Sole’vita Surgery is a licensed and accredited medical facility, providing state-of-the-art healthcare Sole’ vita has been designed to meet The CAPS Clinic’s mission statement of ‘Surgery, Service, and Support’.

All of the Sole’ vita team are fully qualified and registered medical personnel who are committed to providing you with the highest possible standard of patient care. You can relax knowing your surgery will be performed in a professional and very caring environment.

Please Note: Sole’ vita is a NON-SMOKING facility. Smoking is not permitted in the hospital or the hospital grounds

The Sole’vita team is committed to the highest possible standard of patient care and service

Before Your Surgery

On arrival at Sole’vita you will be greeted by our Admission Staff. Here you will be asked to finalise your admission paperwork and any outstanding fees. Our staff will then escort you through to a comfortable waiting area. Prior to your surgery, you will also have an opportunity to briefly discuss last minute questions or concerns with your surgeon and the anaesthetist. Following your surgery, you may be feeling a little lightheaded and shaky. Prior to your departure it is advisable to take a few moments to relax in our recovery lounge and have a cup of tea.
Please note: If you cannot keep this appointment please call Sole’vita Surgery on 6282 1153 to make other arrangements. Failure to notify will result in the procedure being permanently cancelled and paperwork returned to your GP to make alternative arrangements.

Surgical Fee

Fees can be confusing. Here at CAPS we do our best to ensure you are well informed prior to any procedure, including any expected out-of-pocket expenses. Generally there are three fees you may expect to pay for minor surgery:
• Surgeon (Surgical Fee)
• Sole’vita Surgery (Theatre and Day Stay Fee)
• Pathology (Analysis of Lesion)
Your surgeon will nominate the expected Medicare Item Numbers which are used to provide a quote for the procedure. You will receive a letter from Sole’vita Surgery Accounts Department detailing any expected rebates or out-of-pocket fees. When you return to the clinic for suture removal, this account will be prepared for you. Payment of the surgical fee is expected on the day of suture removal.
The Theatre & Accommodation Fee covers all staff, equipment, instruments and consumables used during the procedure and the general overheads required to run a hospital.
If you have a Private Health Fund, Sole’vita Accounts Department will perform a health fund check to ensure your eligibility to claim against your health fund and confirm any excess or co-payments. This fee is listed separately on the quote mailed out.
A facility fee applies to this admission. The facility fee can only be accepted in either a cheque or cash payment. No EFTPOS facility is available.
Your lesions will be sent to Capital Pathology for analysis and the results will be discussed with you during your suture removal appointment. You will receive an invoice from Capital Pathology which may be claimed on Medicare and your health fund.

Your Financial Responsibility

Whilst every effort is made to ensure our estimates are accurate, additional costs may occur if:
• Your health fund status changes
• The treatment proposed changes or further treatment is required
• You need extra medical care
• You require pharmaceutical, pathology or radiology services prior to, during or following the procedure
• You will be fully responsible for the full cost of the hospital admission if the health fund/insurer does not cover the treatment or admission
• Your surgeon and anaesthetist (if required) will send accounts directly to you for their services
• You accept full responsibility for all items and valuables you bring into Sole’ vita and are aware Sole’ vita cannot be held responsible for lost or stolen items
• You will accept full financial responsibility for any items provided for your convenience and entertainment by Sole’ vita staff during your stay

Preparing For Surgery

THE FOLLOWING INFORMATION IS ESSENTIAL IN PREPARING FOR YOUR PROCEDURE.

Aspirin and anti-inflammatory drugs will increase the risk of excessive bleeding during surgery. You may have a light meal prior to your surgery if you are not required to fast.

Although surgery is unpredictable, there are a few things you can do to reduce the risks associated with your procedure:
• NO smoking for at least 5 days prior to surgery
• STOP all aspirin for 10 days prior to surgery
• DO NOT consume alcohol 24hrs prior to surgery
• Arnica Spray (from the Health Food Shops), taken everyday for one week prior to surgery, has been proven to significantly reduce the bruising and swelling associated with any facial surgery
• Facial surgery may hinder your ability to drive. If surgery is taking place on your face we recommend you arrange a responsible adult to accompany you home
• Prepare your home by placing old sheets and pillowcases on the bed (facial wounds can ooze or leak a little)
• Sleeping elevated can reduce the swelling associated with facial surgery. Having a few extra pillows handy may prove to be beneficial.
• Ensure you have Panadol on hand for your return home.

