Surgery

Out-Patient Procedures

Out-patient procedures will be carried out on the same day. The preparations are similar to those for an in-patient surgery.

There are, however, a few things that must be observed prior to an anaesthesia.

We ask you to keep a fasting period before the procedure, i.e. no food for 6 hours and no clear liquids, tea or water for 2 hours before the procedure.

You are strongly advised to refrain from smoking. Within three weeks, the self-cleaning function of the lungs recovers, and within 48 hours the increased carbon monoxide level caused by smoking returns to normal.

In order to prevent undesired side-effects, we ask you to provide us with a list of your foodstuffs, drink and tobacco use. What is important for us is your nicotine, alcohol and drug consumption.

For the same reason, we should know the exact medicaments you have taken at least within the last 10 days. When coming for the procedure, please bring your long-term medicaments with you, if possible in their original packages and with package inserts. This will also help us when we have to substitute preparations from abroad in Switzerland. Particular attention has to be paid to medicaments which affect blood clotting, such as anticoagulants, antirheumatics, pain killers and acetylsalicylic acid. You should stop taking them 5 days before the surgery, anticoagulants (Plavix, Marcoumar) partly even earlier.

Your medical history can often provide us with valuable insights for choosing the best anaesthesia method for you. Please completely fill in the blue patient questionnaire which you will receive from us before the procedure.

Further important information will be provided by a preliminary examination carried out by your general practitioner. This is not required for minor procedures and for healthy patients under the age of 40.

If available, please bring your blood type ID.

By all means, please inform us of any allergies you have; they may be life-threatening.

If you have a pacemaker or an implanted defibrillator, please bring the respective documents.

It is important for us that you leave us feeling well and without suffering from severe pain. For your way home, you should arrange for someone to accompany you. For 24 hours after an anaesthesia you are not allowed to participate actively in traffic, to operate dangerous machinery and to make important decisions.

During the first night after your surgery, an adult must be available for you at any time, and a telephone must be within your reach.

We will give you a telephone number where you can reach our surgeon and anaesthesiologist on night-duty.

Preparation

In order to achieve optimum examination conditions, good preparation of the intestines is a prerequisite. For this purpose, you are given a potent laxative (3 litres of intestinal cleansing agent: Golytely).

Please do not eat any insoluble rough dietary fibres (grains, dates, kiwi fruit, grapes, linseeds etc.) one week prior to your colonoscopy.

On the day before the examination, you may still have a breakfast poor in fibres (white bread, jam, coffee without milk or tea), subsequently you may only ingest liquids (tea, juice, mineral water, clear soup)

Please avoid milk and dairy products.

Also, on the day before the examination, between 3 and 5 p.m., drink 2 litres of intestinal cleansing agent.

On the day of the examination, drink the 3rd litre of the intestinal cleansing agent:

  • examination before noon: drink 3rd litre at 6 o'clock in the morning

  • examination in the afternoon: drink 3rd litre in the course of the morning until 12 o'clock (noon)

Important: When coming to the examination, please bring your blood count and your blood clotting results with you.

If you need or would like a short anaesthesia (sedoanalgesia) for the colonoscopy from our anaesthesiologists, please inform our secretary about it the day BEFORE the examination procedure.

For legal reasons, you must not operate a vehicle for 24 hours, and therefore you will need someone to pick you up. We'll be pleased to get you a taxi.

To confirm your appointment, please call our office the day before the examination under the telephone number: 01 212 30 05.

Despite our precise planning, waiting times may occur on the day of the procedure due to possible emergencies or for organizational reasons. We apologize for any possible inconvenience

Please leave any valuables or purses at home. Our office does not assume any liability in case of loss.

Please read the briefing sheet regarding this examination and answer the questions and bring it with you when you come for your examination.

If you have any further questions, the doctor carrying out the colonoscopy will be happy to answer them before the examination is made.

 

Surgery
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