DO NOT take medications for diabetes the morning of surgery.
DO NOT take any blood thinners, aspirin or NSAIDs the morning of surgery.
If you take antianxiety medications or have an inhaler bring them with you in case you need them but DO NOT take them.
- Take another shower with your Hibiclens this morning.
- Please leave all valuables at home.
- If you use a C-PAP/BiPAP machine at home, you will need to bring it with you. Make sure you know your settings and are familiar with the operation of your C-PAP/BiPAP.
- You may want to bring items from home to make sure your stay is more comfortable such as your favorite robe or other toiletries.
- You will be asked to sign a consent form giving the Surgeon/Anesthesia provider permission to treat you and do your procedure. The consent also explains unexpected events which may occur and your alternatives. Be sure all of your questions are answered before you sign this form.
- The pre-op Nurses will have you change into a hospital gown, take your vital signs, place some compression boots on you which will begin to gently massage your feet, this is to prevent blood clots from forming during and after surgery. You will be asked to keep these on at all times when you are not up and walking around. They will start an IV in your arm so you may be given fluids and medications. You will be given an antibiotic to help prevent an infection. You will also be given a small injection in the abdomen (just under the skin) that will help prevent blood clots.
- Felts will speak with you and your family member prior to any anesthesia medications to make sure you understand everything. And, your anesthesia provider will discuss your prior history with you answering any questions you may have. The anesthesia provider may give you medication to make you sleepy before you are taken to the Operating Room.
Treatment: What Will Happen?
- You will be taken to the surgery room, where you will move from the stretcher to an operating table. You will be given anesthesia medications to keep you asleep and free from any pain during surgery. After you are asleep and the abdominal cavity is filled with CO2 gas a circular tube called a trocar is inserted through a small incision in your abdomen. This allows Dr. Felts to see inside your abdominal cavity. Three to five more trocars may be inserted where surgical tools are placed to perform the procedure and about 75 to 80% of your stomach will be removed through the trocar.
- The cut area of your stomach is stapled closed and Dr. Felts may use a special tissue glue to reinforce this closure. Dr. Felts may perform an EGD (an upper GI endoscopy procedure) using the scope to look inside of the stomach for bleeding or leaks prior to finishing your procedure. All of the trocars are removed and the incisions are closed with dissolvable sutures under the skin and skin glue is applied at the incision sites on your abdomen.
- Pain relief after surgery is an important part of the recovery process. When you are not in pain, you move around sooner and return to normal quicker. Felts is very conscientious regarding postoperative pain control and takes several steps to make sure you are as comfortable as possible after your surgery. This includes injecting each incision with a long acting local anesthetic and giving nurses several options of pain medicines to administer.
- At this time your anesthesia provider will begin to wake you up so you may be moved to the recovery room (PACU) to rest until you are fully awake.