaesthetic

More information

Varicose Veins Operation. Patient Information Leaflet

Varicose Veins Operation. Patient Information Leaflet Varicose Veins Operation Patient Information Leaflet April 2017 1 WHAT IS VARICOSE VEIN SURGERY (HIGH LIGATION AND MULTIPLE AVULSIONS) The operation varies from case to case, depending on where the leaky

More information

In-patient brachytherapy for gynaecological cancer. Cancer Services Information for patients

In-patient brachytherapy for gynaecological cancer. Cancer Services Information for patients In-patient brachytherapy for gynaecological cancer Cancer Services Information for patients i Introduction This booklet provides information about brachytherapy (a type of internal radiotherapy). We hope

More information

Retroperitoneal Lymph Node Dissection (RPLND) Department of Urology Information for patients

Retroperitoneal Lymph Node Dissection (RPLND) Department of Urology Information for patients Retroperitoneal Lymph Node Dissection (RPLND) Department of Urology Information for patients i What is a retroperitoneal lymph node dissection (RPLND)? You have probably already undergone surgery and treatment

More information

Trans Urethral Resection of Bladder Tumour (TURBT) Department of Urology Information for Patients

Trans Urethral Resection of Bladder Tumour (TURBT) Department of Urology Information for Patients Trans Urethral Resection of Bladder Tumour (TURBT) Department of Urology Information for Patients i Why do I need a trans urethral resection of bladder tumour Your recent cystoscopy has shown a growth

More information

Hernia surgery in adults

Hernia surgery in adults Page 1 of 9 Hernia surgery in adults Introduction This leaflet will give you information about having hernia surgery. It also answers some of the commonly asked questions and outlines some of the risks

More information

Subtotal and Total Gastrectomy

Subtotal and Total Gastrectomy DR ADEEB MAJID MBBS, MS, FRACS, ANZHPBA FELLOWSHIP GENERAL, HEPATOBILIARY AND PANCREATIC SURGEON CALVARY MATER HOSPITAL NEWCASTLE Information for patients and carers Subtotal and Total Gastrectomy Introduction

More information

Roboticassisted. laparoscopic nephrectomy

Roboticassisted. laparoscopic nephrectomy Roboticassisted laparoscopic nephrectomy This leaflet is designed to give you information on why this procedure may be suitable for you, and what you can expect from it. It outlines the advantages and

More information

Pilonidal Sinus. Whiston Hospital Warrington Road, Prescot, Merseyside, L35 5DR Telephone:

Pilonidal Sinus. Whiston Hospital Warrington Road, Prescot, Merseyside, L35 5DR Telephone: Pilonidal Sinus Whiston Hospital Warrington Road, Prescot, Merseyside, L35 5DR Telephone: 0151 426 1600 Author: General Surgery Department: Colorectal Document Number: STHK1059 Version: 002 Review date:

More information

Spinal anaesthesia for pain relief after surgery

Spinal anaesthesia for pain relief after surgery Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Spinal anaesthesia for pain relief after surgery Anaesthetics Department This leaflet explains how and what to expect from

More information

Pars Injection for Lumbar Spondylolysis

Pars Injection for Lumbar Spondylolysis Pars Injection for Lumbar Spondylolysis Issue 4: March 2016 Review date: February 2019 Following your recent investigations and consultation with your spinal surgeon, a possible cause for your symptoms

More information

Forefoot deformity correction

Forefoot deformity correction Forefoot deformity correction This leaflet aims to answer your questions about having forefoot deformity correction surgery. It explains the benefits, risks and alternatives, as well as what you can expect

More information

Groin dissection. Information for patients This leaflet describes the removal of lymph nodes in the groin

Groin dissection. Information for patients This leaflet describes the removal of lymph nodes in the groin How can I help reduce healthcare associated infections? Infection control is important to the well-being of our patients and for that reason we have infection control procedures in place. Keeping your

More information

The Leeds Teaching Hospitals NHS Trust Renal hyperparathyroidism - Parathyroidectomy

The Leeds Teaching Hospitals NHS Trust Renal hyperparathyroidism - Parathyroidectomy n The Leeds Teaching Hospitals NHS Trust Renal hyperparathyroidism - Parathyroidectomy Information for patients This leaflet provides information about renal hyperparathyroidism and having a parathyroidectomy,

More information

Hernia Repair Children s Ward Patient information Leaflet

Hernia Repair Children s Ward Patient information Leaflet Hernia Repair Children s Ward Patient information Leaflet Page 1 Hernia repair Your child is coming into hospital for a hernia repair. The operation will be carried out under general anaesthetic. Why does

