DISCHARGE INSTRUCTIONS FOR PATIENTS OPERATED ON BY DR. TUSHAR HALDER  

 

1. OPERATION: LAPAROSCOPIC CHOLECYSTECTOMY (GALL BLADDER)/ ABDOMINAL HERNIA/ MAJOR ABDOMINAL OPERATION
   
   

 

• Please take a copy of Operation Report and/or Discharge summary before you leave hospital.
  
  
• You should have a Follow up appointment or Plan to see your GP (Family Doctor) and me. My follow up date is usually 2 weeks after your operation unless there is a special reason.
  
  
• Take any prescribed medications as ordered by the doctor.
  
  
• The outer dressings covering your incisions will come off the next day or after 48 hours. You should be discharged from the Surgical Ward with the inner dressing (Steri-strip) which will fall off on their own. If there is a drain site and/or a wound which is discharging this may need an occlusive dressing (e.g. Opsite).
  
  
•  After seven days, if the dressings have not fallen off on their own, you may remove them or ask your GP (Family Doctor) to remove them.
  
  
• I do not use any stitches that require removal in 99% of my operations. Wash the operation area with soap and water and gently pat dry. Keep the incisions clean. 
  
  
• You may take a shower anytime 24 hours after your surgery.
  
  
• Restrict strenuous physical activity (such as a vigorous house cleaning, heavy lifting or sports) for 3 weeks
  
  

 

NOTIFY YOUR GP (FAMILY DOCTOR) OR MY ROOMS IF YOU HAVE:

 

• Pain which is not relieved by the prescribed medication
  
  
• Fever, chills
  
  
• Pain, swelling, redness of your incisions or surrounding areas.
  
  
• Large amounts of bloodstained discharge from your incisions.
  
  
• Swelling of the abdomen.
  
  

 COPY OF MY BUSINESS CARD:

 



 

 

 

Please make an appointment or reconfirm your appointment at one of my Rooms

 

 

 

 

1. OPERATION: CIRCUMCISION
   
   

 

 

• Please take a copy of Operation Report and/or Discharge summary before you leave hospital.
  
  
• You should have a Follow up appointment or Plan to see your GP (Family Doctor) and me. My follow up date is usually 2 weeks after your operation unless there is a special reason.
  
  
• Take any prescribed medications as ordered by the doctor.
  
  
• Keep the Combine Pad in place and the operation wound clean and dry.
  
  
• Remove the Combine Pad when you need to pass your urine.
  
  
• If the bleeding has stopped you may remove the pad completely.
  
  
• Visit your GP doctor the next day or after 48 hours for wound review.
  
  
• Wash the operation area with soap and water. Keep the incisions clean. 
  
  
• Please apply Chloromycetin ointment twice daily.
  
  
• The stiches are dissolvable and fall off on their own in 2 to 3 weeks.
  
  
• Make an appointment to see Dr Halder in 2 to 3 weeks.
  
  

 

NOTIFY YOUR GP (FAMILY DOCTOR) OR MY ROOMS IF YOU HAVE:

 

• Large amount of bloody discharge from your incisions.
  
  
• Severe pain, swelling, redness of your incisions or surrounding areas.
  
  

 

  COPY OF MY BUSINESS CARD:



 

 

 

 

 

Please make an appointment or reconfirm your appointment at one of my Rooms

 

 

1. OPERATION: CARPAL TUNNEL RELEASE
   
   

 

• Please take a copy of the Operation Report and/or Discharge summary before you leave hospital.
  
  
• You should have a Follow up appointment or Plan to see your GP (Family Doctor) and me. My follow up date usually 3 to 4 weeks after your operation unless there is a special reason.
  
  
• Take your medications as ordered by the doctor (Prescription).
  
  
• Elevate the arm in a sling for 24 hours postoperatively.
  
  
• Exercise the fingers and use the hand as pain permits
  
  
• Keep the dressing clean and dry till you visit your GP on the following day. All the dressing, with exception of inner dressing (Opsite) can be removed by your GP at this time.
  
  
• You can remove inner dressing in 2-3 days.
  
  
• Wash the operation area with soap and water. Keep the incisions clean. 
  
