Your intervention
To make things easier for you during your operation, here is the care pathway at the ICEHG and Clinique ARAGO. It comprises 3 stages: preparation, the operation itself and postoperative discharge.
Surgical consultation
This first consultation is a surgical consultation. It takes place with one of our specialist ICHG surgeons: Drs KERBOULL, SAILHAN or ZILBER.
As each case is unique, we will work with you to address your specific issues: your hipyour kneeor your shoulder. By examining your medical history and antecedents, the specialists will determine the best solution for you.
We'll explain what the operation involves, how it's performed and the immediate and long-term after-effects. We will also tell you about the benefits and risks of the operation.
Useful, detailed fact sheets
To find out more about the various operations carried out at the ICHG in the context of informed consent, please see the explanatory sheets* below.
| Information about UNICOMPARTMENTAL KNEE PROSTHESES CLICK HERE |
| Information about TOTAL KNEE PROSTHESES CLICK HERE |
| Information about TOTAL HIP REPLACEMENTS CLICK HERE |
| Information about REVISION TOTAL KNEE REPLACEMENTS CLICK HERE |
| Information about REVISION TOTAL HIP REPLACEMENTS CLICK HERE |
* Sheets produced by Orthorisq (an organisation accredited by the French National Authority for Health for the accreditation of practitioners and risk management in orthopaedic surgery), the French Society for Orthopaedic Surgery and Traumatology (SO.F.C.O.T), the French Society for Hip and Knee Surgery (SFHG) and the patient association Le Lien.
Deciding to undergo surgery with full awareness, the medical risk
Anaesthetic consultations
The consultation
Once you have decided to undergo surgery and have met the surgeon, you will then meet the anaesthetist. To offer you the best quality of care and to ensure cohesion within our team, surgeons and anaesthetists work in pairs. This means that the same anaesthetist looks after all the patients of the same surgeon.
In addition, the anaesthetist you see in consultation is the one who will put you to sleep on the day of the operation. He or she will also follow you after the operation at the Arago clinic. At the ICHG, we believe that it is more reassuring for you to benefit from a complete follow-up by the same specialist. The anaesthetist will take care of your discharge prescriptions.
It is during this consultation that you and the anaesthetist will decide on the type of anaesthetic (general, epidural, locoregional, etc.).
Pre-operative assessment
In order to make an effective decision, you should bring the results of your pre-operative check-up with you to your consultation.
In general, this assessment comprises three distinct elements:
- Blood
- Cardiological, with ECG (electrocardiogram) and vascular (Doppler) tests
- Dental
You should be aware that, depending on your age or other factors, the anaesthetist may request other specific tests. Don't hesitate to prepare all your questions before the anaesthetic consultation.
Getting ready
Your pre-admission
After your consultation, if the operation is indicated, the medical secretary will put you on the list of operations and inform you of the date of the operation.
She will provide you with a complete file to help you prepare for your hospital stay.
Documents to bring with you
To simplify your admission, remember to prepare :
- Your social security certificate or carte vitale cards and certificates
- X-rays, scans, MRIs, etc.
- Your blood group card and recent blood tests
- Personal linen: nightdress, pyjamas, dressing gown, slippers, gloves and towels, comfortable clothes
- Toiletries kit: soap, toothpaste, shampoo
- A bottle of Betadine® and Physiopack® if necessary
Your room
You can choose the type of room you would like to stay in: double room or single room. The Clinique Arago offers you a choice of three room categories:
- double: with toilet and shower facilities
- single: with private toilet and shower room
- VIP: more spacious and luminous, with toilet, shower room and space for entertaining.
Find out more about these rooms on the Arago Clinic.
We respect your choice as far as possible, depending on the number of patients and the unpredictable nature of certain hospitalisations. If no single room is available on the day of your admission, we will do our utmost to accommodate you the following day.
Recommendations
Preparing for the operation
The day before the operation, the department nurse will explain the protocol for preparing the patient for the operation:
- Two showers with betadine and shampoo
- Hair removal
- Detersion
- Smearing the area.
Please note: before going down to the operating theatre, you must remove your contact lenses, removable dentures and hearing aids, make-up, nail varnish, jewellery and piercings.
It will then tell you the time when you should stop eating or drinking (fasting).
Your personal items
We advise you against bringing valuables and jewellery with you to hospital. However, all rooms are equipped with safes so that you can safely store your personal valuables*.
*The clinic cannot be held responsible for the theft, disappearance or deterioration of any object that has not been deposited in the safe (Law no. 92-644 of 06/07/1992 and decree no. 93-550 of 28/03/1993).