More information

Physiotherapy Following Your Spinal Discectomy

Physiotherapy Following Your Spinal Discectomy Physiotherapy Following Your Spinal Discectomy Patient information How to contact us Physiotherapy Department Watford General Hospital West Hertfordshire Hospitals NHS Trust Vicarage Road, Watford, Hertfordshire,

More information

Patient information. Breast Reconstruction using an Expander and Implant Breast Services Directorate PIF 110 V5

Patient information. Breast Reconstruction using an Expander and Implant Breast Services Directorate PIF 110 V5 Patient information Breast Reconstruction using an Expander and Implant Breast Services Directorate PIF 110 V5 You are going to have a breast reconstruction using an expander followed by an implant. This

More information

Sacroiliac joint Injection

Sacroiliac joint Injection Sacroiliac joint Injection 1 Introduction Before you agree to have your sacroiliac injections, it is sensible to know all you can about it. This means knowing why you may need sacroiliac injections, what

More information

Posterior Cervical Decompression

Posterior Cervical Decompression Posterior Cervical Decompression Issue 5: March 2016 Review date: February 2019 Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed with a narrowing of your

More information

Lumbar Spine Fusion (page 1 of 5)

Lumbar Spine Fusion (page 1 of 5) i If you need your information in another language or medium (audio, large print, etc) please contact Customer Care on 0800 374 208 or send an email to: customercare@ salisbury.nhs.uk You are entitled

More information

AN INFORMATION LEAFLET

AN INFORMATION LEAFLET LAPAROSCOPIC NEPHRECTOMY AN INFORMATION LEAFLET Written by: Department of Urology May 2011 Stockport: 0161 419 5698 Website: www.stockport.nhs.uk Tameside: 0161 922 6696/6698 Website: www.tameside.nhs.uk

More information

Knee Replacement Patient Information

Knee Replacement Patient Information Knee Replacement Patient Information This information sheet is designed to help you to understand what a knee replacement involves. I perform knee replacements frequently, several times each week, and

More information

Sentinel Lymph Node Biopsy and Wide Local Excision. Gynae-oncology

Sentinel Lymph Node Biopsy and Wide Local Excision. Gynae-oncology Sentinel Lymph Node Biopsy and Wide Local Excision Gynae-oncology We put our patients first by working as one team; leading and listening, and striving for the best. Together, we make the difference. Patient

More information

Information about Your Anaesthetic and Pain Control After Surgery

Information about Your Anaesthetic and Pain Control After Surgery Information about Your Anaesthetic and Pain Control After Surgery Information for patients Specialist Support If you require this leaflet in another language, large print or another format, please contact

More information

Colposuspension operation

Colposuspension operation Colposuspension operation This information explains: Overview... 1 Your admission date... 1 The operation... 2 The anaesthetic... 2 After the operation... 3 Problems... 3 Going home... 4 Getting back to

More information

Delorme s Operation For Rectal Prolapse

Delorme s Operation For Rectal Prolapse Delorme s Operation For Rectal Prolapse Patient Information Colorectal Surgery Author ID: NM Leaflet Number: Surg 045 Version: 3.1 Name of Leaflet: Delorme s Operation for Rectal Prolapse Date Produced:

More information

Percutaneous nephrolithotomy (PCNL)

Percutaneous nephrolithotomy (PCNL) Percutaneous nephrolithotomy (PCNL) Department of Urology Patient Information What What is a is percutaneous a percutaneous nephrolithotomy nephrolithotomy (PCNL)? (PCNL)? A percutaneous nephrolithotomy

More information

What is a hydrocele? It is a swelling caused by a build-up of fluid in the fluid sac surrounding the testicle. It is very common.

What is a hydrocele? It is a swelling caused by a build-up of fluid in the fluid sac surrounding the testicle. It is very common. Repair of hydrocele Urology Department Patient Information Leaflet Introduction This leaflet is for people who have been recommended to have a procedure to repair a hydrocele. It gives information on what

More information

YOUR OPERATION EXPLAINED

YOUR OPERATION EXPLAINED RIGHT HEMICOLECTOMY This leaflet is produced by the Department of Colorectal Surgery at Beaumont Hospital supported by an unrestricted grant to better Beaumont from the Beaumont Hospital Cancer Research

