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To protect you, your family and the staff of RNOH Private Care, we now have the facilities to offer video consultations. Your consultant will tell you if your appointment is to be carried out in this way and their practice secretary will provide you with all of the information you need to do this.

If you are asked to attend RNOH Private Care outpatient centre for your appointment, please ensure that you read the information below and follow any social distancing instructions when you arrive at the hospital:

CORONAVIRUS INFORMATION

If you have symptoms of coronavirus infection (COVID-19), however mild, do not leave your home for 7 days from when your symptoms started. The symptoms are:

  • new continuous cough and/or
  • high temperature

You do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days, contact NHS 111 online. If you have no internet access, call NHS 111. For a medical emergency dial 999. You can find the latest information and advice at www.gov.uk/coronavirus.

Do: 

  • wash your hands with soap and water often – alcohol gel is effective against respiratory viruses
  • cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
  • put used tissues in the bin immediately
  • try to avoid close contact with people who are unwell

Don't

  • touch your eyes, nose or mouth if your hands are not clean

A diagnostic arthroscopy is a keyhole operation that is performed under a general anaesthetic. It is used to directly look at the structures within the shoulder joint in order to establish a diagnosis and plan further treatment.

More Information

Once under anaesthetic your shoulder will be moved through a range of positions to check for any signs of laxity or stiffness.

Your surgeon will then make a 1cm incision at the back of your shoulder and place a narrow metal tube (an arthroscope) attached to a camera into your shoulder, to look at the bones and soft tissues of the shoulder joint. Further small incisions may be made to inspect the joint from the front and to pass a probe into the joint to check that structures are firmly attached.

The incisions will be closed using dissolvable sutures and dressings placed over the wounds. The dressings can be removed within 10-12 days. They are splash proof rather than fully water-proof and therefore, try to avoid getting the dressing too wet before it is removed.

You will be transferred to the recovery room where you will be closely monitored as the effects of the general anaesthetic wears off. Once it is safe to do so, you will be transferred back to the ward where you will need to be observed for a further couple of hours.

Once the anaesthetic has fully worn off you will be encouraged to get up and mobilise. This will help prevent the risk of any post-operative complications.

There are no movement restrictions after the diagnostic arthroscopy. Initially you may feel some discomfort in the shoulder, which should resolve in a couple of days.

 
  • Sickness/nausea, heart problems, breathing problems and nervous system problems - relating to the anaesthetic
  • Infection – All possible precautions are taken to avoid infection during your operation. Your skin is thoroughly cleaned with a disinfectant solution and all clinical staff wear masks, sterile gowns and gloves throughout the procedure. If a superficial skin infection develops post- operatively it is treated with oral antibiotics

Deep Vein Thrombosis (DVT) – A DVT is a blood clot in the deep veins of the calf or thigh. To reduce the risk of developing a DVT and to help with your circulation you will be given stockings and will be fitted with special inflatable pads to wear around your legs whilst in bed. These inflate automatically and provide pressure at regular intervals, thereby increasing blood circulation in your legs. You may require blood thinning medication which will be decided by your surgeon depending on your individual risk factors. The physiotherapist and nursing staff will show you how to exercise your legs and ensure that you start to move about quickly after your operation. If a clot develops and part of it breaks away, it can travel to the lungs where it is called a Pulmonary Embolus (PE). A PE is potentially life threatening and so everything is done to prevent a DVT from developing. We ask you to help avoid this complication by wearing your stockings at all times while you are in hospital except when you are bathing.

  • • Stiffness – There may be some stiffness in your shoulder after the surgery which will reduce as you begin to use and move your arm.
  • • Nerve/blood vessel damage around the shoulder- The risk of this is less than 1%. If it happens, we will investigate it carefully and take appropriate action to restore function.

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