Stefan Kreuzer. MD - Anterior Hip Replacement

Pre-Operative Instructions

  1. Pre-Operative Clearance
    For total hip replacement surgery, we require a letter of medical clearance from your primary care physician or cardiologist in order to proceed with your surgery. The purpose of this is to ensure that you are both mentally and physically prepared for your surgery. Your doctor will need to fax this letter of clearance to our office to have on file. The fax number is (713) 827 8345.

    You will also need to have several pre-admission tests done prior to your surgery. These tests include: CBC, CMP, UA, PT/PTT, Hepatitis C, HIV, Chest X-Ray and EKG. All lab work must be completed within 30 days of your surgery date. Lab work completed longer than 30 days from surgery will not be accepted. If your insurance is Texan Plus, or another HMO, you will need to have these tests done at your primary care physician's office and have the results faxed to our office along with the letter of medical clearance. If you have Medicare, or belong to a PPO program, you may have these tests done at Memorial Hermann Memorial City Hospital Pre-Admit Testing Department. You will need to call ahead to make an appointment @ 713-242-3880, as they do not accept walk-ins. They will also take care of your registration at the same time, so please allow at least 2 hours for this process. If you have your labs done elsewhere, you will need to contact the hospital to get pre-registered. We will need to receive copies of all labwork and the letter of medical clearance in our office no later than ten days before your scheduled surgery date or you will risk cancellation of your surgery. No exceptions.

  2. Blood Donation
    We would like for every patient to donate at least one unit of blood prior to surgery. You will need to bring your letter of clearance to the blood bank with you in order to be able to donate. You may not donate blood within one week of your scheduled surgery, so please plan ahead. Please call them at (713) 791 6608 to schedule a donation time. The blood center will give you a green receipt for your unit of blood. Remember to bring this receipt to the hospital with you the day of surgery.

  3. Medications
    If you are taking aspirin or other anti-inflammatory medications like Ibuprofen, Motrin, Naproxen, Nuprin, Aleve, Voltaren, Orudis, Feldene, Celebrex, Relafen or Mobic, you should discontinue them ONE week prior to your surgery. You may substitute them with Tylenol instead. Please call our office if your symptoms become intolerable. Also, if you are taking Coumadin or Plavix, consult your cardiologist or primary care physician about discontinuing these TEN DAYS prior to surgery. DO NOT take any Multi-vitamins or herbal medications TWO weeks prior to surgery as they can also prolong bleeding time. If you have any other questions regarding specific medications, please call the prescribing doctor's office so they can advise you.

  4. Anesthesiologist
    The anesthesiologist providing services will meet with you on the day of surgery. He or she will discuss with you all anesthesia options prior to your surgery in the holding area. Please come prepared with any and all questions to ask them on the day of surgery. All anesthesiologists, radiologists and pathologists are independent contractors of the hospital and will bill separately for their services. If you have any questions about the anesthesiologist's provider plans, co-payments, or payment options, please call (713) 242 3439 for assistance.

  5. Clothes & Jewelry
    Wear loose comfortable clothes to the hospital. You will also need a comfortable pair of walking shoes and a robe for your stay in the hospital. Leave ALL valuables at home. No jewelry may be worn during surgery. Do not forget to pack personal care items such as a toothbrush, toothpaste, dentures, etc. Do not wear make-up or nail polish to the hospital.

  6. Showering before surgery
    Shower the morning of, or night before thoroughly with the hibicleanse soap that you are given from Pre-Admit Testing. DO NOT shave the incision site, as this area will be shaved as needed by the surgeon just prior to the operation.

  7. No food or drink after midnight the night before your surgery
    If you take heart or blood pressure medication, you may take it the morning of surgery with a sip of water only. Do not take any other medications as they might interfere with the anesthesia used during your surgery. If you are diabetic, please DO NOT take the morning dose and be sure to inform the anesthesiologist.

  8. Arrival time
    You will be notified by someone in our office the day before your surgery as to what time your surgery is as well as what time you will need to arrive at the hospital. You will need to check in at the hospital approximately two hours prior to your scheduled surgery time. Check-in is in the main lobby on the Gessner entrance. Please be advised that surgery time is only an estimated time. We will do everything in our power to ensure that you do not have to wait longer than two hours for your surgery to begin. However, as you know, sometimes emergencies occur or cases can occasionally run longer than scheduled. Please be patient.we will do our very best to take care of you as close to your scheduled time as possible. Please make sure our office has a current phone number to contact you in case we need for you to arrive at the hospital earlier than your scheduled time.

  9. Medical equipment
    Any and all other medical equipment, including walkers, raised toilet seats, etc. will be ordered through the hospital prior to discharge. Please do not purchase any equipment ahead of time as it may not be needed.

  10. Dental work
    If you need to have your teeth cleaned, please call your dentist to make an appointment prior to your surgery. You will not be allowed to have your teeth cleaned for 6 months after surgery due to the increased risk of contracting an infection. If you are in need of dental care, you MUST take care of this prior to your surgery.
Dr. Stefan Kreuzer
Hip Arthritis
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