Tamer N.

Abdelbaki Consultant of Bariatric Surgery

A private car will be waiting for you

at Arrivals Hall. Driver will be
Airport Arrival carrying a sign with Your Name on it

Check ins can be at any time

of the day and night
(depending on your flight
arrival time)

Hospital Check in

Hospital Information:

 Private room with en-suite bathroom

(Companion stay for free)

 Wireless Internet Access

( a private router will be provided during your hospital
stay; login pass will be given to you by IT personnel)

 Satellite TV

 Room service
 Airport Arrival

Borg-El-Arab airport tips.

 VISA FIRST-there is a little window, you must get your visa from the man at the little win-
dow before proceeding to passport control (visa should cost £20 GBP but be aware for
slight discrepancies-I was charged £25-this must be paid in sterling). At the same office
you may want to exchange some Egyptian currency.

 Passport control-make sure you fill in the slip on the plane-you will need to hand it in
here.
You will then go downstairs (collect baggage from carousel if you have some) before go-
ing through an X-ray scanner then exit the airport and cross the road to find your private
car & driver. ( Note: Drivers aren’t allowed inside the arrival hall so they will wait for you
outside the airport; Driver name/contacts/car color & model will be sent to you one day
before your flight) You will also be provided with emergency contact numbers just in case.

 Print your tickets (even if they’re just e-tickets) for flight home-sometimes the guard
would need a hard copy to allow you in the airport—so better safe than sorry.

 You will then proceed through a security check and scan (TOP TIP-you may well be
asked to remove your shoes several times during your passage through the airport-make
sure you wear ones you can easily get on and off post operatively).
 Then check in-this is pretty smooth and straight forward. The check in guy will hand you a
red slip, then proceed upstairs-before you stand in the queue for passport control FILL IN
THE RED SLIP (you will be kicked out of the queue otherwise ).
 After passport control-more security scans and pat downs (when we went through women
had to stay in the left lane but this might change-so don’t rely on that). After this you will
then need to present boarding card and passport to the two men sat at the desk on the
right.
After all of this you are free to roam the departure lounge (don’t buy the coffee from the
first coffee shop on left-it’s vile).
You may be subject to a further bag search in the tunnel just before boarding.
 Pre-op Plan: ( the day before surgery)

 Wake up in the morning - Fresh Shower

 You will get your labs and X-rays done some at the night you arrive
What to Pack?
others in the morning.
 Medication
 Lunch should be light ( avoid carbs ) (diabetes, hyper-
 Dinner Should be light ( 200 ml juice + toast + cream cheese or yogurt) tension)
 Diabetic patients: Should be on a liquid diet for 2 days prior to surgery.  Cpap machine if u
( water, broth, juice, and protein shakes) have sleep apnea
 Fasting before surgery: you should stop eating or drinking 8 hrs before  Loose fitting pyja-
mas (at least 2)
surgery.
 Loose underwear
Diabetic patients: Should fast for at least 12 hrs.  Sanitary towels
 Hypertensive patients: Take their medicine 3-4 hrs prior to surgery with  Slippers
the smallest sip of water.  Tooth brush &
 Blood thinner shot (Clexane 40mg): Should be taken the night before surgery paste,
depending on instructions from Dr Tamer) Deodorants,
 You will be asked to remove any dentures, glasses, hearing aids, con- Shower gel, Sham-
poo, hair brush
tact lenses, hairpins and combs before going to surgery.
 Lip balm
 Be prepared for a potential long wait so bring a magazine or a book.
 Mint gum
 Phone & Charger
 Camera
 Hair dryer

For Smokers
Facts:
 Smokers who quit before surgery have fewer complica-
tions.

 Smoking delays healing in surgical patients.

 Cessation interventions are effective for surgical pa- POWER

tients.
Plug & Sockets in Egypt
 Surgical patients are willing to quit.

 Quitting shortly before surgery is safe. Types C and F.

Voltage is 220 V & Freq 50 Hz.
It is especially important not to smoke on the day of
Above you find pictures of the
your surgery
applied power sockets and
We recommend patients abstain from smoking for as corresponding plugs.
long as possible before and after surgery, but even
quitting for a brief period is still beneficial
 Surgery Time
 You will be called down to OR
 Dr Tamer, and the Surgical & Anesthesia team will be
at the OR.
 Anesthesia will check your labs and Xrays.
 Prep for surgery usually takes half an hour.
 Surgery itself takes anywhere between 45 mins to 2
hrs.
 You must confirm that you were fasting for the in-
Operative Room structed amount of hours.
 All make up and nail polish should be removed.
Post-op Plan:  You will be asked to sign the consent form.
Day 0
 Immediately after surgery you will be transferred to the recovery room were you stay there for 30-
45 mins where all your vital signs are monitored by anesthesia team.

