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Hysterectomy means removal of the uterus. In this operation the uterus and cervix are removed through an incision in the
abdomen. This surgery leaves the fallopian tubes and ovaries in place.
The ovaries are left behind to prevent premature menopause.
REASONS FOR SURGERY
DIAGNOSTIC TESTS
Preoperative investigations with; dilatation
and curettage of the uterus (D & C).
ANESTHESIA
Usually done through an incision in the lower abdomen,
under General anesthesia
DESCRIPTION OF OPERATION
- An incision is made in the abdomen.
- The abdominal organs are examined.
- The uterus and cervix are cut free and removed.
- The vagina is closed with sutures at its deeper end.
- The surgical wound is closed in layers.
- A catheter may remain in the bladder for several days, to
facilitate drainage.
POSSIBLE COMPLICATIONS
- Excessive bleeding.
- Surgical-wound infection.
- Inadvertent injury to blood supply to the ovaries.
- Inadvertent injury to the bladder or ureters.
AVERAGE HOSPITAL STAY
6 to 8 days.
YOU MUST KNOW
The vagina will be shortened slightly. Of course, this
should cause no lasting problem and will recover in about 6 weeks.
TREATMENT
SELF CARE
- Ignore sutures that fall out of the vagina.
- Bathe and shower as usual. You may wash the incision
gently with mild soap.
MEDICATION
Your doctor may prescribe usual antibiotics and pain
relievers.
ACTIVITY
- Resume normal activity as soon as possible to reduce
postoperative depression, which is common.
- Resume sexual relations when able.
DIET
Clear liquid diet until the gastrointestinal tract
functions again. Then eat a well-balanced, high-protein diet to promote healing.
BE ON ALERT FOR
- Vaginal bleeding that soaks more than 1 pad per hour.
- Signs of infection: headache, muscle aches, dizziness or a
general ill feeling and fever.
- Excessive vaginal discharge persists beyond 1 month after
surgery.
- Abdominal pain or swelling.
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