GUIDELINES FOR PATIENTS TRAVELLING TO SOUTH AFRICA
Visit home doctor for a general check-up and discuss the proposed operation. Also
discuss vaccination requirements, deep vein thrombosis risks, and malaria prophylaxis
if visiting Northeast game parks. Haemoglobin and blood pressure should be checked,
plus an ECG if aged over 50. A list of present medication and any allergies to be
obtained. Sufficient medication for the entire stay should be brought.
- Weight loss is recommended if present mass is more than 10% above normal for age and height.
- Stop hormone replacement therapy and oral contraceptives at least 1 month before flying.
- Reduce or stop smoking.
Take NO aspirin nor aspirin-containing medication NOR any patent or homeopathic remedies for two
weeks prior to surgery.
If intending to have an abdominoplasty (tummy tuck) an injection of CLEXANE is suggested 4
hours before flying, and repeated 24hrs later. If possible, wear T.E.D. anti-embolism stockings
on the flight. All patients should drink plenty of water, and avoid alcohol and sleeping tablets.
Leg exercises and walking should be done during the flight.
- Full comprehensive travel insurance is highly recommended.
Patients should arrive in South Africa at least 3 days before the proposed operation, to give
time for initial consultation and assessment. Frequent and adequate exercise is emphasised.
Suggested duration of stay:
Minor Surgery: e.g. Eyelids and liposuction 7-10 days
Major surgery: e.g. Breast operations and Facelift 10-14 days
Abdominoplasty; 14-21 days
Long periods in a bus or car following surgery are to be strongly avoided.
Anti DVT precautions are recommended on the return flight and can be discussed with the surgeon.
10 February 2003