This page will guide you through questions and answers concerning your foot or ankle surgery. When surgery is required, it is based on the proper diagnosis of your condition and after exhausting most conservative modes of treatment.
All surgeries will be performed at either the office, hospital or surgery center for your convenience. Our office will pre-certify your surgery by contacting your insurance company. Payment plans are also available through our business office.
Our office will assist you in the planning and implementation of surgery by scheduling a preoperative visit after the surgery date has been established. The preoperative visit will usually occur the week of your surgery or the same day for a minor, in-office procedure.
This visit will consist of an explanation of your surgery, its indications, risks and operative and postoperative course. You will sign consent forms and have preoperative labs performed prior to the surgery if it is scheduled in the hospital or outpatient facility. You will get prescriptions for pain medication. Preoperative labs will be ordered and performed. Questions concerning payment and financial responsibility will also be addressed at this time. All consents will be signed electronically and copies of this can be sent directly to your email for filing and storage.
Prior to Surgery
The night prior to surgery, you should take a shower and wash your surgery site. Do not apply lotions, creams or nail polish. You should not eat or drink anything after midnight the day of your surgery.
You will get prescriptions for pain medications which you should have filled prior to the surgery. Antibiotics are usually not prescribed prior to the surgery unless otherwise indicated by your physician. Dr. Kline will give you the exact time of when to show up at the facility for your surgery.
Antibiotics will be given to you through the IV in the office setting surgery, hospital and surgery center.
Many times, the hospital or surgery center will call you prior to surgery to verify the procedure, insurance information and any other information deemed necessary. You may also be direct to register prior to surgery at the hospital or surgery center which is conveniently located close to our office.
It is normal to feel anxiety and restlessness prior to surgery. In fact, you may not sleep well the night before your surgery. This is entirely normal. On the day of your surgery, your anesthesiologist will give you medications that will relax you. Remember, the surgery will be a very pleasant experience.
Day of Surgery
On the day of the surgery, you will arrive at the office, hospital or surgery center as directed. Remember to not eat or drink anything when getting up in the morning unless otherwise directed. You may wear loose clothing and undergarments to the surgery center. Wear something that you can easily get on and off the surgical foot and leg including loose gym pants or pajamas.
When you arrive at the facility, you will be checked-in by a member of our staff or the hospital or day surgery/surgery center staff. The admission process is usually very quick. Most of your information will already have been secured prior to the surgery. Please avoid wearing any jewelry, piercings, nail polish and cosmetics, and leave contact lenses at home or bring the lens case with you.
After you arrive and check-in, a nurse will escort you into the preoperative area where you will change your clothes. Belongings will be safely stored until you are ready to go home. We recommend that you leave all valuables and additional accessories at home. A nurse will conduct a preoperative assessment that will include taking your vital signs and starting an IV. If this is an in-office surgery, the anesthesiologist will perform the preoperative assessment and start the IV.
Dr. Kline has been working with Gulf Shore Anesthesia group for over 20 years and an anesthesiologist will also speak with you in the preoperative area to review all preoperative information and discuss your anesthesia.
Dr. Kline also uses Anesthesia On The Go, which is an office based anesthesia service. You will be provided with a Board Certified Anesthesiologist for all in-office procedures.
Our staff and the surgery staff will keep your family and friends informed of your progress. We understand the anxiety family and friends will have while you are having your procedure. The surgery team will make every effort to keep them informed of your progress and when they will be able to re-join you after the procedure.
Dr. Kline will visit you prior to surgery and mark the surgery site. He will discuss with you again what to do after surgery and will likely repeat this to you and your family after surgery.
In the Surgery Suite
Remember, in surgery, your safety is our primary concern. The entire health care team will follow rigorous guidelines regarding site identification and procedure confirmation. National Patient Safety Goals have been developed which require your involvement too.
You will be asked numerous times to confirm both the procedure you are having and the surgical site. You should take a very active role in all discussions with your physician, your anesthesia provider and surgical team regarding the identification of your procedure and the correct surgical site. Dr. Kline will mark the site prior to your procedure.
When you arrive in the surgery suite, Dr. Kline, the nurses and the anesthesiologist will all be there to prepare you for surgery. You will be connected to monitors and all of the medications to sedate you will be given by the anesthesiologist through the IV.
Dr. Kline typically takes about 20 to 40 minutes to complete any surgery. His average surgical time is less than 30 minutes. Multiple procedures or bilateral procedures may take a little longer.
Your surgical experience in the operating room or surgery suite will be very enjoyable. Because Dr. Kline and the anesthesiologist have been working together for so long, their mutual understanding of operating time will make your transition from sedation to waking up seem seamless and enjoyable.
The anesthesiologist can even keep you awake during your surgery if you wish. However, many patients like to stay asleep during the procedure.
After the Surgery
After the procedure, your foot and ankle will be wrapped in gauze and sometimes you may walk on the foot with a special shoe and other times you must keep off the foot entirely. You may also have a splint or cast in place depending on the type of procedure performed. This will be discussed with you prior to surgery. Crutches and mobility walkers (i.e. knee walkers) will be either prescribed before your surgery or given to you after surgery in the recovery area.
You will wake up without any pain. We ask that you begin taking your pain medications, elevating and staying off the surgical foot as soon as you get home. You will begin icing the foot and ankle in the recovery room and continue this at home.
We ask that you have someone drive you and pick you up after your surgery. You may give a cell number to your nurse who will promptly call your family after your surgery and notify them that you are ready to be picked up. A family member may also wait in the facility until the procedure is done. Dr. Kline will talk with you and your family in the recovery room about procedural outcomes and reiterate what to do after surgery.
When you get home, keep the surgical limb elevated and stay off the foot as much as possible. Take your pain medication at scheduled intervals and always take pain medication with food. It is normal to feel pain 8 to 12 hours after your surgery. If the pain is intense, remember to loosen the ace compression wrap and continue icing the foot. You may also double-up on your pain medication if necessary. In some surgeries, Dr. Kline will also prescribe a pain pump. This device will administer local anesthetic to the surgical site for an additional 24 to 48 hour period. Remember, pain medication and antiinflammatory medications taken after surgery will help, but will not eliminate all pain. Pain will improve after 48 to 72 hours of the surgery.
If you have any questions, feel free to call our office.