  
• Apply Chloromycetin ointment twice daily
  
  
• Visit your GP in 2 weeks for removal of sutures
  
  

 

NOTIFY YOUR GP (FAMILYDOCTOR) OR MY ROOMS IF YOU HAVE:

• Pain not relieved with prescribed medication
  
  
• Bandage becomes too tight
  
  
• Large amount of bloody discharge from your incisions.
  
  
• Fever, chills
  
  
• Pain, swelling, redness of your incisions or surrounding areas.
  
   
  
  

  COPY OF MY BUSINESS CARD:



 

 

 

 

Please make an appointment or reconfirm your appointment at one of my Rooms

 

 

 

1. OPERATION:  GASTROSCOPY
   
   

                                        COLNOSCOPY

• Please take a copy of Operation Report and/or Discharge summary before you leave hospital.
  
  
• You should have a Follow up appointment or Plan to see your GP (Family Doctor) and me. My follow up date is usually 2 weeks after your operation unless there is a special reason.
  
  
• Take your medications as ordered by the doctor (Prescription).
  
  
• Following Gastroscopy you may experience a slightly sore throat. This may persist for several hours
  
  
•  Following your colonoscopy you may experience some abdominal discomfort due to introduction of air inside the bowel. This should settle over a few hours by increased flatulence.
  
  
• You may have mild perianal pain or bleeding if you have had banding of haemorrhoids
  
  
• You may eat and drink normally. 
  
  
• Please take the copy of operation report/Photo to your GP doctor as an initial result.
  
  
• I will give you a full report and biopsy result during follow up consultation
  
  

 

NOTIFY YOUR GP (FAMILYDOCTOR) OR MY ROOMS IF YOU HAVE:

 

• Severe abdominal pain not relieved with prescribed medication
  
  
• Fever, chills
  
  
• Large amount of bloody stool.
  
  
• Swelling of abdomen.
  
  

 

  COPY OF MY BUSINESS CARD:



 

 

 

 

Please make an appointment or reconfirm your appointment at one of my Rooms

 

 

1. OPERATION: GANGLION REMOVAL / EXCISION
   
   

 

• Please take a copy of Operation Report and/or Discharge summary before you leave hospital.
  
  
• You should have a Follow up appointment or Plan to see your GP (Family Doctor) and me. My follow up date is usually 2 weeks after your operation unless there is a special reason.
  
  
• Take your medications as ordered by the doctor (Prescription).
  
  
• Elevate arm in a sling for 24 hours postoperatively.
  
  
• Exercise the fingers and use the hand as pain permits.
  
  
• Keep the dressing clean and dry till you visit your GP on the following day. All of the dressing, with the exception of the inner dressing (Opsite) can be removed by your GP at this time.
  
  
• You can remove inner dressing in 2-3 days and leave the Steri strips in place for 7 days.
  
  
• Wash the operation area with soap and water. Keep the incisions clean. 
  
  
• Visit your GP in 5-7 days for removal of sutures (Steri Strips).
  
  

 

NOTIFY YOUR GP DOCTOR OR MY ROOM IF YOU HAVE:

• Pain  which is not relieved with prescribed medication
  
  
• Bandage becomes too tight
  
  
• Large amount of bloody discharge from your incisions.
  
  
• Fever, chills
  
  
• Pain, swelling, redness of your incisions or surrounding areas.
  
   
  
  

  COPY OF MY BUSINESS CARD:



 

 

 

 

Please make an appointment or reconfirm your appointment at one of my Rooms

 

 

 

1. OPERATION: HAEMORRHOID OPERATION /EXCISION AND BANDING/INJECETION
   
   

 

• Please take a copy of the Operation Report and/or Discharge summary before you leave hospital.
  
  
• You should have a Follow up appointment or Plan to see your GP (Family Doctor) and me. My follow up date is usually 2 weeks after your operation unless there is a special reason.
  
  
• Take your medications as ordered by the doctor (Prescription).
  
  
• Keep the Combine Pad in place and operation wound clean and dry.
  
  
• Remove the Combine Pad when you need to open your bowel.
  
  
• If there is no further bleeding you may remove the pad completely.
  
  
• Visit your GP (Family Doctor) in 7 days for wound review.
  
  
• Wash the operation area with warm salty water twice a day and after every bowel motion. Keep the incisions clean.  There is no need to apply any ointment.
  
