Surgery Patients

The majority of our surgeries do not require an overnight hospital stay and are performed as outpatient surgery at Riva Road Surgical Center. We work closely together to provide you with a smooth and safe surgical experience.

After you have scheduled a date for your surgery, you may need preoperative testing such as EKG, labs, and evaluation by your primary care physician or cardiologist in preparation for your procedure. Failure to complete any pre-op testing may result in the cancellation of your surgery.

The prep team will call to review your health history and determine if any additional pre-op testing is required. They will review your medical history, medications, and allergies. This phone interview will take approximately 10 minutes.

Please note that while we schedule the DATE of your surgery, it is the Surgery Center that schedules the TIME of your procedure. The Surgery Center will call between 3-5pm the day before your surgery and give you your arrival time.

Annapolis Hand Center

If you wish to change or cancel your procedure date please call our office and speak to Jessica Russell our surgical coordinator. If you have any questions please email

Our office will obtain any authorization required by your insurance company prior to your procedure. Please be aware that surgical procedures are billed as THREE separate entities. You may receive three separate invoices for the Surgeon, the Facility, and Anesthesia.

Important information in preparation for surgery

  • DO NOT eat or drink anything after midnight the day before
  • Please stop aspirin products or blood thinners 5 days prior to your procedure. This includes Aleve, Ibuprofen, Ecotrin, Celebrex, ALL Arthritis medications, Herbal Supplements, Fish Oil and Vitamin E
  • Patients taking Plavix, Coumadin, Xarelto, Eliquis or Pradaxa need to contact the prescribing doctor to receive instructions about discontinuing and resuming these medications.
  • If you are unsure if your medication is a blood thinner, please contact the prescribing doctor’s office
  • Please arrive at your scheduled time
  • If you are having any type of sedation, you will be required to have a ride home since you will not be able to drive after your procedure due to anesthesia

Important information for after your surgery

  • Resume your previous medications unless you have been instructed otherwise
  • Elevate affected extremity & apply ice on/off for first 24-48 hours near dressing. Do not apply ice directly to skin
  • Move your fingers frequently if not immobilized
  • Keep splint and dressing on until your post op office visit unless indicated in your post op instructions. Carpal Tunnel & Trigger finger surgery patients may remove their dressing in 72 hours
  • Keep dressing clean & dry, cover with plastic bag to bathe
  • DO NOT put any PEROXIDE, OILS or OINTMENTS on the wound
  • You may have numbness or tingling in the operative site and adjacent areas from the local anesthetic which can last up to 24 hrs postoperatively
  • Call the office if you have a temperature above 101.0, increased drainage, unusual redness, or if you experience persistent pain unrelieved with ice, elevation and medication