Day Surgery

This is a service whereby patients have certain surgical and diagnostic procedures performed in the hospital without having been admitted. The advantages of this service to the patient are: less time spent in the hospital, less time lost at work and the ability to return home to a familiar setting for recovery. The day surgery unit is open from 7:30 a.m. to 4:30 p.m. Monday to Friday. Patients must be referred by a physician.

Some services offered in the day surgery are: dentistry, endoscopy, laparoscopy, ortorhinolaryngology, gynecology, ophthalmology, urology and hernia repairs.

Pre-operative clinic
All elective surgery patients will be seen pre-operatively on an outpatient basis by an anesthetist, an operating room nurse, an admitting clerk and by a laboratory and radiology technician, if needed. All patients will have the required pre-op tests done within a month of their surgery, preferably as close to the surgery date as possible.

The goal of the Clinic is:
  • to ensure the quality of care;
  • to allow the patient more control over his pre-operative preparation;
  • to answer queries and therefore decrease some anxiety;
  • to better coordinate the client's needs.
Endoscopy
A specialist in internal medicine offers a diagnostic service for patients with gastro-intestinal disorders. Gastroscopy (examination of the gastric cavity), sigmoidoscopy (examination of the rectum and sigmoide, colonoscopy (examination of the colon), esophagoscopy (examination of the esophagus), laryngoscopy (examination of the throat) and biopsy of the liver are diagnostic procedures performed on a regular basis.

Gastroscopy

The gastroscopy is an examination of the esophagus, stomach and duodenum (first part of the small bowel). It can give the physician information that x-rays and other tests do not. A gastroscope is a long, thin flexible tube composed of a flexible bundle of fibers that transmits images on a television screen. Biopsies (small samples of tissue) can be taken by inserting an instrument through a channel in the gastroscope.

Colonoscopy
The colonoscopy is an examination of the inner surface of the colon (rectum and large bowel). It also allows the physician to take a small piece of tissue (biopsy) if necessary and even remove polyps (growth of tissue) by inserting an instrument through a channel in the scope. A colonoscope is a long thin flexible tube composed of a flexible bundle of fibers that transmits images on a television screen.

Laparoscopy
A surgeon performs this procedure on a day surgery basis for patients requiring a diagnostic examination of the abdominal and/or pelvic cavity. A tubal ligation, cholecystectomy and sometimes appendectomy as well as hernia repair can also be performed through this procedure,
Otorhinolaryngology
An otorhinolaryngologist offers surgical services for disorders of the ear, nose and throat. The surgical procedures performed are: tonsillectomies (removal of the tonsils), adenoidectomies (removal of the adenoids), myringectomies (surgery of the tympanic membrane) as well as the insertion of tubes in the ears.

Dentistry
This is a day surgery service available for patients requiring dental extractions and/or dental repairs. This service is available on a monthly basis through the Day Surgery Unit.

Urology

An urologist offers a diagnostic service for persons suffering from problems of the urinary tract and bladder. The diagnostic procedure available at this hospital is cystoscopy (an examination of the bladder) and biopsies, if needed.

Minor Surgery
Minor surgeries also available (local anesthesia needed only) are: vasectomy, cyst excision, carpal tunnel, etc.
Type of anesthesia available:
  • general
  • spinal
  • epidural
  • IV sedation
  • local
  • block

Instructions for patients who must undergo a surgical operation
Before your surgery
  • Decrease smoking one to two weeks before surgery. You should not smoke after 6 p.m. the evening before your surgery.
  • Do not eat after 8 p.m. the evening before your surgery. Liquids are allowed until midnight (but no dairy products or alcohol). AFTER MIDNIGHT, DO NOT DRINK, EAT OR SMOKE. Don't chew gum the morning of your surgery.
  • Take a bath or shower and clean your navel thoroughly with Q-tips if your surgery is on your abdomen.
  • Leave all jewelry (including body piercing jewelry, metal items, hair clips and money) at home.
  • Remove nail polish and contact lenses.
  • Do not apply make-up on the morning of your surgery.
  • You can brush your teeth or gargle the morning of your surgery but do not swallow anything.
  • Apply antiperspirant or deodorant only if your surgery isn't in the area of your underarms.
  • Wear loose fitting clothing to be more comfortable following your surgery. Children are encouraged to bring a favorite toy with them. You may bring a "walkman" and tapes or Compact Disks if you are having a spinal anesthetic.

If the anesthetist has told you to take medication, take it with a very small sip of water.

On admission
On the day of your surgery, register with the Emergency Room clerk between 7 a.m. and 7:15 a.m. Once this is done, follow the red dots on the floor to the Day Surgery Unit. Look for the violet "J" sign to your left.

A nurse will greet you and tell you the time of your surgery (between 8 a.m. and 1 p.m.). You may have one attendant accompany you and stay with you. For endoscopies and minor surgeries without anesthesia, the attendant must wait in the waiting room in the front lobby of the hospital.
  • You will be asked to put on a hospital gown. You may leave your clothes with your attendant or you can store them in a locker which you can lock.
  • A nurse will record your weight, temperature and blood pressure.
  • You will be placed on a stretcher and covered with a warm blanket.
  • Your file will be completed and any questions you may have will be answered.
  • If needed, a nurse will shave the area to be operated on, give you an enema and start an intravenous.
  • You may be given a sedative ( by mouth) or a Ventolin treatment, if ordered. If you are having a general anesthetic, your dentures and/or eye glasses will be removed just prior to your surgery and kept in the recovery room.

After your surgery
Your blue card will be returned to you upon discharge along with instructions concerning the medication to take, dressing and instructions to follow as well as the date of your next appointment with the surgeon.

If you are going home on the same day as your surgery:
  • Please ensure that at all times, we can contact a responsible person to take you home. You are not allowed to stay alone for a period of 24 hours and you are not allowed to drive for 24 hours.
  • A nurse will call you at home the day following your surgery.
If you are being admitted overnight following your surgery:
  • The person accompanying you will be responsible for your personal possessions.
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