Bawa Hospital · The Hernia Institute · Civil Lines, Ludhiana

Your Surgery: Step-by-Step Guide

Read fully and tick each box as you complete it. Helpline 91551 00001

Phase 1

Before the day of surgery

Get your tests done — blood tests, ECG, chest X-ray and any other investigations advised. Bring the original reports. 2D Echo, if advised — your doctor may ask for a heart echo at Katyal Heart Centre (Dr. Pawan Katyal), Tagore Nagar, near Hero DMC Heart Institute. Bring that report too. Practise spirometry (the ball breathing exercise) — 10 deep breaths every hour while awake. It protects your lungs. Stop smoking and tobacco at least 2 weeks before surgery. Avoid alcohol for 48 hours.

Tell your surgeon about every medicine you take. Blood thinners (aspirin, clopidogrel, warfarin etc.) are stopped only as your doctor instructs. Diabetes — skip your diabetes tablets or insulin on the morning of surgery unless the anaesthetist says otherwise. Carry your sugar record. Report any allergy to medicines, food, latex or tape, and any problem during a previous anaesthesia. Inform us if you develop fever, cough, cold or loose motions, or if you could be pregnant.

KATYAL HEART
CENTRE Scan or tap for location (2D Echo)

Phase 2

Evening before surgery

5:00 – 6:00 PM · Admission

Report to reception with photo ID, insurance / TPA card, prescription and all reports. One attendant stays with you. Carry loose clothing, toiletries and your regular medicines in original packs.

After admission · Anaesthesia check-up

The anaesthetist reviews your medicines, allergies and past illnesses. Answer fully and honestly. You will be told exactly which medicines to take or skip the next morning.

Nothing by mouth after 10 PM

Light dinner before 10 PM. Then no food, water, tea, gum or tobacco. Tell the nurse if you slip.

Phase 3

Day of surgery

Early morning:Bathe with soap. No oil, cream, powder, perfume or make-up. Remove jewellery, watch, nail polish, contact lenses, hearing aids, dentures, hairpins. Hand valuables to your attendant. Wear the hospital gown and empty your bladder.

5:30 – 9:00 AM

Surgery. Attendant stays in the hospital.

11:30 AM – 12 PM

First walk with the physiotherapist.

2:00 – 3:00 PM

Shifted to room. Liquids if doctor permits.

Evening

Walk again as permitted; light evening meal.

Same evening / next day

Discharge with written instructions.

Tell your doctor before surgery if you

Take blood thinners or any regular medicine (BP, thyroid, heart, diabetes)
Have a drug or food allergy, or reacted badly to anaesthesia before
Have diabetes, BP, heart, lung, kidney or bleeding problems
Have loose teeth, dentures, crowns or a pacemaker

Good to know

Your surgeon and anaesthetist will explain the procedure and risks; you or your guardian sign a consent form
Early walking and spirometry speed recovery and prevent chest and clot complications
Timings are approximate and may change with your condition and the OT schedule