St Louis Surgical Consultants
226 South Wood Mills Road,
Suite 49 West
Chesterfield, Mo 63017
Tel: 314 434 1211
Fax: 314 434 4419



Call 911 if you experience:

- Difficulty breathing
- Uncontrollable bleeding
- Debilitating pain


Post-Operative Instructions:

Click on the links below:

Tips for Safer Surgery

Post-Operative Instructions

The following documents will help you better understand what to expect after your surgery, including limitations, pain control, diet, and common issues that may occur, as well as the best way to solve these issues. It is VERY IMPORTANT that you read these instructions prior to surgery and refer to them after your surgery. You will receive instructions when you are discharged from the hospital, but they will not be as detailed as what you find here:

Colon Surgery Hemorrhoidectomy
Rubber band Ligation Anorectal Procedures
Excision of Thrombosed Hemorrhoid(s) (In Office Procedure)

Surgery Specific Information

Our colorectal surgeon is a Fellow in the American Society of Colon and Rectal Surgeons (ASCRS). The ASCRS website offers a wealth of knowledge about specific surgeries, including: videos, anatomy involved, the disease process, & information on the operation itself.

Our general surgeons are Fellows in the American College of Surgery (ACS), whose website also offers a wealth of knowledge about specific surgeries.

ACS Colectomy Brochure Low-Residue Fiber Diet
ACS Colonoscopy "How Fiber Works" Sheet
Hemorrhoid Rectal Hemorrhoidectomy
Abscess Anal Fissure
Anal Fistula Fistulotomy
Rectovaginal Fistula Repair Sphincterotomy
Sphincter Repair Pruritus Ani

For wound care instructions, please see "Wound Care" page

Other Information

MiraLax Bowel Prep Digestive System Diagram
Sitz Bath Instructions "How Fiber Works" Sheet
Low-Residue Fiber Diet Kegel Exercises

"Your Colonoscopy: Is it Screening, Diagnostic or Surveillance?"

It is very important to know what type of colonoscopy you are having preformed. Your insurance company treats the 3 types of colonoscopies - Screening, Diagnostic, and Surveillance - very differently. Most insurance companies cover a screening colonoscopy 100%, but certain criteria MUST be met.

Diagnostic Imaging / Testing

Diagnostic testing is commonly used to diagnose or confirm a diagnosis for the majority of conditions that we treat. If possible, we prefer testing to be completed at St. Luke's Hospital, or its Desloge Outpatient Center, to ensure easy access to well executed studies. If your insurance does not allow this we suggest Metro Imaging.

  • Location of St. Luke's Hospital Radiology Department (314-205-6565): 2nd floor of the main hospital, across from the Emergency Room

  • Location of St. Luke's Desloge Outpatient Center (Building A): Across Highway 141 from the main hospital campus

  • Colonoscopy -

    • The bowel preparation (MiraLax Bowel Prep) is very important, please read the instructions carefully.

    • Please DO NOT EAT or DRINK ANYTHING AFTER MIDNIGHT the night before your colonoscopy.

    • Prescription medications may be taken with a sip of water the morning of the test.

    • You will need to bring someone to drive you home following your surgery. You cannot drive yourself or take a cab home. You should not drive for 24 hours after your procedure.

  • Barium Enema -

    • NO FOOD the day before your scan. You will also need to start your bowel prep (MiraLax Bowel Prep) in order for your exam to be of the greatest value.

    • You may DRINK clear liquids (water, tea, black coffee). NO milk products.

    • Prescription medications may be taken with a sip of water the morning of the test.

    • CT scans - when used to examine your abdomen or pelvis, your doctor orders a clear liquid diet prior to the CT scan so the contrast is more visible and the CT picture is clear.

  • NO FOOD after midnight the night before your scan or 6 hours prior to your scan - whichever is more convenient.

  • You may DRINK clear liquids (water, tea, black coffee, soda). NO milk products.

  • Prescription medications may be taken with a sip of water the morning of surgery.

  • IF oral prep is required for you procedure:

    • You will need to drink ½ of the Barium Sulfate Contrast 2 hours prior to your appointment (given to you by our office)

    • You will need to drink the remaining ½ bottle 1 hour prior to your appointment:

    • Another cup may be given to you before entering the CT scanner.

    Be sure to call our office 4-5 days after any diagnostic imaging / testing to receive the results.


    WHO to Expect In the Operating Room


    WHAT to Expect in the Operating Room

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