Pre-Surgery Information

The following is what can be expected prior to surgery:

  • Skin preparation: Night prior to and morning of operation patient is required to wash leg, hip and pubic area to the midline with a sponge provided in the pre-admission clinic. Occasionally a Betadine Skin test is used if there is suspicion of an allergy to iodine.
  • Bowel Prep: Glycerin suppositories will be provided at the pre-admission clinic. Patient to is required to administer the evening prior to surgery (instruction leaflet given at the pre-admission clinic).
  • Patient education: Physiotherapy assessment will include: instruction of gait training, use of crutches and pre and postoperative exercises. Patient will be fitted for crutches to take home and practice preoperatively.
  • Medications: 
  • Cease aspirin or anti-inflammatory medications 10 days prior to surgery as well as any naturopathic or herbal medications.
  • Anti-inflammatory tablets:  These need to be discontinued one week before the operation  e.g., nurofen, voltaren, celebrex, ibuprofen
  • SGLT2i agents include dapagliflozin (Forxiga), empagliflozin (Jardiance), or a combination with metformin (Xigduo, Jardiamet).Theses drugs should be stopped the two days preoperatively and on the day of surgery. 
  • Panadol, Panadol Osteo and Panadeine are ok to continue
  • Herbal or complimentary medicines:  Any herbal or complimentary supplements which are recommended to be good for the heart or good for the joint generally cause thinning of the blood and therefore bleeding.  Krill oil, fish oil, green lip mussel extract and glucosamine or the like fall into this category. We do ask you to cease these medications approximately one month before surgery or as soon as you book if your surgery if scheduled before this time.  
  • We do however recommend combined Vit D, magnesium and calcium supplement as well as vitamin c supplements.
  • X-rays: We cannot stress enough the importance of taking ALL x-rays, scans and MRI’s applicable to your operation to hospital with you when you are admitted.

Day of Surgery:

Surgical paperwork will be administered by the nurses and the anaesthetist will meet with you to ask a few questions.

A hospital gown will be given and the operation site will be shaved and cleaned.

The area to be prepared extends from the iliac crest (hip bone) laterally down the hip and thigh to the knee (i.e. side of leg only). The pubic/genital region is not touched.

Chlorhexidine skin prep will be applied to above area and wrapped.

All x-rays are to be sent with patient to theatre.