General patient information and advice for haemorrhoid surgery

General patient information and advice

Regardless of the type of surgical procedure, pre-operative discussions between the patient and their anaesthetist and surgeon should cover specific topics to ensure that the patient knows what to expect and what is expected of them. It is important to involve the patient in optimising their general medical condition as many patients undergoing surgery have significant co-morbidity. In advance of admission to hospital, the patient should visit their primary care physician or be referred to the appropriate hospital specialist, in order to stabilise their treatment for other medical conditions and to optimise their analgesic medication prior to surgery. Educational resources, such as, can inform patients about their forthcoming anaesthetic procedure and provide specific advice about the different anaesthetic and pain relief techniques for surgery. The information can be downloaded as copyright-free printed leaflets suitable for distribution to patients, or patients can visit the site themselves. This resource also offers patients referenced advice and information about the risks of general and regional anaesthesia techniques.

Topics for discussion

General patient assessment

The overall aim of patient assessment is to ensure that surgery is justified and that the risks to the patient from the procedure are minimised, especially in patients at high risk of surgical complications. Therefore, one of the most important considerations prior to surgery is the condition of the patient. This will determine the pre-operative precautions and medication required, as well as the choice of anaesthetic and operative technique. These decisions can be made in collaboration with the patient’s primary care physician, or within specialist pre-operative assessment clinics. Information resources such as postoperative pain guidelines may be useful: 2003) and (Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine).