Advice and dressings

Pre-operative and Post-operative Advice

Please also see the pre-consultation questionnaire.

Pre-operative Advice

It is important that you do not take any Aspirin, Clopidrogel or Ibuprofen before any operation as these medications stop the platelets in your blood from forming a clot and increases you chance of bleeding post-operatively.
If you take Warfarin or any of the newer anti-coagulants, you may still be able to have surgery, but stopping it has to be discussed carefully with the doctor who prescribed it for you first. Please bring a list of all your medication to your consultation.
If you have any question about general anaesthesia, you can speak to a Consultant Anaesthetist pre-operatively.
If you smoke, please stop at least 6 weeks before surgery and at least three months afterwards. Nicotine causes decreased blood-flow; this prevents nutrients and oxygen reaching the wound, which increases the risk of wound breakdown, infection, bleeding and ultimately results in an ugly scar of poor quality.
You should also be at your optimal weight. If you are overweight, the complication rate unfortunately becomes higher.

Post-operative Advice

If you stay in hospital Miss Barbara Jemec will review you the next morning before your discharge. You will be seen 1-2 weeks after your surgery by a specialist Plastic Surgery nurse or Specialist Hand Therapist (depending on your operation) to check your dressings and progress and you will have an outpatient appointment with Miss Barbara Jemec at your convenience.
You will always be able to reach Barbara Jemec, either through the hospital you were operated on or the clinic where you were seen for your consultation. You will be given written post-operative instructions before you leave the hospital and a list of contact numbers.

Dressings

Dressings are a barrier between your wound and the outside world.

Dry dressings act as a barrier, wet dressings do not. So if you get your dressing wet, it is better that you remove it completely, wash your wound gently with soap and running water, dab it dry with a clean towel or dry it with a hairdryer and reapply a new dressing. If you do not have the correct dressing at home, you can contact your GP, 152 Harley Street or Miss Jemec, who will all be able to advise and assist you.

Miss Jemec often uses 3M plaster, which is available from the pharmacy on wounds, it is water resistant, and if you dab it dry rather than rub it dry, it will provide a long lasting barrier. It is cheap and easy to use: you simply unroll the first round off the tape and apply it to the scar. It is also idea for post-surgical taping, if steri-strips are not used.

Some dressings are a bit more complicated with medicinal purposes for infected wounds, or very wet wounds, which weeps for a variety of reasons. These will all be explained to you at the time of application and a written instruction can easily be sent to you, if you wish.

 

Links to BAAPS information on procedures

http://baaps.org.uk/procedures