Procedure

Surgical Phase

The relevant procedure will be explained to you in detail by Dr. Nizam, followed by the booklet that will be sent to you.

You will be given a time for your surgery. Please make sure you are at the hospital on time and give enough time to allow for traffic.

You will usually be contacted by the relevant hospital as well.

Fasting times are usually discussed, if unsure please clarify this with us.

The anaesthetist would have already discussed about the anaesthetic.

Thorough preparation will ensure everything goes smoothly. Dr Nizam will DO ALL the procedures and will usually have an assistant to help. There will also be an accredited orthopaedic fellow who will observe and help with the procedures and he/she will be educated on the surgical techniques and carry out orthopaedic research where necessary.

Dr. Nizam usually works with operating room staff familiar with his protocols in theatre.

Immediate Post op

You will be transferred to recovery by the anaesthetist and anaesthetic nurse.

The nurses in recovery will ensure all patients have ice therapy, mechanical thromboprophylaxis instituted to prevent blood clots, any operative site discomfort managed and any other clinical issues addressed before being transferred to the ward or in rare cases the intensive care (patients with very significant pre surgery medical problems - for overnight observation)

Dr. Nizam usually sees his patients in recovery and then on the ward on the same day or the day after. A physician will also see the patient on the ward to manage medical issues.

Pain Relief

We start to combat pain even before the patient even goes into the operating theatre.

We establish an effective local anaesthetic block with a cocktail anaesthetic mixture at the time of surgery. Our superior soft tissue protecting surgical technique and the cocktail mix will also reduce post operative bleeding / swelling and any requirement for transfusion.

We numb all the parts which have been operated on and which may generate pain.

Another pathway involves oral medications to control pain. Injections available, if required.

A pain controlling skin patch will be applied as well, which also contains a slow release analgesic.

This will vary if patients have intolerance to certain medications.

All patients are usually walking 3-5 hours after surgery.