Admission to the Clinique Arago
Your admission :
You will be admitted to 187A rue Raymond Losserand (75014 PARIS) on the date and at the time previously communicated. As soon as you arrive, report to the receptionist. The administrative secretary will help you with the paperwork.
When you are admitted, we will ask you to give us the name, address and telephone number of your GP. We guarantee the confidentiality of personal, medical and social information. If you do not wish your presence to be disclosed, please let us know when you arrive. We will do all we can to protect your anonymity.
You can then choose your room and meals.
Admissions department :
The Admissions Department is available Monday to Friday from 10am to 5pm on 01 44 08 04 00. This department is responsible for your administrative file on admission, throughout your stay and after your discharge. The administrative staff will check that you are covered by Social Security and prepare your bill when you are discharged.
Your stay at the Clinique Arago
Your post-operative care
During your stay, you will receive post-operative care from our multidisciplinary paramedical staff, nurses and nursing assistants. They are present at the Clinique Arago day and night.
Your surgeon will also come and explain how the operation went and check that everything is going well.
Your anaesthetist will make sure that the post-operative period runs smoothly and will take care of your pain management.
Your meals
Menus are prepared differently every day, but if you have any special requirements, the care assistant will take your request into account.
These are served in your room at the following times:
- Breakfast between 7.30 and 8 a.m.
- Lunch between 12 noon and 12.30 p.m.
- Lunch between 2.30 and 3 p.m.
- Dinner from 6 pm
Your return home
The surgeon-anaesthetist team will set your discharge date according to your state of health, and the nurse will inform you of the time. Discharge times are 10 a.m. for double rooms and 1 p.m. for single rooms.
You may leave by private car, taxi, VSL or, more rarely, ambulance, depending on the advice of the surgeon and anaesthetist. If you would like to be picked up by a particular ambulance driver, please let the nurse know.
The nurse will give you
- your X-rays
- your laboratory tests
- your blood group card
- medical prescriptions
The administrative secretary will give you
- a surgical report
- exit letters
- time off work if necessary
- the date of your next appointment with your surgeon
- the transport order if necessary
- your prescriptions
- the invoice from the clinic
- hospitalisation reports
- the cost of practitioners' extra fees
Your transfer to a rehabilitation centre
If you would like to be transferred to a follow-up care and rehabilitation centre, let the medical secretary know when you are pre-admitted. She will then make a pre-booking at the centre of your choice and confirm it a few days before your admission. On the day of your discharge, the hospital secretary will arrange your transfer.
Hospitalisation costs
The procedures carried out by the ICHG are recognised by the French social security system, although it does not reimburse them itself.
However, it is regularly informed, as are the tax authorities.
Before you are admitted to hospital, we will tell you how much your surgeon's and anaesthetist's fees will exceed, which will be paid (along with any additional costs) when you are discharged.
Some mutual insurance companies cover these costs and fees, so check with them.
If you have social insurance cover in France
The only costs you will have to pay are :
- Hotel costs
- Rates vary according to the category of room required (single or double).
- Telephone costs and additional catering (meals, drinks)
- An accompanying bed
- A fixed daily rate and a fixed co-payment not covered by Social Security are charged to all hospitalised patients (law no. 83-25 of 19 January 1983 and decree no. 2006-707 of 19 June 2006), except in the case of an accident at work. The amounts are set by regulation.
- Additional fees for the surgeon and anaesthetist These correspond to the amount of fees charged by the practitioner in addition to the conventional fixed fee paid directly by the health insurance scheme on the basis of the current coding of the surgical procedure performed. The estimate given at the time of the consultation will show this additional fee. You will sign a document stating that you accept these additional fees when you enter the establishment.
Other medical expenses :
Expenses relating to splints, canes, corsets, crutches and compression stockings are then reimbursed by the French Social Security system..
If you are not covered by social security, you will be responsible for these costs.
Don't forget to ask your mutual insurance company!
After consulting the estimate for your operation, your mutual insurance company may be able to pay some or all of these additional fees and other expenses related to your hospitalisation depending on your personal contract.
You will be required to pay all costs at the time of discharge.
SPECIAL CASES
If you do not have French social security cover
If you are a foreign national and an EU national, you must be in possession of a European Health Insurance Card (EHIC).
If you are not covered by Social Security, you will continue to pay the full cost of your hospitalisation.
In this case, we will send you an estimate of all the costs involved. Once the estimate has been accepted, you will be asked to pay the clinic by bank transfer before your admission (and not at the time of your discharge).
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