Tips for Skin Preparation for Total Knee Replacement Surgery by Dr Sanjiv Rampal, Orthopaedic Consultant Kuala Lumpur

Tip Penjagaan Kulit Untuk Persediaan Pembedahan Penggantian Lutut Keseluruhan (Implan Lutut) oleh Dr. Sanjiv Rampal, Pakar Tulang/Ortopedik, Kuala Lumpur

Dr Sanjiv, Do I have to shave my hair around the knee before the operation?
Can I have the operation if I have a skin Eczema patch flair-up over the Operation Site?

Dr Sanjiv, perlukah saya mencukur bulu pada tempat yang akan dibedah? Sekiranya saya mengalami ekzema, bolehkah pembedahan implan lutut dilakukan?

Total knee replacement is a significant operation of the knee that is safe and adds quality of life in healthy adults. The standard cases would need roughly 2-3 days of hospital admission in the Malaysian healthcare setup.

Proses Penggantian Lutut Keseluruhan / Implan lutut merupakan kaedah yang selamat dan berkesan untuk menyelesaikan masalah sakit lutut yang dialami oleh pesakit. Pembedahan implan kebiasaanya memerlukan pesakit untuk tinggal 2-3 hari di wad dibawah kendalian pihak hospital.

Skincare and health are of utmost importance to minimize complications of flares and inflammation. Hair trimming will be done immediately before the operation and hence does not require any preparation beforehand by patients.

Penjagaan kulit amat penting untuk mengurangkan risiko komplikasi selepas pembedahan. Sebelum menjalani operasi pembedahan, pihak hospital akan menolong pesakit untuk mencukur bulu di tempat yang akan dibedah.

Skin health and absence of inflammation, redness, swelling, skin blebs, skin dryness and traces of abrasion/blood stain over the intended operation knee will need special attention by your health care provider. It would be recommended to inform the surgical team members as soon as possible to minimize complications. Skin changes, especially in patients with a history of allergies, are relatively rare but would need reporting if present. Certain centers practice using low-dose chlorhexidine (a common chemical antiseptic)-infused soap baths the night before surgery.

Sekiranya pesakit mendapati kulit mereka mengalami jangkitan kuman, pendarahan atau kemerah-merahan / radang di tempat yang berhampiran dengan lutut yang akan dibedah, amat penting untuk pesakit memaklumkan kepada doktor atau staf hospital dengan kadar segera sebelum pembedahan bagi mengurangkan risiko komplikasi. Selain itu, maklumkan kepada pihak hospital sekiranya pesakit mengalami alahan ubat atau sebagainya. Terdapat beberapa hospital yang mengamalkan rendaman antiseptik sehari sebelum pembedahan dilakukan bagi mengurangkan risiko jangkitan.

Everyday skin moisturizer and creams can be applied days before the operation, only when the patient has used it for some time. Shaving the area around the operation site is unnecessary as it would increase the chances of minor cuts or skin breaks.

Pesakit dibenarkan menggunakan krim pelembap yang kebiasaanya mereka gunakan sebelum pembedahan. Pesakit tidak perlu untuk mencukur bulu di rumah untuk menghindari kulit terluka akibat pisau cukur.

In summary, no need to shave the op-site area at home. Do continue common skin moisturizer. Inform the team if there is a skin flare-up or redness, especially around the knee area before the op. Do not self-treat skin conditions, especially near the operation date with any form of antibiotic or steroid.

Secara ringkas, pesakit tidak perlu membuat persediaan apa-apa dirumah selain dari memakai pelembap yang sering digunakan. Maklumkan kepada pihak hospital sekiranya terdapat tanda-tanda radang pada kulit yang akan dibedah. Pesakit dinasihati untuk tidak merawat radang kulit menggunakan krim antibiotik atau steroid tanpa nasihat doktor terlebih dalulu.

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