Preparing for Surgery

A Pre & Post-Operative Guide

Pre-Operative Guide

Preparing for surgery can feel overwhelming, but knowing what to expect can make the process smoother. This guide will walk you through important steps to get ready for your procedure and support a safe, comfortable recovery.

  • Anesthesia & Medications

    • Depending on your specific needs, you’ll either be set up with a pretesting anesthesia appointment or receive a screening over the phone from the pretesting team.
    • One week prior to surgery, stop anti-inflammatory medications, such as Ibuprofen, Motrin, naproxen (Aleve), or aspirin, as they will make you bleed more than usual. Please review your complete list of medications. This will make surgery safer and help to prevent surgery cancellation. Contact your primary care doctor or cardiologist about any other medications, such as blood thinners/anticoagulants, blood pressure medication, etc.
    • If you have a history of nausea after surgery, please request a prescription for anti-nausea medication before discharge from the hospital.
    • IF YOU HAVE ANY QUESTIONS ABOUT MEDICATIONS, PLEASE CALL YOUR PRESCRIBING DOCTOR.
  • Arrange a Ride Home

    • After your surgery, you will not be permitted to drive a car or leave the hospital unattended. You also will not be able to arrange a cab or a ride service company to take you home.
    • Arrange transportation to and from the hospital in advance with a responsible adult.
  • Ambulatory Assisted Devices

    • Outpatient Surgery: You’ll receive crutches or a walker in the recovery room. You will need to secure other equipment on your own, such as a rolling walker or knee scooter. These can be purchased through a medical supply store or online.
    • Inpatient Surgery: Ambulatory assisted devices will be arranged during your hospital stay.
    • If you own ambulatory devices, please bring them with you on the day of surgery.
  • Prepare Your Bathroom

    • Preparing your bathroom before surgery is important, since this is where accidents are more likely to happen during your recovery.
    • Keep the toiletries you’ll need within easy reach on the counter.
    • When you’re allowed to shower or bath, use a slip-resistant mat inside the tub and a slip-resistant rug outside to help prevent falls.
  • Ask for Help

    • Arrange for someone to stay with you for at least 24 hours after your operation.
    • Identify a family member or close friend who will be able to monitor and assist you throughout your recovery period, particularly for the week following surgery.
  • Surgery Date and Financing

    • IF YOU NEED TO CANCEL YOUR SURGERY, PLEASE CALL ASAP SO WE CAN PLAN ACCORDINGLY.
    • Expected arrival time for surgery is determined by the day surgery center. They will contact you the business day prior to surgery (usually by 3 p.m.) to inform you of your arrival time for surgery. If your surgery is on a Monday, you will receive a call the Friday before.
      • For any questions or directions, please call:
        • Galveston (409) 772-4448
        • League City (832) 505-1200
    • Our financial coordinator may be contacted by phone to address financial questions or issues related to insurance authorization:
      • Galveston (409) 772 5652
      • League City (832) 505-1804
    • Please contact the clinic with questions you may have regarding the surgery itself or any health condition that may present a problem or risk for any surgery:
      • Galveston (409) 266-7846
      • League City (832) 505-1200

Post-Operative Guide

Your recovery after surgery is an important part of getting back to your normal activities. This guide will help you understand what to expect, how to care for yourself, and when to reach out for support.

  • Dressings

    • Most dressings aren’t changed until your first post-op visit. Keep all dressings clean and dry unless your discharge instructions say otherwise.
    • If your dressing gets wet for any reason, contact the clinic so we can advise you or schedule an earlier visit.
    • Some bleeding through the dressing is normal. Simply add extra gauze on top. If the bleeding seems heavy or unusual, contact the clinic or go to the emergency room.
  • Swelling

    • Swelling in the operated extremity is common after surgery. However, if your toes or fingers turn dark blue, black, or completely white, contact the clinic immediately.
  • Constipation

    • You may experience constipation from narcotics, anesthesia, or immobility.
    • We recommend purchasing an over-the-counter stool softener to take daily (such as Colace or MiraLAX).
    • You should also increase your fluids while on any narcotic medications.
    • If you develop severe abdominal pain, constipation, and/or nausea/vomiting, please go directly to the emergency department for evaluation.
  • Infection

    • Infection is uncommon, especially during the first week after surgery.
    • A low-grade fever is very common following surgery and is not a sign of infection.
    • Temperature greater than 100.4, red streaking from surgical site, a foul smell, pus drainage, or excessive drainage are signs and symptoms of an infection. If any of these events occur, please contact the clinic immediately.
      • League City (832) 505-1200
      • Galveston (409) 266-7846
    • After surgery, you will receive a phone number that you can call for 30 days after being discharged to access a live person Monday-Friday, 8 a.m. to 5 p.m.

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Alleviating Shoulder and Elbow Pain

Living with pain isn’t fun, and it isn’t something you should just brush off. If you’re experiencing severe shoulder or elbow pain, there are several nonsurgical treatments available as well as surgical techniques with a successful track record.

Dr. Jeremy Somerson, UTMB Health orthopedic surgeon specializing in shoulder and elbow surgery, sees patients of all ages, with rotator cuff issues and shoulder arthritis making up the largest part of his practice. His training has equipped him to treat a wide range of shoulder and elbow issues.

Shoulder Replacement

People who experience shoulder pain so severe that they cannot sleep, focus on their daily routine or enjoy everyday activities may be prescribed steroids, anti-inflammatory medication and physical therapy before considering a shoulder replacement, or arthroplasty.

“Just like in other joints, it’s something that develops over time,” Dr. Somerson says. “It could be folks who have had a problem when they were younger or had a shoulder dislocation or had a rotator cuff problem, but it could also just be that they have a disposition to arthritis.”

For shoulder replacement, Dr. Somerson uses three-dimensional planning to make sure the implant is a perfect fit and uses surgical techniques that are well-established and based on the latest science.

He says the main goal of the procedure is to help people return to living and enjoying their daily lives, and as shoulder replacements generally have a 15-to-20-year lifespan, most patients will not need another surgery in their lifetime, as shoulder replacement is most common in individuals at or near retirement age.

Chronic Elbow Pain

Patients as young as their 30s may seek treatment for chronic elbow pain—sometimes called tennis elbow or golfer’s elbow. Most issues aren’t actually sports-related, but due to the repetitive arm motion employed in many jobs, like painting, home remodeling, hair cutting and house cleaning.

“Most of the time it gets better on its own. Less than 5 percent of people I see with tennis elbow end up having a procedure. Most people within six months will be better,” Dr. Somerson says.

For those who do require a procedure, Dr. Somerson uses a technology called Tenex, which is a minimally invasive technique using ultrasonic energy to safely break down and remove diseased tissue while leaving healthy tendon unharmed—providing fast, effective relief without ever leaving the doctor’s office. Patients can safely drive themselves home afterward and can resume everyday activities within a few weeks, with no additional therapy needed.

In addition to these procedures, Dr. Somerson provides minimally invasive arthroscopic shoulder surgery, arthritis treatment, treatment of unstable joints and repair of broken bones. If you are experiencing shoulder or elbow pain, learn more about your treatment options at utmbhealth.com/orthopedics.

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Dr. Jeremy Somerson is a board-certified orthopaedic surgeon with special fellowship training in shoulder and elbow surgery.

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