HERNIA INSTITUTE OF PENNSYLVANIA

North Penn Hernia Insitute
North Penn Hernia Institute Logo
.
RETURN TO NEW PATIENT INFORMATION PAGE
*IMPORTANT NOTE-PRINT TWO (2) COPIES OF THIS PAGE. READ AND RETURN ONE(1) SIGNED COPY TO US. RETAIN THE SECOND COPY FOR YOUR RECORDS AND INFORMATION.
Call us with any questions-215-368-1122
IMPORTANT!!!-PLEASE CALL THE DAY SURGERY UNIT ONE DAY PRIOR TO YOUR SURGERY, -to confirm your appointment time (time required for your arrival at registration).
For surgery scheduled at: This will be generally 1-2 hours prior to your scheduled surgery time. We will discuss any special needs, review your medical history, perform a physical examination and answer any questions you may have regarding your surgery. If your surgery is scheduled for a Monday, please call on the Friday before that date. If the day before surgery is a Holiday, please call 2 days in advance.

IMPORTANT INFORMATION



ARE YOU CLEARED FOR SURGERY?

Most patients tolerate surgery for repair of their hernias extremely well and formal "clearance" for surgery by their primary physician is not usually necessary
Patients with chronic medical problems, who are currently under the active care of a physician may be requested to obtain a "Medical Clearance", along with any specific recommendations from their personal physician prior to the surgery date. This includes such illnesses as any heart or lung disease, Diabetes Mellitus or High Blood Pressure, etc. "Pre-surgical" blood tests, EKG and/or Chest X-ray may be required prior to the day of surgery in these circumstances. This is to assure your medical safety during your care here. Our office staff will inform and assist you as needed. Please call our office for further information and specific instructions (215)368-1122. Also, if you have a history of heart problems (at any age), are over 50 years of age, or have long-standing Diabetes or lung disease, an Electrocardiogram (EKG) will be required by the Department of Anesthesia upon admission. Under these circumstances, comparison with a previous EKG may be necessary. Please obtain a copy of your most recent EKG, performed within the last 6 months, from your personal physician and forward a copy of this EKG to our office with your forms. This is required in order to proceed with surgery as scheduled. This prior EKG will be used by Anesthesia to compare with a "new" EKG taken upon your admission. If you have a very recent Electrocardiogram (within the past month), please forward a copy to us. A new or repeat EKG will not be necessary. You will need to arrive at
LANSDALE HOSPITAL, Jefferson Health about 1-2 hours in advance of your scheduled surgery time. Call us if you have any questions on this requirement (215-368-1122) or send an E Mail.
TOP

PREPARATION for SURGERY

TOP

PRE-REGISTRATION

THE DAY of YOUR SURGERY

  • Full written instructions will also be given to you upon discharge, and additional verbal instruction will be provide by your surgeon.
    TOP
    LETTER the DEPT. of ANESTHESIA
    Dear Patient: Our Anesthesiology Associates look forward to participating in your care during your upcoming surgery both safely and comfortably. To do so effectively, we will need your assistance. By completing this 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 Registered Nurse Anesthetist who are providing your care. You will be examined and your anesthesia care will be discussed. Ample time for questions will be provided.
    We generally ask that you not eat or drink anything after midnight before surgery. However, healthy individuals of all ages with no history of Hiatal Hernia, Gastric Reflux or severe heartburn, who are not pregnant, not more than 20 pounds overweight, and who are not diabetic may have the following up to six (6) hours before arrival for surgery:
    Water
    Black Coffee or Clear Tea
    Soda or Clear Fruit Juices (without pulp)
    All other patients should adhere to the "Nothing to eat or drink after midnight the night before surgery" recommendation. In addition, babies may be breast-fed up to four (4) hours, or given formula up to six (6) hours before surgery.
    IMPORTANT NOTE
    Many of your regular medications may be taken with a sip of water on the morning of surgery. Herbal medications however should be discontinued 2 weeks prior to your surgery date.
    -Blood thinning medication (ie: COUMADIN) must be stopped 5-7 days before surgery unless specifically instructed otherwise by your surgeon.
    -ASPIRIN and any Aspirin containing products likewise must be stopped for 1 week before hernia surgery.
    NOTE-The Following medications should not be taken on the day of surgery:
    -Diruetics or Water Pills (ie Lasix, HydroDiuril, HCTZ etc.)
    -Diabetes Medications (discuss your need for Diabetes Medication with your surgeon before surgery.) Lastly, if you have any questions that need to be addressed with your Anesthesiologist before surgery, please call us at:
    at
    Abington Health, Lansdale Hospital: 215-773-9564 or 215-773-9514 during regular business hours. PRIVACY POLICY -PLEASE READ CAREFULLY (Print copy for your records if desired) I have carefully read and fully understand the above information (4 pages), including the Privacy Policy of the North Penn Hernia Institute and agree to comply with all instructions.
    ________________________________________DATE________________
    PATIENT'S SIGNATURE
    -RETURN-
    to
    TOP
    RETURN TO NEW PATIENT INFORMATION PAGE
    New Patient's Page
    RETURN FORMS
    Mail or Fax
    TO:
    Click Here