The female reproductive system is a very complex system. And as with any system, occasionally, things go wrong. When treatments and therapies can't fix an issue, sometimes surgery is required. Surgery to remove a woman's uterus or womb, a major component of this system, is called hysterectomy
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Post hysterectomy instructions
1. Call your surgeon or
health care provider
immediately
or go to your nearest
Emergency Department
if you have any of the
following:
• Your vaginal bleeding
is soaking more than
1 pad an hour
• You have signs of
Infection including
fever greater than
38°c
(100°f) and chills
• You have foul
smelling vaginal
discharge
• Your incisions
have increased
redness,
bleeding and /or
Yellowish-green
fluid draining
• Your incisions open
up
• You feel nauseous or
have more/different
pain than previous
days and cannot
control it with the
medications
You have
• You are unable to
pass urine
• You have new pain
in your calf or
swelling in your
legs
• You have
unexplained
shortness of breath
or chest pain.
• You have a cough
that does not go
away.
Discharge Instructions
Following
Gynecology Surgery
Abdominal Hysterectomy: Your surgeon makes one large cut through
the skin and tissue of the lower abdomen.
Laparoscopic Hysterectomy: Your surgeon makes 3-4 small cuts through
the skin and tissue of the abdomen to remove your uterus.
Vaginal Hysterectomy: Your surgeon makes a cut through the top of
your vagina to remove your uterus.
Vaginal Prolapse Repair: Your surgeon repairs and strengthens the
connective tissue between your vagina and the area of prolapse.
Types of Hysterectomies
Subtotal or Partial Hysterectomy: Surgery to remove the uterus. The
cervix is left in place so you will still need regular PAP tests.
Total Hysterectomy: Surgery to remove both the uterus and cervix. Ask
your surgeon if you still require PAP tests.
Radical Hysterectomy: Surgery to remove the uterus, cervix, and upper
part of the vagina. The ovaries, fallopian tubes, and nearby lymph nodes
may also be removed.
Bilateral Salpingo-oophorectomy: Surgery to remove the ovaries and
fallopian tubes. This may be combined with any of the above surgeries.
Removing the ovaries initiates menopause if you are not already
menopausal.
Recovery
• Recovery is different for every woman and depends on manyfactors.
• Full recovery takes several weeks.
• You may feel more tired than you think you should, but you will
need to rest. You need to take it easy and give your body timeto
heal.
• Mild bleeding for few days following surgery can occur.
OBGYN & SWARAJ MULTISPECIALITY HOSPITAL, BOLANGIR
OBGYN &
SWARAJ MULTISPECIALITY HOSPITAL,
BOLANGIR
2. Follow Up Appointment: What to Expect
Your surgeon will:
• Examine your incision
• Assess your pain and ensure that it is managed
• Review your current medications
• Discuss the need for future tests including PAP smear.
• Assess readiness for strenuous physical activity, sexual intercourse, and return to work.
Going Back to Work
• Ask your surgeon about when you may return to work.
• Ask your surgeon if you need to send forms to his/her office.
• Your surgeon will assess your readiness to return to work and determine if additional recovery time is
required.
Discharge Instructions
Pain
• You might have more discomfort once you are at home.
• Discomfort is due to swelling inside your abdomen as you heal.
• Take pain medication as directed on the package or as prescribed by your health care provider.
• As you continue to recover, your pain should get better day by day, and your need for pain medication
should decrease.
• Optimize your pain medications, gradually reduce the amount you take as your pain gets better.
• A hot water bottle may ease the discomfort. DO NOT use an electric heating blanket or pad.
Activity
• Avoid strenuous activities and sports until you see your surgeon at your follow upappointment.
• DO NOT lift anything over 5kg for 6 weeks after hysterectomy or abdominal surgery.
• Avoid over stretching or reaching.
• Walk every day. Start with short walks and try to increase the distance you walk a little eachday.
• DO NOT over tire yourself, take frequent rest periods.
• You may do light work like washing dishes and cooking. Vacuuming is not light work.
• Being active is important to your recovery.
OBGYN & SWARAJ MULTISPECIALITY HOSPITAL, BOLANGIR
3. Incision and Personal Care
• You will have vaginal bleeding. See your health care provider immediately if your vaginal bleedingis
soaking more than 1 sanitary pad an hour.
• You may shower after surgery without soaking dressings over incision.
• You may bathe in a tub with shallow water 48 hours after surgery. DO NOT soak your incision until
after your stiches are removed or dissolved and your incision is well healed.
• ONCE STITCHES ARE REMOVED
• DO NOT use bath salts or oils, or soak in a hot tub or pool until you are fully recovered and
your incision is completely healed.
• GENTLY clean your incision every day with mild soap and clean water. Pat dry with a clean, soft
towel. And apply any creams or ointments as prescribed.
• DO NOT cover your incision unless it is leaking. Check every day for signs of infection.
• DO NOT rub the incision until after the incision is well healed.
• DO NOT use douches.
Sexual Activity
• Avoid sexual intercourse until you see your surgeon at your follow up appointment.
• Once you resume sexual activity, do not worry about damaging your incision or doing harm toyourself.
Reassure your partner of this.
Diet
• Goals are to eat nutritious foods to help you heal, drink plenty fluids to stay hydrated, and eat and
drink properly in order to avoid constipation.
• You may resume your regular diet.
• Drink 6 to 8 glasses (1 glass = 250 ml) of fluid, preferably water, every day.
Avoid Constipation
• Eat high fiber foods such as whole grains, raw fruits and vegetables, and prunes.
• Take a stool softener or a mild laxative if diet alone is not working for you.
• Speak with your health care provider if constipation remains a problem.
OBGYN & SWARAJ MULTISPECIALITY HOSPITAL, BOLANGIR