What To Bring

What To Bring AS YOUR STAY WITH US WILL BE BRIEF, PLEASE BRING ONLY ESSENTIAL REQUIREMENTS.

If your surgery is being performed under local anaesthetic, you can expect to be fully awake throughout the surgery. Once the local anaesthetic has been administered, you should not be able to feel anything throughout the procedure. Your surgeon and the nursing staff will ensure that you feel comfortable and relaxed during your surgery. Arrive promptly (delays here can escalate to significant delays by the end of the day). Immediately following the procedure you will be escorted to our recovery lounge, refreshments will be offered and post operative instructions will be discussed with you and your support person. Prior to your departure, discharge information and follow up appointments will be confirmed.

Items To Bring
• Your copy of your Day Surgery Handbook
• Medicare, DVA or Health Fund Card
• Facility Fee (cheque or cash) or excess payment as advised previously
• Wear dark coloured, loose and comfortable clothing with slip-on, flat shoes
• Remove contact lenses and wear glasses on the day of surgery
• If you are traveling long distances, please bring a driver, a supply of Panadol, and pillow with you
• DO NOT bring jewellery or valuables with you as no responsibility will be taken for loss or theft of these items

Please Note: Pathology results will be discussed with you during your suture removal appointment. It is the policy of The CAPS Clinic to forward the results to your referring doctor.

Wound Care Pain Relief

Following your surgery you may experience mild discomfort and pain; this is best relieved by an oral pain killer. Please ensure the tablets you take DO NOT contain ASPIRIN. You may take Panadol or some form of paracetamol. Pain or discomfort may persist for sometime, however, it generally settles within 24-48 hours.
It is advisable to rest quietly and not to undertake any form of physical activity the evening of your surgery. Please also please refrain from any form of strenuous activity eg. sports, that may compromise your wound healing. At the time of your suture removal, we will advise you when you may resume normal activities.
If the wound bleeds or seeps, apply gentle pressure to the area and bleeding should stop in 10 minutes or so.
You can expect some bruising and swelling for the first few days following surgery. Do not be alarmed, over the next few days the swelling will subside and the area will soften and assume a more natural shape. One way to reduce swelling around the eyes is to apply cotton pads soaked in Witch Hazel lotion over the eyes. Also arnica cream or tablets (found at Health Food stores) can help. This cream can be smoothed directly into the bruised area to help reduce the swelling and bruising normally associated with surgery. Ice packs applied to the face can also be quite soothing and help reduce swelling.
Chloromycetin Eye Cream is an antibiotic cream used in all areas of the body to keep sutures moist and prevent infection. If you have been given a tube of Chloromycetin, this needs to be applied directly onto the wound, twice a day as instructed by the nurses.

Time to Contact Us

The results of your surgery may be compromised by complications.

Please do not hesitate to contact us if:
• You are unable to cease or slow the bleeding of the wound after applying pressure to the area
• You feel any heat or increasing pain developing in your wound
• You notice the wound getting red or excessively swollen If these symptoms occur please contact us immediately

Rapid intervention may reduce the chance of complications becoming a real issue. Sole’vita Surgery is open 8.00am – 5.00pm Monday to Friday. However, this number will divert to our Practice Nurse after hours. Our practice nurses or Dr Taylor are more that happy to talk to you about your concerns. The Sole’vita Surgery number is 6282 1153.

Please Note: If you have stopped taking any medication prior to the procedure these can generally be resumed two days following surgery. In order for you to plan your immediate post operative time appropriately, we strongly recommend you read the following specific information on wound care.

Our accredited day surgery facility delivers you safe and professional services in a caring and supportive environment

Primary Closure / Skin Flap

Our surgeon will choose the most appropriate method of repairing the area where the lesion has been removed. Your wound could be a simple straight line (primary closure) or a combination of lines (skin flap). The choice of surgical procedure will also determine the type of dressing applied.

Prior to your surgery we strongly recommend you read the immediate and long term care advice provided. Steri-strip dressing could be either a number of small individual strips layered horizontally over the wound, or a single piece of tape covering the length of the wound. Plastic dressing may either be sprayed or placed over your wound. This type of dressing is waterproof and is designed to seal and protect the wound during the initial healing process.

