Preoperative Instructions

The time of your procedure may change. If your scheduled time changes, the facility will contact you and let you know what your new time is and when to arrive. PLEASE PLAN TO BE AVAILABLE FOR SURGERY AT ANY TIME THAT DAY

Clearance

• You may require an electrocardiogram (EKG) prior to your procedure. The EKG can be done with your primary care provider, cardiologist or at the hospital. You are responsible for getting the EKG done prior to your procedure or your procedure may be cancelled. The EKG is typically valid for 6 months.
• If you were instructed to obtain blood work, chest x-ray or medical or cardiac clearance, please contact your primary care provider to make arrangements.
• If you are diabetic, please notify the surgical scheduler.

Clothing

• Please wear comfortable, loose fitting clothing the day of surgery.
• Leave jewelry and valuables at home.

Diet

• Do not eat or drink anything (including water) after 12:00 midnight prior to surgery. This includes water, coffee, gum and candy. Medications for heart disease, high blood pressure and asthma should be taken with a tiny sip of water.

Medications

• If you are on any blood thinners such as Eliquis (apixiban), Pradaxa (dabigatran), Xeralto (rivaroxaban), or warfarin (Coumadin), notify the surgery scheduler. You will need a plan from your prescribing doctor when to stop these medications before surgery and when to restart.

Stop one week before surgery:

• Aspirin or aspirin-like compounds NSAIDS such as ibuprofen, Advil, Nuprin, Motrin, Bufferin, Celebrex, Anacin Vitamin E, multivitamin and fish oil.

• GLPD-1 agonist injections such as Weygovy, Rybelsus, Ozempic (semiglutide), Trulicity (dulaglutide), Byetta, BCise, Bydureon (exenatide), Zepbound, Victoza, Saxenda (litaglutide), Mounjaro (tirzapatide), Lixisenatide (Adlyxin)

Stop 4 days before surgery:

• SGLT-2 inhibitors such as Steglatro (ertugliflozin)
• Medications for erectile dysfunction such as Cialis (Tadalafil), Levitra (Vardenafil), Stendra (Avanafil)

Stop 3 days before surgery:

• SGLT-2 inhibitors such as Invokana (canagliflozin), Farxiga (dapagliflozin), Jardiance (empagliflozin)

Stop 2 days before surgery:

• Viagra (Sildenafil)

Do not take the morning surgery:

• GLPD-1 agonist medication by mouth such as Rybelsus (semiglutide)
• You may continue Tylenol (acetaminophen) through surgery.

Transportation

• A responsible adult (18 years and older) will need to provide transportation after your procedure.
• Surgical facilities do not permit patients to take taxis or any other public transportation after procedures.

Insurance

• Please contact your insurance company directly for any questions regarding coverage or payment. Our office will obtain preauthorization from your insurance company; however, preauthorization is not a guarantee of coverage or payment. It is your responsibility to determine if you have coverage.

Surgery Locations

Inova Loudoun Ambulatory Surgery Center
44035 Riverside Parkway, Suite 200
Leesburg, VA 20176
Phone: (571) 209-6465
www.loudounsc.com
Please register on the website

Inova Loudoun Hospital Center
44045 Riverside Parkway
Leesburg, VA 20176
Preoperative Department
Phone: (703) 858-6768
www.inova.org

Reston Hospital Center
1850 Town Center Parkway
Reston, VA 20190
Preoperative Department
Phone: (703) 689-9005
www.restonhospital.com

Reston Surgical Center
1860 Town Center Drive, Suite G 100
Reston, VA 20190
Phone: (703) 639-3100
www.onemedicalpassport.com

StoneSprings Hospital Center
24430 Stone Springs Blvd
Dulles, VA 20166
Preoperative Department
Phone: (571) 349-4640