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Before a successful treatment starts, it is important that the doctors conduct a detailed investigation and discussion with the patient. In principle, every patient is thoroughly interviewed for his or her entire medical history. The next step is a thorough physical examination, once the patient and his physician decide to perform a surgical treatment by Dr. Hans U. Baer or Dr. Plamen Staikov. All necessary investigations and dates for reservations of rooms, scheduling of pre-operative investigational dates, and the appointment for the day of operation, as well as acceptance of cost from the insurance company, will be made by the Centre, in collaboration with the Hirslanden Clinic. Usually a patient can be admitted to the clinic within a few days. Very often, the question is asked: “what will happen to me now?”

The day before the operation

Admission is usually a day before the operation for necessary pre-operative investigations to take place. This will be done by Prof. Hans U. Baer, Dr. Plamen Staikov or one of the assistants. Highly specialised consultants may be called for special investigations. All necessary investigations and examinations which are important for operative success and in view of the general health condition of the patients will be done. There are investigations like ECG, ergometry, lung function or radiological examinations. Blood samples are taken for haematological and serological tests, as well as the matching for the blood groups. This investigation for blood testing will be done twice to ensurethe blood group identification. This is important if the patient needs to have a blood transfusion during or after an operation.

Following these procedures, the patient will be brought to his private room in the Hirslanden Clinic. During the rest of the day, the last preparations for the operation will be done. If necessary preparations will encompass shaving, prophylaxis for thrombosis, cleaning of the bowel by special solutions or specific physiotherapy and breathing therapies will take place. In the evening before the operation, the surgeons and their team will come and discuss upcoming questions of the patient. The responsible anaesthetist will visit the patient and also discuss possible questions. Depending on the type of operation, the patient will not be permitted to eat in the evening or will only be allowed to drink something. Fasting will usually start at 12 o‘clock.

Operation Day

On the day of the operation, the patient will receive a drug that prevents nausea and will make the patient sleepy. This drug will be given about 30 to 60 minutes prior to operation. The patient will receive a hospital shirt and cap. He will be brought in the operation room. Operation nursing staff will receive the patient, and the responsible anaesthetist will explain step by step what will happen. The first infusion line will be put in to place and the patient will be anesthetised. The operation will start after all the necessary intravenous and monitoring lines have been put in place.

After the Operation

Depending on the relevant operation procedure, the patient will stay intubated for further artificial ventilation or extubated to breathe. They will be brought to the intermediate care or intensive care for respiratory and cardio-pulmonary control. Depending on the condition of the patient, they will be sent to the normal ward about one or two days after the operation. If a smaller procedure has been done the patient may be brought to the ward only a few hours after the operation. Prof. Hans U. Baer and his team perform two ward rounds a day to monitor the progress of the patients. They will give the individual prescriptions to the nursing staff on duty in the ward. The surgical team can be contacted by the nursing staff 24hrs a day. After a larger operation, the patient will stay in hospital for about 10 days, and depending on their general condition, they mightbe transferred to a rehabilitation hospital. If smaller operations are performed, it may well be that the patient can leave the hospital after 2 - 5 days. If necessary, patients will be asked to have a checkup in the centre.


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