After outpatient procedures in the department of Plastic Surgery (EN) After outpatient procedures in the department of Plastic Surgery (EN)

Na een poliklinische ingreep bij Plastische Chirurgie

Pain management

The anesthetic usually wears off after two to three hours, but this can vary from person to person. The anesthetic will usually wear off after 2 to 3 hours. Depending on the nature of the procedure, you may experience light to moderate pain afterwards. This pain can usually be relieved effectively with over-the-counter painkillers such as paracetamol (acetaminophen) or ibuprofen.

• Paracetamol: take 1000 mg 4 x a day, at set times (7 a.m., 12 p.m., 5 p.m. and 10 p.m.). You can stop taking paracetamol when you no longer have pain.
• If this does not provide enough relief: Combine 1000 mg paracetamol with 1 (one) 400-mg tablet of ibuprofen (maximum 4 x a day). You may use this combination for a maximum of 3 days. Ibuprofen may not be used in combination with diclofenac (Voltaren) or etoricoxib (Arcoxia).
• Use medication as prescribed.
• Use of your own pain medication.

Blood thinners (anticoagulants)

• Carbasalate calcium (Ascal)/ acetylsalicylic acid (aspirin/Acetosal): resume taking the day after the procedure.
• Acenocoumarol (Sintrommitis), phenprocoumon (Marcoumar): resume taking as instructed by the Thrombosis Service.

Recommendations for at home

For the nurse or specialist: tick as applicable for the patient.

O  Wait 24 hours before showering. Keep the shower short and not too hot.
O  Keep your bandages dry; cover them while showering.
O  Do not take a bath, go swimming and/or use a sauna while you have stitches (sutures).
O  Remove bandages yourself after ________ days.
O  Your stitches are dissolvable and therefore do not have to be removed.
O  Your stitches are non-dissolvable and will therefore have to be removed by your family doctor after __________ days. You need to make an appointment for this yourself.
O  Your stitches will be removed during a follow-up appointment at the hospital. You have received a confirmation for this appointment.
O  Wear a sling for __________ days.
O  Exercise your fingers while bandaged.
O  A follow-up appointment has been scheduled for you at: ________ - ________ - ________.
O  You have a telephone appointment on ________ - ________ - ________. The doctor’s assistant will phone you and therefore you do not have to come to the hospital.

Further examination

If a piece of tissue is removed during the procedure, this will be sent to the laboratory for further examination. You will be given a telephone appointment for the results of the tissue examination.

Contact

For questions, please feel free to contact us at 088 624 56 36 or plastische.chirurgie@isala.nl. Outside office hours (after 17:00), and at weekends or on public holidays, please contact the Central Reception Desk of Isala at 088 624 50 00.

If you are unable to attend your appointment, please cancel it at least 48 hours in advance. This way we can help another patient in your place. Missed appointments may be charged.

The staff of the Plastic Surgery Outpatient Clinic wish you a speedy recovery.