1. What is surgical abortion?

Surgical abortion (Dilation and Curettage also known as D&C) is a commonly used method to terminate the first trimester of pregnancy. It is suitable for those who are less than 10 weeks pregnant. The procedure involves the extraction of pregnancy tissue (such as villi, sacs, etc.) from the uterus by surgical measure to terminate the pregnancy.

In order to facilitate the suction device and other instruments into the uterine cavity, the need to use a cervical dilator to gradually expand the cervix, plus the negative pressure suction process and the final curettage process, these will bring discomfort to you, even pain. During the operation, the patient’s relaxed mood and active cooperation with the surgeon can reduce discomfort to a certain extent. Many hospitals now have the option of performing a D&C under anesthetic analgesia, which can reduce discomfort but also increase the additional risk of anesthesia.

2. What is the effect of D&C on the body?

All operations have the potential for complications. Although the procedure is generally safe, it can lead to uterine damage in special circumstances, such as many time miscarriages, only a few months after the last delivery (or miscarriage), or excessive uterine forward flexion.

Artificial abortion too soon and too many, will cause greater damage to the endometrium, adverse impact on the future pregnancy. Therefore, unwanted pregnancies should be avoided as much as possible, and when they do occur, early termination is less damaging.

3. What should be paid attention to before the D&C?

Preoperative medical history should be truthfully provided, and necessary preoperative examinations should be completed to determine whether surgery can be performed and whether there are any high-risk factors (such as the presence of genital tract infection, lactation, etc.). You can ask your doctor about the operation and sign the informed consent form after you are fully informed.

The day before the operation should do a good personal hygiene, better take a bath, change clothes, wash perineum area. Do not have intercourse, pay attention to rest, appropriate nutritional diet.

If the patient is selected to receive D&C under anesthesia, on the date of surgery: before the operation, solid food (including milk and granular drinks) should be avoided for 6 hours, water should be forbidden for 2 hours, and empty your bladder.

4. Consider the contraceptive measures implementing after the operation to avoid another accidental pregnancy

Make full use of the time before the operation to communicate with the doctor, understand the various contraceptive options available after the operation and how to use them effectively;

• IUD can be placed at the same time of operation.

• or start taking short-acting oral contraceptives immediately after surgery;

• or use a condom when having sex again

Post-Surgical Abortion education

Will I have symptoms after a surgical abortion?

• Pain and cramping in the lower belly. This lasts for a few hours.

• Bleeding from the vagina. This is usually lighter than after a medication abortion. The bleeding can last for up to 2 weeks.

Should I call my doctor or nurse after an abortion?

Call right away if:

• Your bleeding is heavy enough to soak through 1 menstrual pad each hour, for at least 2 hours, and you are still bleeding

• Your pain is really bad (it makes you double over or makes it hard to move), and you don’t feel better with pain medicines, such as ibuprofen (sample brand names: Motrin, Advil)

• You have a fever higher than 100.4°F (38°C)

• Bad-smelling discharge comes out of your vagina

Incomplete abortion

In some cases, abortion does not work completely. In other words, they do not always get rid of all the pregnancy tissue. If that happens to you, you will need to take additional medicine or have a procedure to remove any leftover tissue. Signs that an abortion was not complete include:

• Not bleeding after a medication abortion

• Still having pregnancy symptoms, such as nausea and tender breasts, 1 week or more after your abortion

• Bleeding for more than 2 weeks after an abortion

• Not having a period in the first 6 weeks after an abortion

Is there anything I should do differently after an abortion?

Do not have sex or put anything into your vagina for 2 weeks after an abortion. If you do, you could get a very serious infection.

What if I want to get pregnant again someday?

Having an abortion does not make it harder to get pregnant again. Abortions do not harm your health, and they do not harm the health of your future babies.

Reference:
Shanghai maternal and child health center
UpToDate

Medical abortion is a non-operative approach to termination of pregnancy. This approach allows the pregnant woman to have an abortion with light pain and avoid the risk of surgery. However medical abortion still can do harm to your uterine membrane. Furthermore, about 10% patients will probably experience incomplete abortion or failed abortion. Therefore that follow-up after a medical abortion is helpful for recovery.

What respects should be pay attention after medical abortion?

Observation

One hour observation is necessary after the expelling of gestational sac, and can be discharged home if you are not having discomfort. If there is abdominal pain, vaginal bleeding more, your doctor will take appropriate measures to control it.