  
• As a haemorrhoid operation is very painful, you may need 2 types of pain medication (Naprosyn or Voltaren + Digesic or Panadol). It is best to avoid Codeine or Panadeine Forte because of the side effect of constipation.
  
  
• One antibiotic (Flagyl) for 5 to 10 days may be required.
  
  
• Continue to have high fibre diet and laxative (e.g. Metamucil) to avoid hard stool.
  
  
• The stiches are dissolvable and fall off on their own in 2 to 3 weeks.
  
  

 

NOTIFY YOUR GP DOCTOR OR MY ROOM IF YOU HAVE:

• Large amount of bloody discharge from your incisions.
  
  
• Light headed or dizziness
  
  
• Severe pain not relieved with prescribed medication
  
  

 COPY OF MY BUSINESS CARD:



 

 

 

 

Please make an appointment or reconfirm your appointment at one of my Rooms

 

 

 

1. OPERATION: REMOVAL OF INGROWING TOENAIL/ WEDGE EXCISION/ COMPLETE EXCISION (ZODEK OPERATION)
   
    
   
   

• Please take a copy of Operation Report and/or Discharge summary before you leave hospital.
  
  
• You should have a Follow up appointment or Plan to see your GP (Family Doctor) and me. My follow up date is usually 2 weeks after your operation unless there is a special reason.
  
  
• Take your medications as ordered by the doctor (Prescription).
  
  
• Keep the dressing clean and dry.
  
  
• Visit your GP (Family Doctor) next day or after 48 hours for a change of dressing.
  
  
•  The dressing may be removed completely after 2 days if there is no further bleeding from operation wound.
  
  
• Wash the operation area with soap and water. Keep the incisions clean. 
  
  
• If the wound is left open please apply Chloromycetin ointment twice daily.
  
  
• Return to your local doctor in 10 days for removal of stitches
  
  
• Make an appointment to see Dr Halder in 2 to 3 weeks.
  
  
• Restrict the wearing of tight shoes for 2 weeks
  
  

 

NOTIFY YOUR GP DOCTOR OR MY ROOM IF YOU HAVE:

 

• Pain not relieved with prescribed medication
  
  
• Bandage too tight and toe becomes blue or purple in colour
  
  
• Large amount of bloody discharge from your incisions.
  
  
• Fever, chills
  
  
• Pain, swelling, redness of your incisions or surrounding areas.
  
  

 

  COPY OF MY BUSINESS CARD:



 

 

 

 

Please make an appointment or reconfirm your appointment at one of my Rooms

 

 

 

1. OPERATION: PARATHYROIDECTOMY
   
   

 

• Please take a copy of Operation Report and/or Discharge summary before you leave hospital.
  
  
• You should have a Follow up appointment or Plan to see your GP (Family Doctor) and me. My follow up date is usually 2 weeks after your operation unless there is a special reason.
  
  
• Take your medications as ordered by the doctor (Prescription).
  
  
• The outer dressings on your incisions will be taken off on the next day or after 48 hours. You should go home from Surgical Ward with the inner dressing (Steri-strip) which will fall off on their own.
  
  
• If the drain site and wound are discharging they will need an occlusive dressing (e.g. Opsite)
  
  
•  After seven days, if the dressings have not fallen off on their own, you may remove them or ask your GP (Family Doctor) to remove them
  
  
• I do not use any stitches that require removal in all of my parathyroid operations. Wash the operation area with soap and water. Keep the incisions clean. 
  
  
• You may take a shower anytime from 24 hours after your surgery.
  
  
• You may need to see your GP (Family Doctor) early for blood tests if blood PTH level was low after operation.
  
  .
  
  

NOTIFY YOUR GP DOCTOR OR MY ROOM IF YOU HAVE:

 

• Pain not relieved with prescribed medication
  
  
• Large amount of bloody discharge from your incisions.
  
  
• Fever, chills
  
  
• Pain, swelling, redness of your incisions or surrounding areas.
  
  

 

  COPY OF MY BUSINESS CARD:



 

 

 

Please make an appointment or reconfirm your appointment at one of my Rooms

 

 

 

1. OPERATION: THYROIDECTOMY OPERATION
   
   

 

 

• Please take a copy of Operation Report and/or Discharge summary before you leave hospital.
  
