All surgical procedures are performed at Virginia Hospital Center
Before Your Surgery
The steps below are general guidelines only, and are not meant to replace your physician’s preoperative recommendations.
- Learn about the Specific Procedure You Are Having
Dr. Subach’s team has extensive experience in the fields of both Neurosurgery and Spine Surgery and are available to answer any questions you may have. Fully understanding your condition, as well as the risks and benefits of any surgical procedure, can help you relax and better prepare for a successful outcome. Ask any questions you may have during your preoperative office visit.
- Take Care of Yourself
Practice eating well, staying fit, and getting lots of rest, especially in the weeks leading up to your procedure. If you smoke, try to quit a minimum of two weeks prior to surgery. The healthier you are, the more likely you are to have a smooth recovery. Be sure to follow your physician’s instructions regarding eating, drinking, smoking and taking medications in the hours before your procedure.
- Make a “To Do” List
Do you have pets or children who will need care in your absence? Do you need to alert your boss or coworkers about your plans for surgery and recovery? Making a “to do” list will ensure that all your arrangements are made in advance. Also consider making a packing list. Even if you’re going home the same day as your surgery, you’ll want to bring some things to the Hospital with you. Other things, such as valuables, are best left at home. Items you’ll want to consider:
- Comfortable, loose-fitting clothes – To wear after your procedure.
- Makeup – For most surgeries, you’ll be asked not to wear makeup for the procedure.
- Contacts/Eyeglasses/Dentures – In some cases, wearing contact lenses during surgery can cause serious harm to your eyes. If you decide to wear your contact lenses to the hospital, bring a contact lens case and solution, as well as eyeglasses and an eyeglass case. If you wear dentures, you will be asked to remove them.
- Medications – Even if you are going home the same day as your surgery, you should bring your medications (including insulin if you are diabetic) to the Hospital. If you have a living will, bring a copy with you to the Hospital. If you are to be admitted to the hospital, even for an overnight stay, you will be provided with all necessary medications according to Dr. Subach’s orders.
- Food Shop before Your Surgery
The diet recommended post surgery is light and easily digestible. It is recommended that you start with crackers, soup and then advance your diet as tolerated. Buy or have prepared a variety of your favorite easily digestible foods at home. Remember to drink plenty of water while you are recovering.
- Arrange for Help with Prescriptions
The Hospital does not have an outpatient pharmacy and can not dispense medications to go home with our patients. So that you will easily be able to fill the prescriptions you need, arrange in advance for a family/friend to be available to do so.
- Arrange for Transportation
After most surgeries, you should not drive yourself home from the Hospital. Arrange for a friend or family member to accompany you and help you with your immediate postoperative needs.
- Plan to Be Clean
Patients should bathe on the day of surgery, prior to arriving at the Hospital.
- Plan for a Smooth Recovery
Ask your physician what you should expect in the days and weeks after your procedure. Purchase any necessary supplies in advance, and make sure you have adequate postoperative help, whether from a family member or professional caregiver.
On The Day of Surgery
Please arrive at the time your surgeon asks you to be at the Hospital.
A nurse will greet you in the Center for Surgery and place an arm band on your wrist, identifying you and your surgeon. If you have allergies, a red band will be used to alert the staff. You will be asked many times throughout your stay to state your name and the procedure you are having. DO NOT be alarmed, this is a patient safety standard used in all hospital settings.
You will see Dr. Subach prior to the operation in one of the Pre-operative holding rooms to confirm the planned procedure. He will mark the approximate surgical site, sign your consent form and can answer any questions you may have.
Family and friends are welcomed but space is limited. They will be asked to wait in the surgical waiting room. After the surgery, Dr. Subach will find them to discuss details of the surgery. Your visitors should expect approximately a one hour period that you will spend in the recovery area, and then you will be taken to a private room. All rooms in the Virginia Hospital Center are private rooms.
It is the goal of the Hospital to provide you with outstanding patient care, however, we have no control over the operating room schedule and you may be delayed due to an emergency or an unanticipated delay. We will make every attempt to keep you informed. Please bring a book or something to occupy you while you are waiting.
Before you enter the operating room you will be asked to remove all jewelry, makeup, contact lenses, dentures, and underwear. This is very important and is for patient safety. You will meet your anesthesiologist in the holding area of the operating room.
The operating room area temperature is kept cool; please ask for a warmed blanket if you are uncomfortable. A safety strap is placed across your body. All members of the team will identify you and your procedure before they begin. Your privacy and respect is of utmost importance to all of us. Someone will be with you at all times.
After your procedure you will be taken to the Post Anesthesia Care Unit (PACU). A nurse will be with you the entire time. The length of stay depends on your surgery and the type of anesthesia you received. The nurse will keep you warm and comfortable. Pain Control is very important, you will be asked to rate your pain on a scale of 0-10 after the surgery. You may not leave the PACU until your pain level is 5 or below. Occasionally bed availability keeps you in the PACU area a little longer, the staff will make every attempt to keep your family informed.
After the PACU you will be taken to your room and your family and friends may visit with you. Your physician will write your post operative orders for the Nursing Staff on the unit.