What may happen after leaving the hospital?

• Vaginal bleeding: A small amount of vaginal bleeding may occur for a period of time after a medical abortion, lasting longer than after a surgical abortion. If the bleeding is larger than the normal amount of menstruation (compared with the amount of bleeding on the same day of menstruation), or the time of vaginal bleeding is more than 2 weeks, you should go to the hospital in time.

• Abdominal pain: mild lower abdominal pain within a few days after the procedure. If there is more severe abdominal pain. Need to go to the hospital in time.

• Fever: there should be no fever under normal conditions. If you feel cold or uncomfortable, take your temperature. Such as a significant increase in body temperature, or accompanied by severe abdominal pain, or accompanied by a large number of vaginal bleeding, timely return to the hospital.

Follow-up visits:

• Those who did not discharge the pregnancy sac during observation should return to the hospital for further consultation 1 week after medication.

• If the pregnancy sac has been discharged during observation, the patient should return to the hospital 2 weeks after the procedure.

• All patients for medical abortion are expected to have a 6th week follow-up visit especially when your Menstruation did not recover in time.

Prevention of infection:

• Before menstruation returns back, do not have a sexual life, avoid the use of vaginal tampon, tub bath, etc., especially after a medical abortion.

• Keep the perineum clean, change sanitary pad and underwear frequently.

Back to normal life:

• Two weeks of rest is recommended after medical abortion.

• Pay attention to nutrition. Add foods rich in protein, iron and vitamins.

• Avoid early post-abortion intense exercise and heavy physical activity, so as not to increase abdominal pain and vaginal bleeding.

• If you plan to have another pregnancy, you should wait 6 months after the abortion to recover well. Because the endometrium after abortion by different degrees of damage, and need to have a recovery process, such early pregnancy is adverse to fertilized eggs implantation and development, easy to cause spontaneous abortion.

Implement contraceptive measures to avoid another unwanted pregnancy:

• There is no safe period after an abortion, and once sex is restored, another unwanted pregnancy may occur.

• After resuming sex, reliable contraceptive methods:

• Short-acting oral contraceptives: they can be used once the abortion is successful.

• Intrauterine device: can be placed after menstruation recovery.

• Condoms: can be used once sex resumes.

• Calendar calculate method, before menstruation did not restore regularly, or cannot be mastered correctly, is not recommended to use.

Reference:
Shanghai maternal and child health center

The recommendations that follow are intended as a general guide to you at home.

• Pain Control

It is common to have discomfort after surgery. You may have discomfort from the incision and muscle aches. Getting up and moving around can ease some of the discomfort. Take your pain medicine as ordered. Some medicine may upset an empty stomach. To prevent nausea, you should take the medicine with food.

Some of your pain medicine may contain acetaminophen. Acetaminophen can cause liver damage if you take too much. Do not take more than 3000mg in 24 hours. If you are taking narcotic pain medication or sleeping medication, do not drink any alcohol. You should not drive any vehicles while taking narcotics.

• Constipation

It is common to not have a bowel movement for several days after surgery. Some pain medications can also cause constipation. To help your bowels stay regular:

◦ Drink more liquids

◦ Eat more whole grains, fruits and vegetables

◦ Get regular exercise(a 15-minute walk is a good start)

◦ Take stool softeners

• Activity

The most important thing is to use good common sense in planning your activities. If it hurts, do not do it. Do not do anything to the point of exhaustion. Rest if you get tired. After minimally invasive procedures (such as laparoscopy, hysteroscopy, vaginal surgeries, and robotic procedures), you should be up and moving about freely soon after the surgery. Gradually increase your activities as follows:

◦ You are allowed to climb stairs, but try not to become too tired.

◦ Avoid heavy lifting, not more than a 4 liter bottle of water.

◦ Avoid strenuous exercise or sports for 6 weeks after major surgery.

◦ You should not drive for 24 hours after receiving general anesthesia. After that, do not drive until you can do so without discomfort and without using prescription pain medicine. This can take from 3 to 7 days.

◦ You may shower and wash your hair.

◦ No intercourse, douching, or tampons for at least 2 weeks. You may be restricted longer (6 weeks or more) if you had vaginal surgery or a hysterectomy.

