Preparing for Elective Surgery
Your surgery can be booked as a day surgery at either Don Mills Surgical Unit or The Scarborough General Hospital.
- Your surgery may be booked as inpatient surgery at the Scarborough
- You will be contacted once a surgical date becomes available.
- If you refuse 3 dates given to you your name will be removed from the
- Should you need to cancel surgery, please do so 6 weeks in advance to
allow for rescheduling of your surgical date
- Surgical Journey
2 Weeks Before Surgery :
You will be contacted by our office with respect to returning to complete the preoperative paperwork, as well as your surgical consent with Dr. Latham.
At this appointment:
- Dr. Latham will explain the scheduled procedure.
- Dr. Latham will explain the benefits and common risks of the procedure.
- You will have an opportunity to ask specific questions in relation to your scheduled procedure.
- You will be provided with an envelope containing all necessary information, including the time of your pre-admission appointment for your surgery
- Your arrival time for the day of your surgery will be indicated in your take home package
One Week Before Surgery
Pre-Admission Appointment At The Hospital
- The day of your pre-admission appointment at the hospital, register on the main floor at the Pre-admission department and you will be seen by a Nurse.
- Please bring your current medication list, as well as your medical history (including previous surgeries).
- If you have a medical condition such as: diabetes; cardiovascular disease; or sleep apnea, a consultation with an Anesthetist will be scheduled the same day.
- After you are seen by the Nurse, you will be sent to Diagnostic Imaging for bilateral standing foot and ankle x-rays. Diagnostic Imaging is also located on the first floor of the hospital.
- If blood tests or an ECG are required, you will be given a requisition to go to the laboratory to complete these tests.
- You will be asked to see our Pedorthist, Sarah Alger, to be fitted with any required mobility or supplemental devices. Sarah Alger will also create a post-operative weight required mobility
devices and to have a post operative weight bearing plan created for you.
- You will receive a call the week of your surgery to confirm your arrival time.
- You will have been fasting since midnight
- Thoroughly wash your leg with an antibacterial soap
- Trim your Toenails
- Bring your walking aids to the hospital: crutches, knee walker, stirrup cast, aircast, bunion shoe
Arrive at the Hospital
- You will be asked to arrive three hours early, at which time you will pro-ceed to the hospital registration desk.
- You will receive a hospital ID band for your wrist and be told to proceed to the day surgery pre op unit.
Here you will be prepared for surgery by the hospitals team of preoperative nurses.
- One family member can join you and must remain in hospital to drive you home post operatively.
- your family will be given a surgical code by which they can follow your progress on our surgical screens.
- The pre-op nurse will start an IV, review your medications, and ask you about allergies.
- The pre-op nurse will confirm your surgery, and cross reference your consent form.
Before the OR
- You meet the OR nurse who will once again review all your relevant surgical information.
- You will be seen by Dr. Latham and his team and your limb will be marked at the approximate site of surgery
- You’ll also be visited by your anesthesiologist.
- You’ll be walked, or transported into the OR
- If Anaesthesia has recommended a regional anaesthetic including either a foot and ankle or popliteal block you may stop in the block room before proceeding to the OR.
- Once in the OR you’ll be covered with a warm blanket, a surgical briefing will be completed, IV antibiotics will be administered, a thigh tourniquet will be applied and your surgery will commence.
- Once your surgery is completed, you will have a dressing, or a splint applied to your leg
- You will be then transported to the recovery room for immediate post operative recovery.
- Pain medication will be administered, and a post operative X-ray will be taken
- From the recovery room, you will be discharged to the CP3 Ward as an inpatient or the Day Surgery Unit as an outpatient.
- After a stay of approximately an hour in the recovery room you will be transported to the day surgery unit.
- Here you will be given post operative instructions by your nurse on: follow up, weightbearing, cast and dressing care, and medication use.
- You will be given a follow up appointment with Dr Latham at the Fracture Clinic at the SHN Birchmount site for 2 weeks following your surgery Contact
- Once home be sure to elevate your limb above heart level
- Ice Frequently. Use of a cryocuff is recommended (if there is no cast)
- Minimal activity for the first 2 weeks helps reduce pain significantly
- BE COMPLIANT WITH YOUR WEIGHT BEARING INSTRUCTIONS (this is a critical step in recovery from foot and ankle surgery)
- If you have specific concerns please review our FAQ’s section for possible answers.