BEFORE A SURGERY

1) INGUINAL HERNIA REPAIR
2) VENTRAL HERNIA REPAIR
3) CHOLECYSTECTOMY
4) HEMORRHOIDECTOMY / FISSURE / FISTULA
5) EXCISION PILONIDAL SINUS
6) THYROIDECTOMY
7) COLON / RECTUM / RESECTION

PRE-OP GENERAL CONSIDERATIONS
1 - DO NOT eat or drink after midnight the day before your surgery. 
2- You may have sips of ONLY water up to 3 hrs before surgery/endoscopy. 
3- Take a shower in the morning of your surgery.
4- DO NOT shave the operating area. We shorten the hair with disposable clippers where it is necessary. 
5- You need to buy (and bring it on the day of surgery) an ABDOMINAL BINDER for ventral hernia repair. These have been discussed when Dr. Bahasadri was going over the details of your procedure with you. 
6- You may need INGUINAL HERNIA TRUSS if it is recommended by Dr. Bahasadri.

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7- You need bowel preparation before any colon or rectal surgery. Buy one pack of PicoSalax and follow the instructions. 
8- You need Fleet Enema in the morning of your surgery for any operations for hemorrhoid/fistula/anal fissure. Buy it over the counter and follow the instructions.  
9- DO NOT SMOKE at least a month before your surgery and at least a month after. Smoking is significantly interfering with your wound healing and will increase your chances of wound infection up to seven times. Infection can be disastrous with hernia repair and intestine operations.

“Do Not Smoke: Smoking has been shown to slow the healing process and increase your chance of infection. Your primary care doctor can help with medications or patches. ”

For more information on how SMOKING is affecting your health and surgical outcome please read the article below.For more

BEFORE AN ENDOSCOPY

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1) GASTROSCOPY

2) COLONOSCOPY

3) GASTROSCOPY AND COLONOSCOPY

4) RIGID SIGMOIDOSCOPY

ENDOSCOPY GENERAL CONSIDERATIONS

1) DO NOT eat or drink after midnight the day before your procedure. 
2) You may have sips of ONLY water up to 3 hrs before endoscopy. 
3) You do not need bowel preparation for gastroscopy. 
4) Just taking Picosalax is not enough. You should drink at least 2 liters of clear fluid after each pack to help the medication to work and flush your intestine. 
5) You need Fleet Enema in the morning of RIGID SIGMOIDOSCOPY. Buy it over the counter and follow the instructions. 
6) FOLLOW THE INSTRUCTION THAT PROVIDED TOY YOU CAREFULLY AND PRECISELY.

AFTER YOUR ENDOSCOPY

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1) You may eat and drink right after the procedure. The only exception is when freezing spray has been used for your gastroscopy. That makes your swallowing reflexes not to work properly for at least 1-2 hours. You may choke on liquid and solid food. To check and see if it is weared off , have a very small sip of water and see if you can swallow without any difficulty. 
2) It may take a few days to go back to your normal bowel habits after colonoscopy preparation. 
3) You should call Dr. Bahasadri’s office at (416) 913-6457 to make an appointment for follow up unless otherwise recommended on the discharge sheet. 
4) You can NOT drive after the procedure until the next day. 
5) Do NOT consume alcohol on the same day of your procedure. 
6) You need to arrange a ride for the day of your procedure. You can NOT be released from the hospital without a ride. TTC is not an option. 
7) And remember METAMUCIL is your best friend……………………. always!