Surgery and Smoking

By Sara Mendez | August 6, 2008

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by Sara Mendez

Surgery is complicated enough without all the side effects. Typically there are pages of consent forms to sign listing everything that could go wrong. Surgery, whether elective or required is something many will face at some point in their lives. Patients should understand many complications can not be foreseen. However there is one complication that can be avoided and it is in the patient’s control and that is smoking.

Certain protocols are in place to help insure the patient’s safety during surgery. Some of the more common protocols are no food or water twelve hours before and take a shower to minimize the risk of infection. For smokers there is another requirement, no smoking at least two weeks before and two weeks after. Some surgeons may even ask the patient for as long as four weeks before and after the surgery.

According to Anesthesiologyinfo.com, smoking has many seriously concerning risks which can occur during surgery. Smoking increases carbon monoxide which attaches itself to hemoglobin in the blood, decreasing the amount of oxygen getting through the body. The nicotine will make the body need more oxygen which will put stress on the heart, lungs and body which is already under distress from the anesthesia. The heart will not function properly because of the increased carbon monoxide causing the blood to no circulate as it should.

Second, the lungs are more likely to collapse because smoke causes the small airways in the lungs to not function properly as well. Smoking makes more mucus which can leak into the lungs, making the lungs unable to clear it. Smokers are more prone to bronchospasms and lung infections which can be fatal. Smoking has been linked to dozens of side effects from heart attacks to poor wound healing in surgery patients, by as many as six times more.

Doctors want their patients to lead a healthier life and have a successful surgery, so generally surgeons and physicians ask their patients to quit for two weeks before and two weeks after surgery. Many surgeons have asked for as many as four weeks before and after to insure their patients are fit for surgery. However, ideally physicians and surgeons want their patients to make smoking secession a top priority.

Quitting has become much easier over the years, mostly because of the availability of treatments. Some of the more common are over the counter, such as the nicotine patch and gum. Others choose to try homeopathic treatments such as herbal remedies, acupuncture and hypnosis. Prescription drugs such as Zyban and Wellbutrin have gained popularity as well. Often treatments are combined so the patient can be as successful as possible.

The most important thing to do is talk with your physician to discuss your options and find out which plan will suit you best. Since there are many choices and options available to help you quit, there can be no more excuses. Do not wait until you need major surgery before trying to quit, quit before you get there.

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Topics: Stop Smoking |

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