 After clearance by anesthesia, you will be transferred back to your room. At this phase you will be
drowsy and it will take you a couple of hours to fully recover.

 In some patients the surgical team might decide to leave a drain tube, that you will notice coming
out from your left side. Moreover you will notice that you will be either wearing an elastic stocking or
bandage around your leg. This helps to decrease the incidence of blood clots by improving the blood
circulation in your legs.

 At this phase you might experience some pain. The pain can be felt at the surgical scar site, at your
upper chest right in the middle (a colicky pain behind your chest bone that comes and goes) or at the
drain site ( if you had a drain). This pain is usually tolerable and controlled by analgesia. Another com-
mon pain is the one felt in that helps establish a working space in order to complete the procedure.

 You will be given pain meds on a regular schedule. However, should you experience any type of
pain you can always ask the nurse to give you more pain meds, but remember to save all the pain kill-
ers to later at night so you can sleep well. Don’t consume all of your allowed daily dose early on in the
day. During the first day you will be kept fasting until instructed by the surgical team.

 We always encourage you to get out of bed when you feel you can and to start walking down the
hall, remember walking can reduce the pain. We also want you to start some breathing exercises
(spirometer)

 Usually we keep the bed at a 45 degrees angle to help you breathe more efficiently.

 You might have some nausea or you might throw up. This is normal so don’t worry (anti nausea
meds will be given)
 Day 1 Day 2

 After 20-24 hrs the surgical team will give you instruction  Usually you are discharged from
to start drinking. Usually its advisable to start with a the hospital on day 1 but sometimes
warm drink ( mint or any other herbal tea) you should Dr Tamer may instruct for you to
drink slowly sip-by-sip so that a 200 ml cup is finished by stay for another day.
1-2 hrs. You can either drink directly or use a small spoon.
Straws should be avoided (can introduce air into your  You will be instructed to drink at

stomach) least 4-8 cups of water-juice-herbal

drinks on that day.
 You might experience some nausea or colics during drink-
ing, at this point you can rest for a while and then contin-  IV fluids will be stopped and can-
ue sipping later on. ( anti colic meds will be given) ula will be removed at the time of
hospital discharge .
 .You can then shift to water and sugar free juice after-
wards.  Hospital discharge is usually be-
tween 11 am and 1 pm. A designated
 We continue to encourage you to walk and move around driver will be taking you to your ho-
whenever its possible and to minimize the time spent lay- tel.
ing in bed.

Discharge from the hospital

Discharge meds will be prescribed at the time of discharge. (varies from patient to another)

Diet Plan: (plz refer to diet guide)

Drink 2 cups of each

 Water What to Pack?

 Sugar Free Juice
‫الصدر‬ ,‫السكر‬, ‫ دواء الضغط‬: ‫جميع أدويتك الخاصة‬
 Skimmed Milk
 Mint or Herbal drink
 Clear Broth

This allows you to drink 8-10 cups a

day. We encourage you to drink more
as tolerated. Usually its not easy to
drink more than 4-6 cups in the first
couple of days and this is acceptable
provided you increase your intake as
days go by.
 Post discharge Instructions
1. Wound dressings are water proof, (you can shower when you want).

2. There is no need to change the bandage unless they come off or get soaked.
10 days after surgery you take the bandage off and leave it exposed.

3. Please refer to post surgery Diet Guide for diet instruction.

4. Discharge meds include pain killers (taken when needed)

5. Avoid pushing or lifting heavy objects of more than 20 pounds.

Its important to note that your sense of thirst and hunger is diminished after the
surgery. So you should not wait until you are thirsty or hungry to drink or eat.
We encourage you to drink every Hour to avoid going into dehydration or
have a drop in blood sugar levels.

Can I exercise:
1. We advise you to do mild exercise in the form of walking daily
for 20 mins and increase the strength of exercise gradually as
tolerated.
2. You can start using the treadmill, jogging and swimming after
3 weeks from surgery.
3. Weight lifting should not be rigorous and should only be start-
ed 2-3 months after the surgery.
Follow up:
Is either by clinic visit, phone call, whats app etc…
At 10 days, 3 months, 6 months, 9 months, and 12 months

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