  
• You should have a Follow up appointment or Plan to see your GP (Family Doctor) and me. My follow up date is usually 2 weeks after your operation unless there is a special reason Take your medications as ordered by the doctor (Prescription).
  
  
• The outer dressings on your incisions will be taken off on next day or after 48 hours. You should go home from Surgical Ward with the inner dressing (Steri-strip) which falls off their own. Drain site and wound having discharge need an  occlusive dressing(e.g. Opsite)
  
  
•  After seven days, if the dressings have not fallen off on their own, you may remove them or ask your GP (Family Doctor) to remove it.
  
  
• I do not use any stitches that require removal in all of my Thyroid operations. Wash the operation area with soap and water. Keep the incisions clean. 
  
  
• You may take a shower anytime from 24 hours after your surgery.
  
  
• You may need to see your GP doctor early for a blood test if your blood Calcium level was low after the operation.
  
  
• You need to start replacement Thyroxin Tablets after a biopsy report has shown that there is no cancer in thyroid.
  
  

 

NOTIFY YOUR GP DOCTOR OR MY ROOM IF YOU HAVE:

 

• Pain not relieved with prescribed medication
  
  
• Large amount of bloody discharge from your incisions.
  
  
• Fever, chills
  
  
• Pain, swelling, redness of your incisions or surrounding areas.
  
  

 

  COPY OF MY BUSINESS CARD:



 

 

 

 

Please make an appointment or reconfirm your appointment at one of my Rooms

 

 

 

1. OPERATION: VASECTOMY
   
   

 

• Please take a copy of Operation Report and/or Discharge summary before you leave hospital.
  
  
• You should have a Follow up appointment or Plan to see your GP (Family Doctor) and me. My follow up date is usually 2 weeks after your operation unless there is a special reason.
  
  
• Take your medications as ordered by the doctor (Prescription).
  
  
• Keep the Combine Pad in place and operation wound clean and dry.
  
  
• Remove the Combine Pad when you need to pass your urine.
  
  
• If there is no further bleeding you may remove the pad completely.
  
  
• Wash the operation area with soap and water. Keep the incisions clean. 
  
  
• There are no stitches to remove. The Steri-strips will fall off on their own.
  
  
• You may resume sexual activity when free of discomfort. However another form of contraception must be used until your doctor advises all remaining sperm are eliminated from Semen.
  
  

 

NOTIFY YOUR GP DOCTOR OR MY ROOM IF YOU HAVE:

 

• Pain not relieved with prescribed medication
  
  
• Swelling of scrotum
  
  
• Large amount of bloody discharge from your incisions.
  
  
• Fever, chills
  
  
• Pain, swelling, redness of your incisions or surrounding areas.
  
   
  
  

  COPY OF MY BUSINESS CARD:



 

 

 

 

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DISCHARGE INSTRUCTIONS FOR
 
BANDING AND INJECTION OF HAEMORRHOID
 
Dr Tushar Halder
 




HOW THE RUBBER BAND AND INJECTION WORKS
 
You may have been treated with rubber band and/or injection for your internal haemorrhoid.  The rubber band works by cutting off the blood flow to the haemorrhoid for four to six hours.  Sometimes the rubber band may fall off after a few hours but it’s ischemic effect continues for a long time. 
 
The injection works by slowly reducing the blood flow to the haemorrhoid.  The combined effect of the rubber band and injection shrinks the haemorrhoid in up to 70-80% of cases. 
 
You may experience a small amount of bleeding and pain in the perianal area for two to three days.  This is quite common after the banding and injection.  Please do not be alarmed if you see the band has fallen off. 
 
POSTOPERATIVE INSTRUCTIONS
 
1.      Diet
 
You should have a high fibre diet to avoid constipation. 
 
2.      Pain control
 
For mild pain you can have Panadol x 2 tablets every four hours.
 
For moderate to severe pain you may need Nurofen or Panadeine Forte tablets together with Metamucil. 
 
3.      Warm salt baths
 
Warm Salt baths may be helpful to reduce mild discomfort in the perianal area. 
 
4.    Follow up appointment
 
You should also make an appointment to see your general practitioner within a week and see me in two weeks’ time. 
 
Please notify your local doctor or my consulting rooms immediately if you experience the following:
 
-          A large amount of blood loss rectally
-          A high temperature
-          Difficulty in passing urine