HERNIA INSTITUTE OF PENNSYLVANIA
For Patients of The NORTH PENN HERNIA INSTITUTE
Hernia 'CENTER of EXCELLENCE' CLICK HERE for N.P.H.I. HOMEPAGE
Dear North Penn Hernia Institute Patient:
The ANESTHESIA ASSOCIATES look forward to helping during your upcoming hernia surgery, both with your safety and comfort. To do so effectively, we will need your assistance. By completing the Pre-Anesthesia Evaluation History (previous form), important information necessary for your care will be obtained. If necessary, we will contact you or your family physician to determine if additional information is needed. On the day of surgery, you will meet the Anesthesiologist and the Certified Registered Nurse Anesthetist who will be providing your care. You will be examined and you anesthesia care will be discussed. Ample time for questions will be provided.

We generally require that you not eat or drink anything after midnight, the night before surgery. Healthy individuals of all ages with no prior history of Hiatal Hernia, Gastric Reflux (GERD) or severe heartburn, who are not pregnant, not more than 20 pounds overweight, and who are not diabetic, may have the following up to (but not less than) six (6) hours before arrival to Abington Health, Lansdale Hospital, and the NORTH PENN HERNIA INSTITUTE-Day Surgery Unit: All other hernia patients should strictly adhere to the "Nothing to eat or drink after midnight" requirement.

Many of your regular medications may be taken with a sip of water on the morning of surgery. Blood thinning medication of any type (i.e., COUMADIN, WARFARIN, PLAVIX, LOVENOX, ASPIRIN, ARIXTRA, etc.) must be stopped 5-7 days before surgery unless specifically instructed otherwise by your surgeon. ASPIRIN and ASPIRIN containing products likewise must be stopped for 7 days before hernia surgery. Herbal medications (e.g., Ginko, St. John Wort), and other non-essential, non-prescription (over-the-counter) medications, vitamins and supplements however should be discontinued 2 weeks prior to your surgery date. Failure to comply may result in cancellation.

The following medications should not be taken on the day of surgery: Failure to comply with these important restrictions may and will result in cancellation of your surgery.

While the over-whelming majority of hernias are both safely and effectively repaired using just local anesthesia and mild sedation (over 95% of our patients here at NPHI), on extremely rare occasions, because of hernia complexity, multiple recurrence, extreme obesity and even patient comfort, conversion to a safe, light form of mild general anesthesia, under the supervision of an Anesthesiologist, may be required. This need can at times be anticipated on initial physical examination. Our Anesthesiologists, therefore, must reserve the right to such a conversion during surgery if in their opinion, patient safety so dictates.

Lastly, if you have any questions that need to be addressed with your Anesthesiologist before surgery, please call us at 215-773-9564 or 215-773-9514 during regular business hours.

Again, we look forward to seeing you soon !
ANESTHESIOLOGY ASSOCIATES
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