• Caring for Your Incision

It is important to keep your incision clean and dry to prevent infection. Leave any covering over the incision in place for a week unless otherwise instructed. Call immediately if a large amount of fluid starts to drain or redness develops. You should wear comfortable clothing. Do not wear soiled or tight clothing over the wound. If you have paper strips of tape (Steri-Strips®) on the skin over your incision, leave them on until they fall off. These may offer extra support as your incision heals.

Once home, you may shower and care for the incision as follows:

◦ Always wash your hands before and after touching your incision.

◦ Soapy water can run over the incision.

◦ Rinse well.

◦ Pat the incision dry with a clean towel, rather than rubbing.

You may use a hair dryer on low heat to dry your incisions.

◦ Do not soak the incisions in a tub until you are told you may do so.

◦ Starting on the 4th day following surgery, restart washing the incision with CHG every day for 2 weeks unless instructed otherwise by your surgeon.

◦ Do not use lotions, cream or ointments on the wound unless they have been ordered by your doctor.

• Diet

You may eat and drink as tolerated. Go easy at first, with clear liquids, soup or broth, and crackers, before you progress to solid food. Eat foods that are easy to digest while avoiding fatty foods until your digestion returns to normal. Increase fiber and fluids if you get constipated.

• Follow-up Visit

Please plan to return for a postoperative check 1 to 2 weeks after your procedure. If an appointment has not been made for you, call your doctor’s office to be scheduled.

When to Call Your Doctor

Contact your doctor if you notice any of the following:

• Temperature over 38 ℃ (100.2℉), chills or sweats

• Drainage or fluid from the incision that continues or is foul-smelling

• Increased tenderness or soreness at the wound

• Wound edges that are no longer together

• Redness or swelling at the wound site

• Vaginal bleeding heavier than a period or foul-smelling discharge

• Difficulty urinating or urinary frequency, urgency, or burning

• Worsening pain

• Chest pain, shortness of breath, dizziness

• Pain in the calves or legs

• Nausea or vomiting

• Unable to drink fluids or keep fluids down

• If any symptom is getting worse with time

• If you do not feel well, or just aren’t sure whether your symptoms are normal

DO’S and DON’TS after Esophageal Cancer Surgery

1、 Wound：

In general, the wound needs a change of dressing every 3 to 4 days. Keep the wound dry and try not to sweat. Do not remove the gauze. The stitches from the chest tubes will be removed in about two weeks.

Note: After some patients are discharged from the hospital, the wound where the chest tube was placed will bleed out light yellow or light red fluid, which is often sprayed out when coughing. Please rest assured, if the fluid amount is not too much, treatment is not required. Just disinfect and take care of the wound. However, if fluid or even air come out of the wound every time you cough, consult a doctor immediately. In addition, if the wound is bleeding pus and swelling, please seek medical treatment in a timely manner.

2、 Activities:

After the patient is discharged, moderate exercise is recommended, such as deep breathing, coughing and expectoration, as well as walking. Strenuous activity is prohibited. If there is no special requirement, it is not recommended to stay in bed constantly.

3、 Dietary taboos：

Esophagogastric anastomosis is still in the healing process shortly after surgery. Excessive mechanical stimulation may aggravate scar hyperplasia and lead to anastomotic stenosis. Therefore, hard food should be avoided for 3 months after surgery. Soft semi-fluid diet will be appropriate, And then gradually transitioning to a normal diet. Patients can eat fish, soy products, and other high protein food. If you have symptoms of dysphagia, you should consult a doctor promptly. If necessary, endoscopic dilatation treatment should be performed.

4、 Diet habits：

After esophagectomy and gastroesophageal replacement, the stomach enters the chest cavity from the abdominal cavity. The original anatomical site was changed; overeating leads to gastric dilation, which can cause compression of the heart and lungs, leading to symptoms such as chest tightness and shortness of breath. Therefore, the amount eaten should be kept track of. Each meal should not be excessive; it should be about half of the original food intake. The frequency of food intake should be increased to 5 to 6 times a day. Patients might need to change their habit of food preparation other than their family.

5、 Post-meal positioning：

The original anti-reflux mechanism after esophagectomy and gastroesophageal replacement is impaired, which may aggravate gastric acid reflux and lead to anastomotic inflammation and even aspiration. Therefore, do not lie down immediately after eating, maintain regular activity for 1 hour before lying down to rest. In addition, when sleeping at night, try to keep a sloped position (using multiple pillows); If you often feel acid reflux or heartburn, go to the hospital to seek reflux symptoms treatment.

