A Little Advance Planning Helps Same-Day Surgery Go Smoothly...

The next time you have surgery, odds are you'll be part of the fastest-growing trend in health care: same-day surgery. You arrive at the hospital in the morning, have surgery, and return home later in the day. While same-day surgery saves patients time and money, it also means patients must take more charge of their recuperation. Be cautious against underestimating a surgical procedure simply because you're released just a few hours later. Any time you receive anesthesia, there are risks involved and you may be left groggy for some time. It's also important not to underestimate your recovery period. Just because you go home just a few hours after surgery doesn't mean you're ready to resume your normal activities. Although pre- and post-operative preparation will vary depending on the procedure, there are some things everyone should do to prepare for same-day surgery.

Recruit someone to spend at least the first 24 hours with you. The anesthesia may make you groggy for at least that long, and you'll need someone to make sure you get ample liquids and nourishment, take your medication on schedule, and help you get to the bathroom. Your caregiver will be better able to notice any post-operative problems that you might miss in your groggy state.

Do a safety check around your house. Make sure you have a clear path from your bed to the bathroom. Use a night light or leave a light on to help you find your way at night.

Stock the pantry. You can generally eat whatever you can tolerate as long as it's not restricted, although it's best to steer clear of greasy or spicy foods. Good choices include foods that are high in fiber, such as grains, fruits, or vegetables. Get plenty of your favorite juices; fluids are necessary to flush the anesthetic from your body.

Decide where you'll be resting, and set up a table or tray where you can keep food, juices, and other supplies handy to eliminate trips to the kitchen.

Pick up some books to read while you recuperate, or stop by the neighborhood video store and rent some movies.

If you have children, find someone who can care for them while you recuperate. Not only will you be physically tired, you'll also be mentally "fuzzy" and shouldn't be responsible for child care.

Since it's recommended that you keep the surgery site above the level of your heart to reduce swelling, round up enough pillows to help with the elevation.

Well-meaning family and friends can do more harm than good, esecially if their constant calls and visits keep you from getting the rest you need to recover. If friends really want to delp, ask them to bring you a particular dish for dinner, or rent a movie for you to watch. They'll feel good for having helped and you'll be getting the help you really need.