Important things to remember, if your surgeon has used either of these dressings, are:
• DO NOT remove the dressing as the stitch sealing the wound is attached to it
• You may shower the day after the surgery allowing the water to run over the dressing, but don’t rub it. Pat dry and ensure the dressing is secure
• It is best to keep the wound clean and dry. If the strip falls off or the plastic starts to lift reapply micropore tape
• Do not apply any creams or ointment to the wound unless advised to do so by your surgeon or the nurses
• Do not under any circumstances shave over the wound areas
• If there is fluid or blood collections under the dressing, please contact the rooms for advice.

Skin Graft

A Skin Graft is performed when a patient does not have enough skin, or stretch in the skin, to repair the defect once the lesion has been removed. Skin must be taken from a ‘donor’ site and grafted onto the defect. This surgery is commonly performed on the nose, ear or scalp.

Following your surgery you will have two wounds – the donor site where the skin was taken and the site where the lesion was removed from and the skin graft placed. Following surgery the skin graft is covered with a piece of foam. The foam is stitched on to your wound to put an even pressure on the graft to make sure it ‘takes’. Over the next few days the foam will absorb some blood, become hard and unsightly.

Patients need to ensure they have planned their work and social events appropriately prior to the surgery taking place. Do not remove this foam. If it looks like it is coming off, contact the rooms. You have been given a tube of chloromycetin ointment. Please place a small amount of this ointment around the edge of the foam twice a day. This ointment helps to keep the foam moist, limits the risk of infection and allows easier removal. Other than this, please keep the foam as dry as possible. You may clean around the edges of the foam with a damp sponge. The second dressing is placed over the donor site. If this is covered with a plastic dressing (ie. the base of the neck) you can get this wet but do not remove it. If the edges of the dressing are lifting, tape them down with Elastoplast. If there is bleeding, or other fluid collection under the dressing causing it to lift up, please contact us. If there is redness, swelling, heat or pain at the donor site wound, contact Sole’ vita on 6282 1153.

WEBSITE SKIN GRAFT SMALL

 

Long Term Care

Primary Closure / Skin Flap

• Treat the wound gently, the wound will remain tender for a few weeks
• Shower normally, pat the area dry
• Two weeks after your surgery, begin to massage the area two to three times a day. Massage is one of the most important aspects of ensuring your scar flattens out and begins to fade. If you feel lumps in the wound these are generally the internal sutures which will dissolve over time. Massage can speed up this process by increasing circulation to the area. The nurses will demonstrate the pressure the massage needs to have to be effective.
• Surgical sites are vulnerable to the sun, please ensure you protect the area with a sunscreen. Makeup may be worn the day after sutures are removed. We recommend mineral makeups. Minerals are preservative and talc free, and allow for a natural, even coverage without irritation.
• You may experience slight numbness for three-four weeks around the incision site, which usually resolves.

Skin Graft

• Treat the wound gently
• You may shower and get the graft wet but avoid having the full stream of the shower directly on the graft
• If you have some chloromycetin ointment left you should continue to apply it over the graft until it runs out, apply moisturising cream daily
• As the healing of the graft progresses the top layer of the skin will ‘scab’ over and gradually peel off. This is completely normal and is not a cause for concern
• Surgical sites are vulnerable to the sun, please ensure you protect the area with a sunscreen. Makeup may be worn the day after sutures are removed. We recommend Mineral makeups. Minerals are preservative and talc free, and allow for a natural, even coverage without irritation Strictly no massage on the graft.
• It is not unusual for the graft to have a slightly bruised and crater-like appearance. This will improve dramatically after the sutures have been removed.

Your Rights & Responsibilities

At all times, patients have the right to a high standard of quality care, to be treated with respect, dignity and without discrimination. Our facility is committed to the provision of high ethical and moral standards and complies with all applicable laws and regulations. All patients must at all times provide full disclosure of their health, be courteous, respectful and considerate of staff and other patients and their privacy. All information is respected and treated as confidential and may be disclosed to those health care professionals involved in your treatment.

Further information regarding our Privacy Policy, Rights and Responsibilities, and general information regarding Sole’ vita, please refer to our website www.solevita.com.au Compliments or Complaints We love to hear your feedback. At Sole’ vita we aim to provide the best experience possible. You may be requested to complete a confidential patient survey prior to your discharge. Feedback from patients, families and friends help us identify what is working well as well as areas for improvement.

We look forward to welcoming you