6、 Pain

Incision pain and paresthesia are normal phenomena after surgery. Tissue healing and nerve regeneration are long processes, please do not worry too much. The pain after surgery may last for 3 to 6 months. Consult a physician or visit a hospital if there is a persistent pain.

7、 Other symptoms

After esophagectomy and gastroesophageal replacement, due to the interference to the abdominal organs, abnormal digestive function may occur, such as diarrhea, constipation and other symptoms. If the symptoms are mild, they can be adjusted by diet; it is recommended to eat more vegetables and fruits, and less spicy and greasy food.

8、 Chemotherapy
Some patients need to have postoperative 4 ~ 6 cycles of chemotherapy as part of comprehensive treatment. Generally speaking, patients need to consult their physician 1 month postoperatively about chemotherapy. Please drink water as much as possible, and consume more fruits and vegetables during chemotherapy. It is best to intake selenium tablets that contain malt selenium and vitamin E to effectively alleviate the side effects of chemotherapy drugs. It is also recommended that patients have a blood routine examination every 2-3 days until two weeks after chemotherapy

DOS and DON’TS before Esophageal Cancer Surgery：

1. More nutrition is better to have a better physical state for surgery

You can eat high protein, vitamin rich, and less residue food to improve nutritional status.

2. Stop smoking and drinking

Stopping smoking can reduce respiratory secretions and the risk of postoperative pulmonary complications. Strictly speaking, you must stop smoking for at least two weeks before surgery. Patients who do not strictly stop smoking have a 3-5 times higher risk of postoperative pulmonary complications than others. Severe lung infection and asphyxia can result in death, therefore strict implementation from the patient and the cooperation of their family is necessary.

Stopping drinking alcohol can reduce cardiovascular complications.

3. Practice of using the bedpan

Patients should expect to have catheters in the body for one week after the operation, thus, it is highly likely that the patients need to use a bedpan in bed.

4. Perform lung exercises

In order to have better lung functionality before surgery, it is recommended to perform lung exercises. In fact, the evaluation of lung functionality is very important for the selection of surgical procedure types. Objectively speaking, patients with better preoperative pulmonary functionality have a stronger ability to recover and avoid surgical complications than others. Some pre-operative lung exercises, including taking deep breaths, stair climbing, balloon blowing, etc. are recommended

5. Cough & Expectoration.

Many patients do not want to cough after operation due to different reasons. Coughing is the method and expectoration is the purpose. This is the difficulty of postoperative management of our thoracic surgeons. If the patient does not expectorate, then the sputum will be infected in the lung, and medicine does not help either. Therefore, it is crucial to learn to cough and expectorate.

6. Skin preparation, blood matching, and other preparations

Skin preparation, blood matching, and other preparations are need to be made one day before operation. For local patients in Shanghai who are 60 years old or younger, the doctor will advise for the patient or family members to go to the local blood station according to their registered permanent residence. Payment of a deposit for blood preparation will be required there. Furthermore, patients need to be prepared for personal hygiene.

7. Psychological preparation

Psychological preparation must be done before surgery and the patients are asked to actively cooperate with doctors for treatment. Building the determination to fight the disease is the key. Remember to relax the night before surgery to ensure a quality sleep.

8. Preoperative consultation.
Patients tend to avoid it, because consultations often are aboutmany complications and risks. Some patients could become anxious after listening, which affects their mood. The surgery for esophageal cancer needs to remove the tumor and reconstruct the digestive tract, so the postoperative recovery is a long process. Patients and their families should be psychologically prepared. There will be many uncomfortable symptoms during recovery, but it is expected that patients can adapt to these.

DOS and DON’TS after Pulmonary Nodule Surgery

1、 Wound：

In general, the wound needs a change of dressing every 3 to 4 days. Keep the wound dry and try not to sweat. Do not remove the gauze. The stitches from the chest tubes will be removed in about two weeks.

Note: For some patients, after discharged from the hospital, the wound, where the chest tube was placed, would bleed out light yellow or light red fluid, which is often sprayed out when coughing. In most of the cases, it is normal after removal the chest tube. However, if fluid or even air comes out of the wound every time you cough, consult with a doctor immediately. In addition, if the wound is bleeding pus and swelling, please seek medical treatment in a timely manner.

