Remember, it’s normal to feel a little anxious before surgery, especially if this is your first one. It may help to keep in mind that we are here to assist you every step of the way. Please do not hesitate to call or email us with any questions you may have. We are always happy to help.
*Magnesium citrate and Cytotec are included in your pre-op tote.
Many patients find comfort in the words of other women who have undergone endometriosis surgery. Allie, a patient of Dr. Seckin's, provided us with her personal pre-op routine, which we have included below. While Allie’s routine worked well for her, every patient’s condition is unique. Please devise a regimen that adheres to your comfort level and lifestyle.
Unfortunately, surgery is something that every endometriosis patient has to endure in order to find lasting relief for constantly recurring symptoms. The phrase many doctors use to introduce surgery is, "well, let’s go in and take a look." Sounds simple enough, but there are deeper implications of what that means to the patient.
I just recently had my 6th endometriosis surgery, an excision surgery with the Seckin Endometriosis Center. The idea of having surgery means something very different to me now than when I first learned I had to have my appendix removed almost a decade ago. I don’t know if I have gotten better at having surgery or if it is just that I now have a better surgeon, but these past couple of recoveries have been a lot smoother overall. I also attribute my post-op success to knowing what to expect during surgery and being able to physically and mentally prepare for it. So without further ado, here are five things I do before any surgery:
Get your body ready: My past surgery was an extensive one, so I wanted to make sure I was in the best possible shape going in. I tried to go for walks when I felt up for it just to get my body moving and feeling strong. I made sure to drink at least 64 ounces of water every day starting two weeks before the surgery to stay hydrated. Drinking so much water also made my bowel prep go smoother! I consistently went to my chiropractor leading up to the surgery knowing that surgery and recovery are often rough on my back. I made sure I had enough sleep and tried to eat as best as I could. I made sure I remembered to take my daily multivitamin and tried to eat foods rich in iron. I also took the time to get a bikini wax. After my first emergency laparoscopy in the dead of winter, I was shocked to learn that a nurse had to “prep my pelvic area” via a bic razor. I now go in prepared.
Get your house ready: Before all of my surgeries, I have certain chores I like to do beforehand that will make my life easier when coming home from the hospital. I wash all the bed sheets in the house the day before surgery. I love coming home from the hospital to clean sheets. I also make sure I have fresh towels available. I also do all of my laundry and make sure I have a top dresser drawer dedicated to post-op clothes. In it, I have loose pants, cotton shirts, clean underwear and comfortable bras. I also like to give the house a good cleaning pre-op, knowing it will be awhile before I have the energy to do it again. If you can, have a friend or relative gift you a pre-op and post-op cleaning service, even better!
Shopping list: About two weeks before surgery, I like to create a master shopping list of things I will need post-op. I make sure I have all the food I need in the house in order to prepare for my bowel prep and other light foods I will eat immediately post-op. I take an inventory of my clothing and note if I need an extra pair of sweatpants or a new pair of slippers. I make sure I have my favorite shampoo, deodorant, and moisturizer on hand. These little things make such a difference. I also make sure the house has plenty of things like toilet paper! Few things are worse than running out of toilet paper in the middle of bowel prep! I also make sure I have things to entertain myself. I will often go to the library beforehand and get a few good books to read or DVDs to watch.
Preparing Work: Hopefully, your job is understanding and respectful of your needed surgery and leave. It is so unfortunate that endometriosis is such a misunderstood disease and is not recognized by many. I think the following questions are good to ask yourself when thinking about post op work: are you able to work from home post-op? Can you start back with half days? Is there work you can do ahead of time to make things run smoother when you are gone? Are you able to be honest with your boss on what kind of surgery you are having? Can a co-worker cover for you? I always find having a work plan before the surgery leads to much less anxiety post-op.
Preparing emotionally: A patient often feels a lot of anxiety and sometimes even sheer panic when faced with an impending surgery. For weeks leading up to my past surgery, whenever I would become anxious I would take a deep breath say in my mind, “breath in peace,” and as I exhaled I would say, “breathe out stress.” I would repeat that until I felt calmer. I also made it a point to schedule a meeting with my therapist to talk about the stress and anxiety about the surgery a few weeks before. Reaching out to family and friends is also a big part of being emotionally supported. About a week before surgery, I made sure I sent an email out to close friends and family explaining what I was going through and how they could help. Like many other endometriosis patients, I value my independence and have a hard time accepting a lot of help. Obviously, when you have surgery accepting help is inevitable. I am not sure what I would have done without people cooking for me and my family, going shopping, sending me cards and taking me to post op appointment in those first weeks. It was nice to feel their emotional support.
