Surgical Pre Op and Post Op Instructions for Dr Mignucci

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Lewis

 

Mig-Op2

  Surgical Procedures by Dr Luis A. Mignucci
 

Dr. Luis A. Mignucci has been serving the Dallas-Fort Worth community for more than 21 years. His focus on patient-centered care, and commitment to excellence has placed him among the Best Doctors in Dallas for the tenth consecutive year. “Excellence in care is our goal,” he says. Dr. Mignucci graduated from the University of Puerto Rico School of Medicine, department of neurological surgery. He completed his spine fellowship at the prestigious Cleveland Clinic Foundation and obtained additional specialized training at the National Hospital for Nervous Diseases at the University of London. Dr. Mignucci is one of the few neurosurgeons in the United States certified by both the American Board of Spine Surgery and American Board of Neurological Surgery. In his capacity as director of the neurosurgery service at Medical Center of Plano, Dr. Mignucci brings a wealth of experience and provides a leadership role in the development of treatment protocols for a range of neurosurgical conditions. Actively involved in spine research and clinical trials, Dr. Mignucci is responsible for the creation of the Expandable Working Ramp distributed by Performance Grafts, LLC. This tool allows surgeons to correct complex spinal deformities while minimizing potential damage to internal structures. The tool has been utilized by surgeons throughout the country in more than 600 cases.

The Windhaven Ambulatory Surgery Center, located in the same building, provides patients with the newest technology and equipment, enabling surgeons and pain management physicians to perform the best techniques while ultimately achieving outstanding results. Patients receive quality care from a highly trained team of surgical personnel, and they can return home the same day.

 

 
 

What to Expect in Preparation for your Surgical Procedure with Dr Mignucci:

- We will call you the day before your procedure to give you instructions and answer any questions you have. Please make sure that Dr. Mignucci’s office has the correct contact information for you. If you are not home, we will leave a detailed message.
- We ask that you arrive 45 minutes prior to your procedure time, please be on time.
- DO NOT EAT OR DRINK ANYTHING 8 HOURS PRIOR TO YOUR PROCEDURE TIME! This includes hard candy and gum. Failure to do this can result in your procedure being cancelled or rescheduled. The only exception to this is if you are taking medication for high blood pressure or for acid reflux. Please take these medications first thing in the morning with a sip of water. All other medications can be taken after you are finished with your procedure.
- Please wear loose, comfortable clothing. If you are having neck surgery make sure that you bring a shirt with a wide neck or a button-down to ensure that is fits over your neck brace. Please remember to bring your neck brace with you, it will be applied directly after surgery.
- Please remember to bring your drivers license (or photo ID), insurance cards, and a list of medications that you take on a regular basis along with the correct dosages.
- DO NOT apply lotion or perfume/cologne the day of surgery. You may take a shower and wash your hair the morning of surgery.
- Do not bring any valuables with you and do not wear any jewelry.
- Please make sure you have picked up all prescriptions prior to your arrival.
- Please make sure you have a responsible adult with you to take you home and stay with you. That person will need to be present after surgery for further instructions about your care. Please limit the number of visitors. Only 1-2 people will be allowed to visit. Please read all information provided to you by Dr. Mignucci’s office regarding your post-op care.
- Your first meal after surgery should be light (ie: soup). Nothing too salty or greasy. You may advance your diet as tolerated from that point on. Typically pain medicine and antibiotics should be taken with food to prevent any gastric upset.
- You should expect to take your pain medicine frequently for the first 24-48 hours. Plan to take your medications on a schedule to keep the pain at a minimum level.
 
 
 

What to expect for Lumbar Microdiscectomy/foraminotomy/laminectomy:

- Typically this procedure takes anywhere from 1.5 to 2 hours to complete. Once you are awake and stable, your family will be able to come and see you.
- You will stay 1-2 hours after your procedure.
- You will have to be able to tolerate fluids without getting sick. You will have to be able to walk to the bathroom and void prior to going home. We cannot send you home without completing these things.
- If you become nauseated or have pain we will give you medicine to make you feel better. However, there is always some discomfort after surgery because of your incision.
- We will provide you with dressing changes and instruct your family member on how to do this.
- Your first meal after surgery should be light (ie: soup). Nothing too salty or greasy. You may advance your diet as tolerated from that point on. Typically pain medicine and antibiotics should be taken with food to prevent any gastric upset.
- You should expect to take your pain medicine frequently for the first 24-48 hours. Plan to take your medications on a schedule to keep the pain at a minimum level.
 
 
 

What to expect for Anterior Cervical Discectomy and Fusion (ACDF):

- Typically this procedure takes anywhere from 2 - 2.5 hours to complete. Once you are awake and stable, your family will be able to come and see you.
- You will have to stay 4 hours after your procedure for monitoring
- You will have to be able to tolerate fluids without nausea and be able to walk and go to the bathroom prior to leaving.
- If you become nauseated or have pain, we will be able to give you medicine to make you feel better. However, you will have incisional discomfort that is normal after surgery. You will experience a sore throat for a few days after surgery. This is normal. You can use cough drops or chloraseptic spray to help ease this. You will also have upper shoulder discomfort due to the position that you will be placed in during surgery. This will decrease over the next few days and the muscle relaxer prescribed to you will help with this.
- Please read over Dr. Mignucci’s instructions regarding your diet for the first few days after surgery and plan accordingly. You will only be able to eat cold, soft foods to assist in decreasing inflammation.
- You will have a drain coming out of your neck next to your incision. We will instruct you on how to care for this. Typically you will have this drain removed the next day by either Becky or Brian. We will also provide you with dressing changes.
Download Dr Mignucci's Post Op Instructions Here:
Post Op Instructions: ACDF Post Op Cervical Foram Post Op Carpal Tunnel Post Op Lumbar Laminectomy Post Op Lumbar Microdisc Post Op Ulnar Nerve Post Op