Dr. Ankur Bhanushali

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PRE-SURGICAL FITNESS & RISK ASSESSMENT IN THANE

Pre-Surgical Fitness & Risk Assessment in Thane

Ensuring Safe Surgery Through Proper Evaluation

By Dr. Ankur Bhanushali – General, Laparoscopic & Daycare Surgery Specialist


What Is Pre-Surgical Fitness Assessment?

Pre-surgical fitness assessment is a critical medical evaluation done before any planned surgery to ensure that the patient’s body is fit to safely tolerate anesthesia and surgery.

At Aayush Multispeciality Hospital, Thane, no surgery is performed without a thorough pre-operative assessment, even for daycare or minimally invasive procedures.


Why Pre-Surgical Evaluation Is Extremely Important

Surgery stresses the body. A proper assessment helps to:

✔ Reduce anesthesia risks
✔ Prevent heart or lung complications
✔ Identify hidden medical problems
✔ Plan the safest surgical approach
✔ Avoid last-minute cancellations
✔ Improve post-operative recovery

This step saves lives.


Who Needs Pre-Surgical Fitness Clearance?

✔ All planned surgeries
✔ Elderly patients
✔ Patients with diabetes or BP
✔ Heart or lung disease patients
✔ Obese patients
✔ Previous surgery history
✔ Smokers or alcohol users

Emergency surgeries are stabilized first and evaluated simultaneously.


Components of Pre-Surgical Fitness Evaluation

1️⃣ Detailed Medical History

✔ Previous illnesses
✔ Past surgeries
✔ Medication usage
✔ Allergies
✔ Lifestyle habits

2️⃣ Physical Examination

✔ Heart & lung evaluation
✔ Blood pressure & pulse
✔ Abdominal examination
✔ Airway assessment


Essential Pre-Operative Investigations

✔ Blood tests (CBC, sugar, kidney function)
✔ ECG
✔ Chest X-ray (when required)
✔ Ultrasound / CT scan (as indicated)
✔ Coagulation profile

These tests identify potential surgical risks early.


Anesthesia Fitness & Risk Stratification

An anesthetist evaluates:
✔ Airway safety
✔ Cardiac & respiratory risk
✔ Type of anesthesia required
✔ Post-operative pain control plan

This ensures smooth induction and recovery.


Special Fitness Evaluation for High-Risk Patients

For patients with medical conditions:
✔ Cardiologist clearance
✔ Physician consultation
✔ Pulmonology review (if needed)

Surgery is planned only after optimization.


Medication Adjustments Before Surgery

Certain medicines may need:
✔ Temporary stoppage
✔ Dose modification
✔ Replacement

This includes:
✔ Blood thinners
✔ Diabetes medicines
✔ BP drugs

Clear instructions are given to patients.


Lifestyle Preparation Before Surgery

Patients are advised:
✔ Stop smoking
✔ Avoid alcohol
✔ Maintain hydration
✔ Follow fasting instructions
✔ Get adequate rest

These improve surgical outcomes significantly.


Role of Pre-Surgical Counseling

✔ Reduces anxiety
✔ Improves cooperation
✔ Explains recovery timeline
✔ Sets realistic expectations

Well-informed patients recover better.


When Surgery May Be Postponed

Surgery may be delayed if:
❌ Uncontrolled BP or sugar
❌ Active infection
❌ Abnormal heart findings
❌ Poor anesthesia fitness

Safety is always prioritized over urgency (except emergencies).


Why Choose Aayush Multispeciality Hospital for Safe Surgery Planning?

✔ Structured pre-operative protocols
✔ Experienced surgical & anesthesia team
✔ Ethical decision-making
✔ Emergency backup available
✔ Patient-centered approach


Aayush Multispeciality Hospital – Full Details

1st Floor, Marigold Apartment, Almeda Road,
Panch Pakhdi, Thane West – 400602, Maharashtra, India

📞 +91 86910 33033
🌐 https://drankurbhanushali.com
📍 https://maps.app.goo.gl/3Msc7YZqVkV9mQMQ7
📧 drankur.bhanushali@gmail.com


Dr. Ankur Surgical Clinic – OPD & Consultation

Shop No 4, Laxmi Krupa Building, Edulji Road,
Charai, Thane West – 400602, Maharashtra, India

📞 +91 86910 33066
🌐 https://bestsurgeoninthane.com
📍 https://maps.app.goo.gl/XmmGNbgFyhGcqfvV6


Book a Pre-Surgical Fitness Consultation

📞 Hospital Admission: +91 86910 33033
📞 Clinic OPD: +91 86910 33066

🌐 Online Appointment:
https://bestsurgeoninthane.com

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