Day of discharge

Carotid endarterectomy

Draft — pending clinical review

The artery in your neck was opened through a cut on its side and the fatty plaque removed, to lower your risk of a stroke.

About this treatmentAbout the conditionAlso for this procedure: Long term

Today and tonight

This is major surgery on the neck and you will usually have stayed in hospital for a short period before going home. [VERIFY]

Take it easy at home today and tonight. Rest, keep your head and neck comfortable, and avoid straining or heavy exertion. [VERIFY]

Pain and medication

Some neck soreness, stiffness and difficulty turning your head are expected for the first days to weeks. [VERIFY]

Take the pain relief you are sent home with as directed. [VERIFY] Keep taking any blood-thinning or cholesterol medicines exactly as prescribed — these protect against stroke. [VERIFY]

Your dressings & stockings

The neck wound may have a dressing or be left exposed, with dissolvable or removable stitches. [VERIFY]

Keep the wound clean and dry and follow the advice you are given on washing and when the dressing or stitches come off. [VERIFY]

Moving and activity

Walking
Gentle walking around the home is fine and encouraged. [VERIFY]
Driving
Do not drive until you are cleared to — there is a specific waiting period after this operation. [VERIFY the timeframe]
Work
Time off work depends on your job and recovery; discuss this with your surgeon. [VERIFY]
Exercise
Avoid heavy lifting, straining and vigorous exercise until you are advised it is safe. [VERIFY the duration]
Flying
Ask your surgeon before flying — there is usually a waiting period after neck surgery. [VERIFY the timeframe]

When will I be back to normal?

Most people recover over a few weeks. Neck stiffness and numbness around the scar settle gradually. [VERIFY]

What is normal

  • Soreness, stiffness and a pulling feeling in the neck.
  • Numbness or altered sensation around the scar, jaw or earlobe, which usually improves over weeks to months. [VERIFY]
  • Mild bruising and a firm, slightly raised scar that softens and fades over time.
  • A hoarse voice or minor difficulty swallowing that usually settles. [VERIFY]

What is not normal — contact us

Contact the clinic if you notice any of these:

  • The neck wound becoming increasingly swollen, red, hot or leaking.
  • A rapidly enlarging swelling or lump in the neck. [VERIFY]
  • A temperature or feeling unwell.
  • Worsening trouble swallowing, breathing or speaking. [VERIFY]

Emergency — go to hospital now

Call an ambulance or go to the nearest hospital emergency department straight away if you have:

  • Signs of a stroke — face drooping on one side, weakness or numbness in an arm or leg, or slurred or muddled speech. Remember FAST and call emergency services immediately.
  • Sudden loss or blurring of vision in one eye.
  • A rapidly swelling neck, or sudden difficulty breathing.
  • Sudden severe bleeding from the wound that does not stop with pressure.
  • Chest pain, or fainting and collapse.

Your follow-up

You will be given a wound check and review, and told when your next ultrasound scan of the arteries is due. [VERIFY the timing]

Questions?

If anything worries you or you are unsure, it is always better to ask. Message the clinic on WhatsApp.

Contact us