2、 Dietary taboos：

Normally there is no special diet taboo after thoraxic surgery. But the food which easily causes frequent cough should be avoided. Generally light and nutritious food is better; eat more fresh vegetables and fruits as well as easily digestible fish and meat.

Note: Patients with chylothorax should eat under the guidance of doctors after discharge, and may need to continue a fat-free diet, mainly eating boiled vegetables and protein; no oil.

After the patient is discharged, moderate exercise is recommended, such as deep breathing, coughing and expectoration, as well as walking. Strenuous activity is prohibited. If there is no special requirement, it is not recommended to stay in bed constantly.

Note: engage in moderate activities, but not extreme, as that could lead to lung fatigue. Do not stay still, in fear of affecting the wound and fatigue.

 

Please take your medication as directed by your doctor. The discharge time varies from hospital to hospital. Most patients are discharged before the official pathology report is issued. After receiving an official pathology report, patients should consult with their doctor if they have any questions. The first follow-up appointment is usually in three months after the surgery, and then it will be in six months after, nine months after, and a year after the surgery. If the follow-up results are stable, it is recommended to have an appointment once a year moving forward.

DOS and DON’TS before Pulmonary Nodule Surgery

1、 State of mind

As we all know, a good mental state is beneficial to rehabilitation. Maintaining a good sleep schedule and have a good rest before surgery is important.

After hospitalization, doctors will come to inquire about your medical history and physical information, and then arrange some medical examinations. Patients and their family members should communicate with the doctors and fully describe about their disease. In particular, if you have a history of surgery, other diseases, or any medications that you are taking, please give a detailed description for a reference of the surgery. Please inform your doctor about the tests you have done, take the reports to your doctor if you have any, then the doctor will order the tests you need. In general, preoperative examinations include: hematuria and stool examination, electrocardiogram, pulmonary function, echocardiography, treadmill exercise, chest CT, skull magnetic resonance, tracheoscope, bone scan, etc., which will be arranged according to your condition. Some tests are quick and some are slow, so please be patient, your doctor will arrange these in the best possible way for you.

3、 Quit smoking

This is difficult for many people, but it has to be done. Strictly speaking, you have to quit smoking at least two weeks before you can have surgery. For patients who do not quit smoking, the risk of postoperative pulmonary complications are 3-5 times higher than for those who do. Many patients do not pay attention to this, but serious postoperative lung infection and suffocation are fatal, this cannot be emphasized enough. This requires patients’ own efforts and the patient’s family’s cooperation.

4、 Lung function exercise

Preoperative assessment of lung functionality is important for the selection of the type of surgery. Objectively speaking, the better the lung functionality before surgery is, the better the ability of recovery and lower the risks of surgery. Therefore, for all patients, it is recommended to perform routine preoperative lung function exercise such as deep breathing, stair-climbing, balloon-blowing, etc.

5、 Cough & Expectoration.

Many patients do not want to cough after operation due to different reasons. Coughing is the method and expectoration is the purpose. This is the difficulty of postoperative management of our thoracic surgeons. If the patient does not expectorate, then the sputum will be infected in the lung, and medicine does not help either. Therefore, it is crucial to learn to cough and expectorate.

6、 Nutritional requirements

There are no special requirements for preoperative nutrition, but an emphasis on high protein food could prove beneficial. If the patient’s nutritional status has been very poor, it should be supplemented before operation.

7、 Other diseases

Patients with other diseases, such as diabetes, hypertension, anemia, etc., should be treated appropriately or be stable before surgery.

8、 Potential blood transfusion

For local patients in Shanghai who are 60 years old or younger, the doctor will advise for the patient or family members to go to the local blood station according to their registered permanent residence. Payment of a deposit for blood preparation will be required there.

9、 Preoperative consultation.

Patients tend avoid it, because consultations often are aboutmany complications and risks. Some patients could become anxious after listening, which affects their mood. But it varies from patient to patient; some patients want to know the details of the surgery. The surgical methods of lung surgery are generally divided into open and endoscopic or robotic surgery, each of which has its own indications. Doctors will decide with the patients together to choose a right surgical approach. In general, for some small pulmonary nodules and early tumors, thoracoscopy or robotic surgery will be performed. 

Dear Mr./Ms.                 :

Thank you for choosing the Ophthalmology Clinic of Jiahui Health for your eye surgery. We will give you a brief introduction to the preoperative preparations required, preoperative medications and postoperative precautions you need to understand for the purposes of promoting a smooth procedure and helping you understand the postoperative precautions to accelerate recovery.

