A. One week before surgery
- No alcoholic beverage. Alcohol can thin out your blood and increase risk of bleeding
- Reduce or stop smoking. Smoking causes poor wound healing.
- Prophylactic antibiotic- Prophylactic antibiotic might be indicated if you have a
history of heart valve defects or infections, recent joint replacements, tumors
involving the mouth, nose, ears, lower leg; extensive surgical wounds or need for
surgical flaps and grafts for repair. Take all prophylactic antibiotics as prescribed.
- Blood thinners
- Stop supplements such as fish oil, vitamin E, ginger, ginseng
- Stop all over the counter NSAIDs (ibuprofen, motrin, aleve, advil, etc). Substitute with Tylenol if needed for pain.
- Continue taking aspirin if it was prescribed by a doctor. Otherwise, stop.
- Continue Coumadin as prescribed with goal INR 2-3.Please coordinate with your prescribing physician to obtain INR level and change doses if needed
B. Day before surgery
- Purchase wound care supplies from local pharmacies: paper tape, gauze, telfa pad
(non-stick), petroleum jelly/Vaseline/Aquaphor.
- Take all of your usual medications unless directed otherwise by your physicians.
- Shower and shampoo the night before surgery as initial dressing may have to remain
dry for > 24 hours.
- Arrange for transportation if needed, particularly if your skin tumor is near the eyes
as the bandaging may obscure your peripheral vision.
C. Day of surgery
- Take all of your usual medications unless directed otherwise by a physician
- Eat breakfast
- Bring books, magazines, music to keep yourself entertained while waiting. The hospital provides free WiFi in the waiting room.
- Bring snacks as the procedure can take several hours
- Bring a friend or relative with you to the appointment if desired