Question:
What happens if you haven't totaly quit smoking before surgery?

   — Marla B. (posted on April 13, 2002)


April 13, 2002
It is possible that nothing could happen. But worst case scenario is that your lungs are not strong enough and you could 1. have a lung collapse after surgery and wake up with a breathing tube down your throat 2. wake up and realize they couldn't even do the surgery on you because they found that your body wasn't getting enough oxygen while you were under anesthesia 3. end up dying because your lung collapsed or you didn't get enough oxygen. It is really better not to take chances with these things.
   — Jennifer Y.

April 13, 2002
I agree with Jennifer and want to add. When a person chooses to smoke it causes constriction of the blood vessels all over the body and reduces the amount of Oxygen in our blood. Our tissues need extra blood and oxygen to heal. Wound healing and clotting can become an issue. You care enough about yourself to have the surgery Please care about yourself to choose not to smoke. Good luck.... Hubbard
   — Carolyn H.

April 13, 2002
I am 53 years old and smoked 2 1/2 packs a day for 34 years. When I finally decided to get healthy and try to get approval for WLS, I asked my PCP for Welbutrin. I'm on Cigna and I knew it would be hard enough to get approved much less finding a doctor to operate on an old fat lady that smoked. In all my years I really have tried everything even accupuncture....don't let anyone tell you it doesn't hurt...IT DOES. I'm happy to report I have not had a cig since Labor Day of 2001. With the help of Welbutrin I don't even miss smoking (REALLY). Good luck to you, I know it's difficult but remember, when you really, really want WLS you can do it. Sylvia
   — Sylvia A

April 13, 2002
I wuldn't advcate continuing smoking, HOWEWEVER, my surgeon did not even ask about my smking history. I smoked for the past 15 years. On the advice of other WLS patients, I quit smoking for 4 weeks before my surgery, with the help of Wellbutrin. The day of surgery, I was so stressed, I smoked 4 cigarettes on the way to the hospital. Nothing happened, and I have been smoking since then. I do remember that I had to have breathing treatments every 4 hours while I was in the hospital, and I was very honest with my surgeon and my anestesiologist. They both knew I was smoking. NOW, my surgeons attitude has changed and he will not perform any plastic surgery on me until I quit. That has to mean something. Good luck, and my best advice is to quit.
   — enjo4

April 14, 2002
The very first thing listed on my prospective surgeon's list of things to do to prepare for surgery...QUIT SMOKING. So I did. I miss it, I will be honest about that. But I try to remind myself that I don't miss that heavy feeling in my chest every morning when I wake up. Plus, I was diagnosed with sleep apnea in 1998 and most certainly had it for several years before that. Untreated sleep apnea is bad for the heart! I figured I've screwed around long enough here, making excuses not to quit for good. I also figured that quitting smoking is a good indication to my surgeon that I am highly motivated and ready to begin a healthier lifestyle. So many of us talk about giving up our "best friend"...food. Cigarettes were my best friend. Although I miss them from time to time, I have to view it as losing a friend who was a bad influence on me. Have you ever had a friend like that? Maybe in high school? You know the kind...fun to hang out with once in awhile, but often scary in the way they approach life? I figure if we are making a commitment to a healthier life, number one on our list should be to stop smoking. Number two should be drinking more water. Now I'm working on number three: exercise! Good luck to you! - Anna p.s. Sorry if I got preachy here :o
   — Anna L.

April 14, 2002
in the words of my surgeon SURGERY CANCELLED if you have smoked within 2 weeks before surgery. She actually cancelled a surgery on a woman who was already anesthesized because of the readings she got that indicated this woman smoked a day before. Needless to say, this woman was very disappointed and had to get rescheduled from Feb and due to the wait list now has to wait til Jan 2003!! My best advice Don't chance it, quit now while you can....Please Rita
   — vt_rita

April 14, 2002
If you can quit do it now. I couldn't but I smoke the weakest cigarette (carlton). But the good news is I have been smoke free since my surgery in Dec.01 !! Yep, 4 months without smoking. My surgeon never said a word about my smoking. Yes every surgeon wishes all their patients be smoke free but if everyone had to be smoke free these surgeons would be standing around twilling their thumbs! So if you can quit, try to do it now. Hope you got nerves of steel!!!! Best of Luck to You!!!
   — Laura G.

April 14, 2002
I admit, I didn't quit. I tried, and was sucessful for about a month, but went back. I made a small effort by only smoking five a day (and they were ultra-lights). My lame theory was that people have unexpected surgeries all the time, and smoking doesn't kill most of THEM. Well, like I said, it was a lame theory. In anycase, I went through surgery with flying colors and smoker or non-smoker, I'd say there wasn't a doc or nurse in that hospital that was any wiser. HOWEVER, I haven't had a cigarette since that last one the night before my surgery 8 weeks and 3 days ago. Considering cigs just went up to almost $5.50 a pack here, my timing was perfect. :) Do yourself a favor, if you absolutley, ABSOLUTELY can't quit before, cut down significantly (the lesson in self control is worthwhile), and tell yourself you won't smoke at least until you are fully recovered. You may be surprised when your are fully recovered and find you don't miss the cigs. Good luck.
   — PaulaM

April 15, 2002
Like some of the others, I tried to quit smoking pre-op, but wasn't able to. My surgeon never required it of me. I had promised myself that I would at least not smoke the 24 hours prior to the surgery, but between only liquids that day and my nerves, I wound up smoking more than usual. The morning of my surgery, the nurse didn't like the sound of my lungs, and I was required to inhale Preventol (an asthma medication). Apparently, that did the trick, as surgery went ahead as scheduled. I didn't even think about cigarettes while in the hospital, and was hoping to stay off them once I got home, but my Mom, who was staying with me, smokes, and after a few days, I wound up lighting up. Now, at 4 months post-op, I am really beginning to hate cigarettes, and am psyching myself up to quit again (I quit for 6 and a half years after 19 years of smoking, only to start again 2 and a half years ago). If you can quit now - DO IT -but don't beat yourself up if you can't.
   — Cyndie K.




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