1. What is vitrectomy:

• It is a method to treat diseases of the vitreous and retina under an operating microscope with the help of a vitreous cutter.

2. Preoperative preparations:
1）Preoperative irrigation of the conjunctival sac will be performed to remove intraocular foreign bodies and secretions and reduce postoperative infection.

2）Preoperatively, we will cut off the eyelashes for skin preparation to provide a better surgical field and reduce intraoperative and postoperative infections.

3. Medication instructions

1）Apply Tobramycin and Dexamethasone Eye Drops to the operative eye: 6 times daily for the first three days, followed by QID since the forth day, discontinuing two weeks later.

2）Apply Tobramycin and Dexamethasone Ophthalmic Ointment to the operative eye: QN, discontinuing two weeks later.

3）Additionally apply Gatifloxacin Eye Gel to the operative eye: QN, discontinuing two weeks later.

4）Apply Pranoprofen Eye Drops to the operative eye: TID two weeks later, discontinuing after it is used up

5）Apply Tropicamide Eye Drops to the operative eye: 6 times daily for the first three days, followed by 4 times a day since the forth day.

6）Each eye drop should be applied alternately, with an interval of more than 10 minutes. Eye drops should be applied at 1 drop/time. Intraocular water intake should be avoided within one month after surgery, and all drugs should be administered after the gauze is opened on the second morning of surgery.

7）Time for postoperative routine follow-up visit: one week, two weeks, one month, two months, and three months after surgery.

4. Postoperative precautions

1）Generally, absolute bed rest is not required for patients undergoing vitrectomy (without intraocular fillers); they may lie supine, but eyeball movements should be restricted in case of postoperative bleeding. Patients with intraocular fillers (gas or silicone oil fillers) pressing against retinal tears need to face down while resting for 8-10 hours daily for the fillers are lighter than water; the extent and specific position should be adjusted depending on the condition under the doctor’s guidance. Special emphasis should be placed on that: correct resting and sleeping postures directly affect the effect of surgery and can reduce the occurrence and exacerbation of postoperative cataracts. Please be sure to follow the doctor's guidance.

2）The eyelids are the lowest in prone position, so surgery-induced inflammatory edema is most evident in the eyelids, and the affected eye will be severely swollen, which gradually relieves 3-5 days after surgery when observation or cold compresses may be performed. A prone position should be maintained 1-2 weeks postoperatively, and it may be shifted as instructed by your doctor. Long-acting gas is generally absorbed slowly 1-2 months after surgery, while silicone oil often needs to be removed surgically.

3）Patients should apply eye drops regularly and correctly, take medicine in time, eat more vegetables, and avoid spicy, stimulating and hard food to keep bowels open. The medical staff should be informed of headache, nausea, vomiting, eye pain, eye distension, severe wound pain, insomnia, etc. (if any) in time. Eyes should not be touched or rubbed with hands casually; hands should be washed before applying eye drops, and at least 10 minutes of rest with eyes closed is required after applying eye drops. It is necessary to avoid strong light stimulation, keep indoor light soft, and possibly wear colored safety glasses when going out. Doctor’s instructions should be followed to adjust medication frequency or reduce dosage in time. There is no need to worry in case of increased intraocular pressure; please communicate with doctor timely, adjust medication and apply intraocular tension-lowering drugs.

4）Regular reviews are required to monitor visual acuity, intraocular tension, retinal fundus and visual field. Please seek medical attention timely to prevent recurrence in case of any abnormality. A review is required 1 week after gas filling, and the intervals between subsequent reviews are gradually extended after the gas is completely absorbed. For patients with silicone oil fillers, it takes 3 months to half a year before taking out the silicone oil in hospital. The specific time for oil removal should be recommended by the doctor according to ordinary follow-ups, and discussed with the doctor. Long-term retention of silicone oil in the eyes may induce emulsification, cataract, glaucoma, corneal zonal degeneration and other complications, but there are significant individual differences - some people develop significant complications in a relatively short period of time, while others, especially the elderly who are less active, may not develop significant complications for a long time. Please pay timely visits to hospital for examination in case of eye pain, significant decline of vision, and other symptoms, to prevent the vision from damage by silicone oil emulsification and other complications in the later stage.

