Dr Tan-Gore will excise the lesion with an appropriate margin under General Anaesthetic

GENERAL ANAESTHESIA: An Anaesthetist will give you a series of intravenous and inhaled anaesthetic so that you will be asleep during the procedure. This is performed in Hospital

Whilst you are asleep, she will mark the lesion and inject a long-acting Local Anaesthetic

LOCAL ANAESTHETIC: Administered via an injection into the area to make it numb

The lesion will be sent for HISTOPATHOLOGY – this will determine what the lesion is and if the lesion has been completely removed

Depending on the location and the size of the lesion, it may be closed primarily (sutures) or require a graft

Occasionally, the lesion may need further excision if the margins are close or involved. This will require further surgery under Local or General Anaesthetic

Bleeding: Simple bleeding is managed with pressure. Complex bleeding may require further intervention

Infection: Initially treated with oral or IV antibiotics. May require drainage if severe

Scarring:  Any surgery requiring a cut will cause scarring. This may require massage to reduce 

Injury to surround structures: If the lesion is close to an important anatomical structure, Dr Tan-Gore will inform you of this and of the specific risks:

Need for further surgery: In the event of an incomplete excision. This may be done under Local or General Anaesthesia. 

During your Consultation with Dr Tan-Gore, you will receive information regarding:

• Your procedure, hospital and date of surgery including expected length of stay

• The reason for your procedure

• The risks of the procedure, as part of the Informed Consent process

• How long your procedure will take

• Any further investigations or tests that are required before surgery

• Your post-operative course, e.g. how much time off work, how long before you can resume exercise

As part of the booking process, Dr Tan-Gore will complete a Booking Form for the Hospital and a Consent Form.

After this, you can choose to complete your Booking Details by either:

1. Completing the form in paper form and submitting it to the hospital, or

2. Online:

•                 Lake Macquarie Private Hospital:  lakemacquarieprivate.com. “Online Admissons”

•                 Lingard Private Hospital: lingardprivate.com.au. “Online Admission Form”

The Hospital will contact you a few days before your surgery date to advise you of your arrival time, fasting time and any other relevant information to help you prepare for your stay.

The Anaesthetist will contact you to assess your fitness for surgery.

The Anaesthetist will advise you of their fees based on the type of surgery you are having.

This process is separate from Dr Tan-Gore’s practice at H+ Consulting Suites.

After your Consultation with Dr Tan-Gore, you will receive a Fee Estimate. This will include an itemised invoice, estimated Rebate and estimated Out-of-Pocket Cost.

Payment of the total amount is required before your procedure date. Once you receive your receipt, you will need to lodge a claim with:

• Medicare: for your Medicare Rebate

• Your Health Fund: For your Health Fund Rebate

Your ‘Out-of-Pocket’ amount is the difference between your ‘Total Amount’ and the Rebates that you receive.

Your Fee Estimate contains only an estimate of your rebate and the actual amount from Medicare and your Health Fund may vary.

Please be advised that there may be adjustments to your Fee Estimate if Dr Tan-Gore determines that it is in your best interests during surgery. She will have advised you of this during the Consent process.

Please be advised that Dental Procedures do not attract a Medicare Rebate, and some Dental Procedure do not attract Health Fund Rebate.

Once you have received your Fee Estimate, Dr Tan-Gore advises that you contact your Health Fund to determine your level of cover.

Once you are discharged home, it is important that you gradually return a good level of function. How long this takes may depend on your type of surgery, pre-surgical level of fitness/function and is variable between patients

Wound Care

Unless otherwise directed, do not cover your wounds with a dressing

The Local Anaesthetic will wear off within 8 hours. If you have a reaction to the Local Anaesthetic (rash, itching, difficulty breathing), please attend the Emergency Department at the John Hunter Hospital (Public) or the Lake Macquarie Private Hospital (Private) for assessment and management

Dr Tan-Gore advises that you start simple anaesthesia (Paracetamol) when you get home. Regular simple analgesia with Paracetamol and Ibuprofen will be sufficient for most cases.  A script will be provided if stronger analgesia is required.

If bleeding occurs, use the gauze provided to apply direct pressure for 30minutes

If bleeding continues, please email: info@dreileentangore.com.au.  Dr Tan-Gore will get back to you as soon as she is able

For Intraoral Wounds:

No hot food or drink for 6 hrs

No cold food or drink for 6 hrs

Sutures are dissolving and should do so within 1-2 weeks. Occasionally, the sutures require removal by Dr Tan-Gore or your General Practitioner

For Skin Wounds:

Keep dry for 72 hours. After this, you can wash the area gently and dry thoroughly

Do not immerse the area underwater for 2 weeks

Protect the area from the sun with a chemical barrier (sunscreen, zinc) or a physical barrier (hat, dressing)

Do not cover the wound after the initial period – doing so can cause moisture underneath a dressing which can lead to poor wound healing and infection

After your review with Dr Tan-Gore, she will advise massage to improve the appearance of the scar

For Skin Grafts:

Keep the dressing dry until your review

Avoid direct sun exposure

If you have any questions, please email: info@dreileentangore.com.au and Dr Tan-Gore will respond when she is able.

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