Find out about the tests you might have before surgery, what to expect at the pre assessment clinic and what might happen the evening before your operation.
Tests to check you are fit for surgery
You have tests before your operation to check:
- your fitness for a general anaesthetic
- that you'll make a good recovery from surgery
Tests might include:
- blood tests to check your general health and how well your kidneys are working
- an ECG to check that your heart is healthy
- breathing tests (called lung function tests)
- an echocardiogram (a painless test of your heart using sound waves)
- a chest x-ray to check that your lungs are healthy
Pre assessment clinic
Your pre assessment clinic appointment prepares you for your operation. You have it about a week or so before surgery.
You meet members of your treatment team at this appointment and you can sign the consent form to agree to the operation.
Your doctor or nurse might talk to you about the Enhanced Recovery Programme at your hospital. This is a programme of care that helps people recover more quickly after a big operation.
Ask lots of questions during your appointment. It helps to write down all your questions beforehand to take with you. The more you know about what is going to happen, the less frightening it will seem.
You can ask more questions when you go into hospital so don’t worry if you forget to ask some.
Who you might meet before your operation
Nurse or healthcare assistant
At the pre assessment clinic a nurse or health care assistant checks your:
- general health
- blood pressure
The nurse asks you questions to check your fitness for the operation. They can organise any further tests you might need. They ask about any medicines you are taking and give you information about what to expect when you come into hospital for the operation.
They may give you a leaflet to teach you leg and breathing exercises to do after your operation to help with recovery.
Specialist cancer nurse
You may also see your specialist cancer nurse. They can check what help and support you have to see what you will need when you go home. They are usually your main point of contact, and care for you throughout your treatment.
The surgeon (gynaecological oncologist)
Your gynaecological oncologist or a member of their team will tell you about:
- the operation you are going to have
- the benefits of having surgery
- the possible risks
- what to expect afterwards
The anaesthetist gives you the anaesthetic and looks after you during the operation. They make sure you’re fit enough for the surgery. If you're a smoker, they will advise you to stop smoking before your operation.
Learning breathing and leg exercises
Breathing exercises help to stop you from getting a chest infection. If you smoke, it helps if you can stop at least a few weeks before your operation.
Leg exercises help to stop clots forming in your legs. You might also have medicines to stop the blood from clotting. You have them as small injections just under the skin.
You start the injections just before your operation. You might also wear compression stockings.
This 3-minute video shows you how to do the breathing and leg exercises.
Breathing and circulation exercises after surgery
These exercises help prevent you developing a chest infection or blood clots in your legs after surgery. These problems are more likely when you are not moving around as you would normally.
You can do these breathing exercises while sitting up in a chair or in a bed or whilst lying down.
Relax your shoulders and upper chest.
Take a slow, deep, comfortable breath in and hold for a couple of seconds, then slowly breathe out.
Repeat this 3 times.
You can start these breathing exercises as soon as you come round from your anaesthetic.
You should try to do them every hour when awake until you are fully mobile.
If you need to cough, support your wound with your arms, a pillow or a rolled up towel.
If you are struggling to clear any phlegm, try a hu. This is where you breathe out in a short, sharp manner as if you were trying to steam up a mirror.
You should move about as soon as possible after your operation. But while you are not as mobile, try to keep your legs moving to encourage better circulation.
You can do these exercises in a bed or in a chair.
One foot at a time point your toes away from you then pull your toes towards your chin.
Try to do 10 of these on both feet at least 2-3 times an hour.
The next exercise is circling your ankles. One at time circle your ankles, clockwise and then anticlockwise. Repeat this 10 times with each ankle 2-3 times an hour.
The evening before
You might go into hospital the evening before or morning of your operation.
You might have a carbohydrate rich drink the night before your surgery. You might also have one the morning of your operation. The drink gives you energy and can speed up your recovery.