More information

Outpatient Pain Service. Medial branch block injections Information for patients

Outpatient Pain Service. Medial branch block injections Information for patients Outpatient Pain Service Medial branch block injections Information for patients What are medial branch block injections? Long term or recurring low back pain can be as a result of injury or damage to the

More information

Laparoscopic Ventral Mesh Rectopexy

Laparoscopic Ventral Mesh Rectopexy Laparoscopic Ventral Mesh Rectopexy (LVMR) Information for patients General Surgery What is a LVMR? A laparoscopic ventral mesh rectopexy (LVMR) is an operation in which the rectum (last part of the bowel)

More information

Femoropopliteal bypass graft

Femoropopliteal bypass graft Femoropopliteal bypass graft Information for patients from the Vascular Surgery Service This leaflet tells you about the operation known as femoropopliteal bypass; it explains what is involved before,

More information

Transjugular liver biopsy

Transjugular liver biopsy Transjugular liver biopsy Radiology Department Patient information leaflet This leaflet tells you about the procedure known as a transjugular liver biopsy. It explains what is involved and the possible

More information

Operation: Thyroidectomy

Operation: Thyroidectomy Treatment Centre Operation: Thyroidectomy A thyroidectomy is an operation to remove all (total) or part (partial) of the thyroid gland. Alternative options for treatment Any suitable alternative treatment

More information

The Leeds Teaching Hospitals NHS Trust Primary hyperparathyroidism - Parathyroidectomy

The Leeds Teaching Hospitals NHS Trust Primary hyperparathyroidism - Parathyroidectomy n The Leeds Teaching Hospitals NHS Trust Primary hyperparathyroidism - Parathyroidectomy Information for patients This leaflet provides information on having a parathyroidectomy, reasons for the procedure

More information

Patient Information for Consent

Patient Information for Consent Patient Information for Consent A07 Anaesthesia for Caesarean Section Expires end of August 2014 Issued December 2013 Local information This leaflet is available in other languages and other formats. Please

More information

Foot and Ankle Surgery

Foot and Ankle Surgery Information about Foot and Ankle Surgery Statement of Use The information in this leaflet is intended solely for the person to whom it was given by the health care team and is provided as a general information

More information

Why do I need a kidney biopsy?

Why do I need a kidney biopsy? Page 1 of 6 Renal biopsy Introduction Your doctor has referred you for a renal (kidney) biopsy. This leaflet aims to answer some of your questions about having a kidney biopsy. The leaflet also explains

More information

Tension Free vaginal tape. Mrs Ami Shukla, Consultant Urogynaecologist Northampton General Hospital Northampton NN1 5BD

Tension Free vaginal tape. Mrs Ami Shukla, Consultant Urogynaecologist Northampton General Hospital Northampton NN1 5BD Tension Free vaginal tape Mrs Ami Shukla, Consultant Urogynaecologist Northampton General Hospital Northampton NN1 5BD What is a TVT procedure? A TVT (Tension Free Vaginal Tape) procedure is an operation

More information

Bright-red bleeding: If you have piles, you might see bright-red bleeding on the toilet paper, in the toilet bowl or on the surface of the faeces.

Bright-red bleeding: If you have piles, you might see bright-red bleeding on the toilet paper, in the toilet bowl or on the surface of the faeces. What are haemorrhoids/piles? In the inner lining of the anus there are three haemorrhoidal cushions of tissue, which help to seal the anus and contribute to the control of the bowels (continence). Often,

More information

Hydrocele repair. Information for parents and carers

Hydrocele repair. Information for parents and carers Hydrocele repair Information for parents and carers A hydrocele is a swelling in the scrotum or groin caused by a collection of fluid surrounding the testicle. The testes start developing inside a baby

More information

Epidurals for pain relief after surgery Information for patients

Epidurals for pain relief after surgery Information for patients Epidurals for pain relief after surgery Information for patients Department of anaesthesia and pain medicine Epidurals for pain relief after surgery This information sheet explains what to expect when

More information

Anterior Cruciate Ligament Reconstruction Patient Information

Anterior Cruciate Ligament Reconstruction Patient Information Anterior Cruciate Ligament Reconstruction Patient Information This information sheet is designed to help you to understand what an Anterior Cruciate Ligament (ACL) Reconstruction involves. I perform ACL

More information

Information for Patients having Total Knee Replacement Surgery

Information for Patients having Total Knee Replacement Surgery Information for Patients having Total Knee Replacement Surgery Hello You will be coming into hospital for your surgery and we hope your stay will be pleasant. We have written this booklet to give you information

More information