Before Your Surgery Instructions
Learn More About Your Surgery:
Visit Dr. McCann’s website to learn more about your procedure.
One Month before Surgery:
New York State law requires that a Comprehensive Medical Evaluation be performed within 30 days of your scheduled surgery. This exam may be done by Dr. McCann if you are in good health and take no medications or by your medical doctor if you have a medical condition or take any prescription medications.
Alternatively, your preoperative evaluation may be performed by the medical team at the hospital testing facility. Dr. McCann’s Office Manager will review these options with you.
The following routine lab tests are required:
Males under 40 years: None
Females 12 years and older: CBC, Pregnancy test (childbearing age)
Additional tests may be ordered as needed depending on your medical condition.
If your preoperative evaluation is performed by your medical doctor, this report must be faxed to our office within one (1) week of your scheduled surgery.
FAILURE TO RECEIVE THIS INFORMATION MAY RESULT IN CANCELLATION OF YOUR SURGERY.
For those patients requiring hospitalization, Lenox Hill Hospital offers private rooms and deluxe suites for an additional fee. If you request such accommodations, please discuss with Dr. McCann’s office manager when you schedule your surgery. However, the regular semi-private rooms routinely offered will provide for all of your post-surgical medical needs.
Two weeks before Surgery:
While some patients find herbal supplements beneficial, many of them interact with anesthesia medications or can cause other issues during surgery. The Anesthesia Society of America recommends discontinuing all herbal supplements 2 weeks before surgery. Below is a list that Dr. McCann considers especially important to stop with an absolute time cutoff and the reasoning:
- Arnica (1 week)- causes wound healing problems and may increase bleeding
- Black Cohosh (2 weeks)- increases bleeding risk, may cause unsafe drops in blood pressure
- Echinacea (2 weeks)- used regularly, may increase the risk of infection and wound healing problems
- Ephedra (24 hrs)- with may cause abnormal heart rhythms, blood flow, or blood pressure
- Kava (24 hrs)- may dangerously increase depth and length of sedation with anesthesia
- Garlic (7 days)- increases bleeding risk, may resume 24 hrs after surgery
- Ginger (2 weeks)- increases bleeding risk, especially with spinal or epidural anesthesia; can be useful starting 12-24 hrs after surgery to decrease nausea and help prevent blood clots
- Ginkgo (36 hours)- increases the risk of bleeding problems
- Ginseng (7 days)- increased bleeding risk, can cause low blood sugar when fasting preop
- St. John’s Wort (5 days)- under anesthesia can cause brain hyperactivity, decrease the efficacy of anti-clotting treatments, and decrease the efficacy and duration of anesthetics and pain pills
- Tumeric (2 weeks)- can increase bleeding problems
- Valerian (taper off over 2 weeks beginning 1 month before surgery)- may unpredictably increase the strength and duration of sedatives, prolonging immediate recovery from surgery
- Reference: Wong A and Townley SA Br J Anaesth 2010.
One Week before Surgery:
Stop taking any anti-inflammatory medicines (Aspirin, Advil, Mobic, Aleve, etc.) as these medications can increase bleeding. Substitute with Tylenol if you require pain medication during this time.
Stop taking any blood thinners (Plavix, Coumadin, Xarelto, and Eliquis) 5 days prior to your surgery date.
Day before Surgery:
The hospital will call you the evening before surgery to tell you what time to arrive at the hospital, typically 90 minutes prior to the scheduled start of your surgery. TAKE NO FOOD OR WATER AFTER MIDNIGHT.
Dr. McCann will E-prescribe pain medications to your pharmacy the day before your surgery.