Timeline for the Process of Surgery

Timeline for the Process of Endometrisosis Surgery

  1. You submit a query to our Endometriosis center. Your submission to our site needs to include the following: email, phone number, and the medical issue you are having.

  2. I will reply with a detailed email explaining my approach to Endometriosis and the rationale for laparoscopic excision. Sharing with me specific information allows me to address your specific concerns in the email.

  3. Medical Records are sent to our office, by mail, fax, email, or Dropbox. These records are reviewed at No charge. Operative notes, pathology reports, surgical photographs are very helpful (I will return the originals). Ultrasound, CT scan, MRI reports are helpful. Disks of CT and MRI are helpful.

  4. Phone Consultation: 

    1. For the phone consult there is a 300.00 charge that is handled with a credit card.

    2. Phone consultation is a detailed review of your full medical, surgical, obgyn history, a thorough explanation of why we do what we do to remove endometriosis, and answering all of your questions.

    3. We discuss surgical treatment, reviewing in detail with you what I feel you need to have done, taking into account everything that is of importance to you. 

    4. Patients are given multiple ways to reach me for any concerns or questions that come up, at no charge.

  5. After the phone consult, I send an email reviewing what you need to have done, and surgical codes and costs. Preoperative information, including preoperative bowel preparation, is covered in detail. Preoperative office appointment and surgery day, date, time is also in the email.

  6. The only thing that matters is what is best for you in regard to the timing of surgery. Once you decide to proceed with surgery and surgery is scheduled, Patti, my office manager, will contact your insurance to confirm coverage, benefits, deductible, co-insurance. Please contact Patti (207-883-3883) for help with lodging and directions. Please contact me, anytime, as often as you need to, with any concerns.

  7. Preoperative appointment: 

    1. I review your medical and surgical history.

    2. Physical exam is done.

    3. I review the preoperative bowel preparation, and we review and sign the surgical consent.

    4. Finances are taken care of at the preoperative appointment.

    5. We are Out-of-Network. The vast majority of the cost of surgery is the Facility fee.

    6. Your insurance should cover the facility fee, and the fees of Anesthesiology and Pathology.

    7. We have arrangements for patients from outside the United States, with no medical insurance.

    8. Preoperative lab testing is done on the same day as the preoperative appointment.

    9. Preoperative bowel preparation is done the day prior to surgery.

  8. Day of surgery:

    1. You will need someone to travel with you to Maine.

    2. You will need someone to bring you to the surgery center or hospital,

    3. You will need someone to take you back to your hotel after surgery, and when you travel home.

    4. Please arrive at the surgical facility 1.5 hours ahead.

    5. Nothing to eat or drink after midnight the night before your surgery.

    6. Most patients leave the surgical facility the same day, and some leave the morning after surgery.

    7. Admission to the hospital ONLY if we convert to open surgery (rarely) or if bowel work is done.

  9. Immediate postoperative course:

    1. I try to visit patients and their family at the hotel before they leave town.

    2. I evaluate the patient before she travels home, review the procedure, surgical findings, and what we accomplished, and review post-surgical instructions.

    3. First day after surgery, you are around hotel, outside, increasing ambulation, but please stay in our area.

    4. Patients return home usually 2-3 days after surgery, driving or flying.

    5. Stop to walk 5-10 minutes ever hour while traveling home.

  10. Postoperative recovery:

    1. Bandaids are removed the first postoperative day; Bandaids are not replaced.

    2. Steri strips stay on till they fall off or are removed at postop visit.

    3. Shower every day. Do not scrub, but you can let the water run directly over the incisions, and blot dry.

    4. Walking 4-5 times per day, starting the first postoperative day.

    5. Initially, you will be tired. Initially, you will walk around the room, then around the house, and the first weekend you can be outside in the yard, in the neighborhood, and around town.

    6. Your endurance will continue to improve and you will eventually have more energy than you are used to.

    7. Between the walks, I want you to rest, which can be sleeping, reading, watching TV.

    8. Frequent walking is one of the best things you can do to help your post-surgical recovery.

    9. There is no such thing as too much ambulation after surgery.

    10. Specific instructions are individualized according to the specific procedure done, and specific patients needs.

  11. Length of recovery after surgery is determined by what is done at the surgery. The vast majority of patient who only have laparoscopy are able to return to work in 2 weeks. I recommend patients take the full time off and this takes the pressure off of them. The more I accomplish at surgery, the better the patient feels after surgery. If you feel well and decide to return to work early, a letter can be sent to your employer.

  12. Postoperative visit:

    1. Patients should have postoperative visit, 2 weeks after laparoscopy.

    2. Patients should have postoperative visits,  3 weeks and 6 weeks after laparoscopic hysterectomy.

    3. I am available to do postoperative visit for all patients at no charge, but if a person lives a great distance, then it is more practical to have a postoperative exam by your local physician near home.

  13. I will periodically check in with patients as they go through post-surgical recovery. I give additional information as you get further along the post-surgical recovery. All patients receive written instructions when they are leaving the surgical facility. I touch base with patients when they are 2 weeks and 6 months after surgery. All patients can contact me directly, anytime they have a concern, as often as needed.

All medical questions and concerns are addressed by me. At my Endometriosis center, I do not use physician extenders, and you can always deal with me directly. I am in contact and supporting my patients all the way through the surgery experience.

If you're ready to get started, or if you have any questions, please call the office at (207) 883-3883 or send us a message, we'd love to hear from you.

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