Arthroscopy

During arthroscopy, an orthopedic surgeon makes two or three incisions in the treatment area. The surgeon inserts the arthroscope and any other necessary instruments into the small incisions. Images are sent from the arthroscope to a monitor, so the surgeon can examine joints, cartilage, muscles, ligaments, and tendons. The images are used to diagnose or surgically treat the problem. The arthroscope is removed, and the incision is closed with stitches or staples and a bandage.

Options for arthroscopic surgery include local anesthesia, which will block the sensation where the surgery is being performed, regional anesthesia, which will numb the bottom half of your body, and general anesthesia, which will induce unconsciousness.

Arthroscopy is a relatively safe procedure compared to open surgery. You should also know that Hancock Regional Hospital has been rated one of the safest hospitals in America by The Leapfrog Group, a national nonprofit health care watchdog organization; and was named the safest hospital in Indiana on the Lown Institute Hospital Index.

Some of the possible side effects include nausea and vomiting, dry mouth, sore throat, muscle aches, headache, bruising (from the IV), itching, shivering and feeling cold, difficulty urinating, and sleepiness. In older patients, memory loss and temporary confusion are possible.

If you need arthroscopy and you don’t have it, it may delay your healthcare provider’s ability to accurately diagnose your issue and outline an effective course of treatment—or an untreated issue that could be repaired with arthroscopic surgery may get worse.

Your health insurance provider may require you to get a referral from your primary care provider to see a surgeon about arthroscopic surgery.

You can always get a second or third opinion, but it isn’t required.

Your health history will be compiled and available to the team before, during, and after surgery. If you’re a Hancock Health patient, we will be able to access your records within our system. If you aren’t, we will work with your doctors to get the necessary information.

Your surgical team will evaluate the situation and help you make a choice that’s right for you and your health. Temporary treatments might be used if your surgery is rescheduled.

Consult the Price Transparency Tool at HancockRegionalHospital.org for an idea of how much arthroscopic surgery might cost.

Medicare parts A and B will cover the cost of arthroscopic surgery, but it’s important for your doctor to indicate that the surgery is medically necessary.

You’ll probably be instructed not to eat anything after midnight on the day of your surgery, and you might also be told to stop taking certain medications or dietary supplements.

You’ll arrive several hours before your surgery and be escorted to the preoperative waiting area.You’ll remove all of your clothing and jewelry, and put on a hospital gown. (Your valuables will be placed in a secure area or may be given to a family member.) You’ll sign any necessary paperwork and a preoperative nurse will take your vital signs, review your medications, and answer any questions.You’ll meet your anesthesiologist and the members of your surgery team. They will mark the location of your surgery on your body. An I.V. (intravenous line) will be placed in your hand or arm, so medications—including general anesthesia—can be administered. If you’re using a different kind of anesthesia, you’ll receive an injection.When it’s time for your surgery, you will be wheeled into the operating suite on a stretcher.

In addition to the surgeon, you have an anesthesiologist, who handles your anesthesia, nurses—some of them specialize in working with patients and others assist the surgeon—and support staff, who get you checked in and out, compile your records, and more. They all work together, performing their individual jobs, so the procedure is as successful as possible.

Anything you’ll need for an overnight stay, including a change of underwear, a sweatshirt, glasses or contacts, headphones, and your medications.

You’ll breathe oxygen through a mask and your team will track your vital signs as the surgery is performed.

Arthroscopy typically takes under an hour.

Most arthroscopic surgery is outpatient, and you will be released within a few hours of the completion of your surgery.

After surgery, you’ll move to the recovery room and, as you start to regain feeling in your body, you’ll receive pain medication. After leaving the recovery room, you’ll be taken to your hospital room where you will be able to see friends or family who came with you.

You’ll be able to talk to your surgeon immediately after your procedure, while you’re in the recovery room.

In most cases, patients receive pain medication immediately following surgery.

You may be prescribed pain medication, anticoagulants, and/or other symptom-reducing medications.

Make sure you’ll have help with everyday tasks, such as cooking, showering, and doing laundry. If you live alone, our associates can help you find a temporary caretaker.

Our associates will help you arrange the postoperative care you’ll need.

Your stitches or staples will likely be removed during your first postoperative appointment with your surgeon, about two weeks after surgery. There will be a scar where the incision was made.

Change your dressing daily, starting two days after you leave the hospital. Don’t scrub the incision area. If you have steri-strips over your incision, they will fall off on their own within about two weeks.You may remove your dressing and shower two days after your surgery if there is no drainage from your incision. Carefully pat the incision dry after your shower and reapply the dressing.For about two weeks, don’t submerge your incision in water by taking a bath or getting in a pool or hot tub. When the incisions are completely healed, feel free to resume those activities.

Depending on the joint you have fused, you may be able to return to work within a few days. Follow your team’s advice on activity after surgery closely.