5）Activities should be restricted: excessive activities should be restricted for half a year after surgery, and heavy physical labor should be restricted for one year. For patients filled with C3F8, before the gas is fully absorbed, they should avoid working at height, taking an airplane or traveling to the plateau, so as to avoid a series of complications such as central retinal artery/vein occlusion. Strenuous exercises such as running and jumping should be avoided in 3 months after surgery, and diving, boxing and other sports that may hurt the eyes are strictly prohibited; regular reviews are required.

6）Patients should keep optimistic and comfortable; be prepared to fight the disease for a long time. It is important to realize that if cataracts are not removed at the time of vitrectomy, they may appear earlier or worsen in your intraoperative eye.

7）Please seek medical attention timely in case of severe headache, nausea, vomiting, eye pain, severe wound pain, insomnia and other conditions, and call the hospital prior to your visits.

Dear Mr./Ms.                                :

Thank you for choosing the Ophthalmology Clinic of Jiahui Health for your eye surgery. We will give you a brief introduction to the preoperative preparations required, preoperative medications and postoperative precautions you need to understand for the purposes of promoting a smooth procedure and helping you understand the postoperative precautions to accelerate recovery.

1. Strabismus is a disease related to both eyes; thus, to correct the eye position, surgery is sometimes performed on both eyes, and sometimes only on either eye. A decision should be made by the surgeon depending on the patient’s specific condition and the preoperative and intraoperative examination results of eye position.

2. This surgery does not affect visual acuity and diopter. Patients with postoperative ametropia still need to wear glasses. The spectacle lens power may be adjusted according to the eye position.

3. It is normal to have strabismus after strabotomy without wearing glasses.

 
4. The following intraoperative and postoperative complications may occur, commonly including:

 
1) Pain and congestion of the operative eye

2) Postoperative diplopia

3) Inadequate correction or overcorrection of postoperative eye position

4) Poor healing of conjunctival wounds

5) Postoperative decline of short-term corrective effect

6) Partial non-concomitant strabismus (paralytic strabismus)

Eyeball movements cannot be recovered after surgery; diplopia does not subside or only partially improves

7) Some special types of strabismus require more than one operation

5. Systemic surgical complications: As with all surgeries, other complications may arise from anesthesia, drug reactions or other factors affecting other parts of the body, including the oculocardiac reflex and anesthesia accidents.

6. Since it is impossible to list all the complications of this surgery, the above list does not cover them all.

 
7. Due to undercorrection or overcorrection of the operative eye position, a second correction or training may be required after surgery.

 
8. Purpose of strabotomy: Not only for beauty, but more importantly, to create conditions for the establishment of normal binocular vision and stereoscopic vision. Therefore, postoperative comprehensive treatment and training are still necessary, and surgery is merely an important means of comprehensive treatment. Moreover, the eye position may change for a quite long time after strabotomy, so regular follow-up visits and doctor’s guidance are required.

9. Postoperative medication guidance:

1) For medication, please follow the discharge instructions in the discharge summary

2) Please apply appropriate ice compress within 2 days after surgery

Dear Mr./Ms. :                    

Thank you for choosing the Ophthalmology Clinic of Jiahui Health for your eye surgery. We will give you a brief introduction to the preoperative preparations required, preoperative medications and postoperative precautions you need to understand for the purposes of promoting a smooth procedure and helping you understand the postoperative precautions to accelerate recovery.

1. Purpose of entropion and trichiasis surgery:

1) To improve ocular surface irritation induced by entropion and trichiasis, and reduce the risk of ocular surface complications

2) To improve appearance

2. The following intraoperative and postoperative complications may occur, commonly including:

1) Postoperative overcorrection, undercorrection, angular deformity, aberrant lashes, conjunctival prolapse, etc., requiring re-adjustment under anesthesia

2) Postoperative recurrence of entropion and trichiasis, requiring re-operation

3) Postoperative scar hyperplasia

3. Systemic surgical complications: As with all surgeries, other complications may arise from anesthesia, drug reactions or other factors affecting other parts of the body, including the oculocardiac reflex and anesthesia accidents

4. Since it is impossible to list all the complications of this surgery, the above list does not cover them all

5. Postoperative medication guidance:

1) For medication, please follow the discharge instructions in the discharge summary

2) Please apply appropriate ice compress within 2 days after surgery

6. Please pay visits to the attending physician’s Ophthalmology Clinic for follow-up visit and stitch removal 1 week after surgery.