Excision surgery is currently the best way to help improve the quality of life for an endometriosis patient. Although it can seem daunting, I have often found that the anticipation of endometriosis surgery is sometimes worse than the actual surgery and recovery itself. Mindfully preparing for endometriosis surgery, both physically and emotionally, can often help with those pre-op jitters and lead to a less stressful recovery period. So try not to stress, you are truly in good hands.
Below is a list of instructions to keep in mind the day of your surgery.
Do no eat or drink anything after midnight (12:00am) or your surgery will be forfeighted and postponed.
Make sure your schedule is completely free the day of your surgery.
Wear comfortable clothing. You will also be provided with a hospital gown.
Avoid bringing any jewelry or valuables. Although we provide every patient secure storage space, it’s best to keep personal possessions to a minimum.
Please arrive at the hospital 60-90 minutes prior to your scheduled surgery. You may go directly to the main entrance of the hospital and then make a right. The OR waiting room will be on your left. For assistance, front desk personnel can direct you to the appropriate area.
All patients must be accompanied by a significant other, family member, or close friend to escort them home. We are not permitted to discharge a patient home unaccompanied--even by taxi--due to anesthesia. We also recommend that women bring their partners or loved ones for comfort and support.
Surgery can take anywhere from 1 to 5+ hours depending on the severity of your case.
Recovery rates vary, however, most of our patients are well enough to leave the day of surgery and return to the comfort of their own home.
If you need to visit the Emergency Room, please make sure to go to Lenox Hill Hospital 100 East 77th Street. This is very important as our team can only work out of this hospital, without exception.
Normal Post-Surgical Symptoms
The following are post-surgical symptoms that are normal and can arise within the first few days of surgery. If any of these complaints last longer than specified below, please contact us.
You should contact us if:
If you are experiencing severe pain of any kind, please call the office at (212) 988-1444 and we will put you into contact with Dr. Seckin or Dr. Goldstein
I’ve seen many obgyns over the years explaining my monthly symptoms during my period...but eventually it became a daily struggle with these pain. It feels like a poke here and there near my right pelvic region. I was given birth control pills for the past ten years but honestly, it didn’t help at all. I was in bed whenever I had my period. I was previously sent to GI doctors for possible appendicitis but it was ruled out from imagings…
Dr.Seckin is so much more than a surgeon. His passion for helping endometriosis sufferers and determination to improve the quality of life in all of his patients is undeniable. I remember when my gynecologist first told me I needed a laparoscopy. Her exact words were "I can do the surgery, but if you were MY daughter- I'd send you to him." From the first day I met him he took the time to explain endometriosis to me since I knew…
I was there for hysterectomy but then I found out that I also had endometriosis.My both surgeries went excellent and I feel great!.I am so thankful to Dr.Seckin and all his team for making my journey smooth!
I am a physician who suffered from deep infiltrative endometriosis. I needed laparoscopic surgery, so I went to see my former gynaecologist and he performed the procedure (a surgery which he supposedly does hundreds of times a year) last November. I had severe pain again when I had my period in January and was advised to go on taking a low hormone dose anticoncipient pill. My symptoms came back quickly and got worse in a few months’ time. I went…
After years of excessively painful periods, a serious loss of quality of life, and a series of uninformed and uninterested doctors, Dr. Seckin and Dr. Goldstein turned my life around. I was told I woke up from my surgery almost a year ago with a smile on my face, and I haven't stopped since. Before I heard of Dr. Seckin, I was experiencing almost daily terrible pain to the point where I had difficulty walking, inability to eat, inexplicable weight…
Dr Seckin and his team gave me back my life! Tomorrow will be 1 month since my surgery and I feel great. Dr. Seckin, Dr Liu, and Dr Goldstein are not only beyond words talented and amazing Doctors, but they are also genuinely wonderful and caring people. I cannot say enough great things about Holly, Asiye and Kim as well. They were all caring, kind, patient, and took the time to listen to me and explain anything I needed to…
Dr. Seckin and his staff spared me from years and years of heavy periods and unbearable endometriosis pain. After having surgery with him (my first) I can now function like a regular human. No more eating NSAIDs like candy and calling out sick from work. Thank you, Dr. Seckin!