Obstetrics & Gynecology: Hysterectomy
There are three kinds of hysterectomy
Having a hysterectomy
This surgery can be done four different ways. You will want to discuss which surgery your doctor feels is best for you. They are:
To prepare for this surgery, it is important that you know:
This guide tells you the care you can expect before, during, and after your hospital stay. Since no one person is alike, this guide may be changed to fit your special needs. After reading it, please ask your nurse or doctor any questions, or share any feelings you may have about your surgery or medical condition.
Your doctor may order a variety of tests. These tests are usually done before your surgery. The tests will give the doctor information about your general health and they will also be used to compare with tests you may have after surgery.
Tests may include:
If you are taking Aspirin, Coumadin, or other drugs that may thin your blood and affect clotting, they should be stopped three to seven days before your surgery. Your doctor may also tell you to stop taking medicines like Advil®, Motrin®, Aleve®, and Celebrex® two weeks before your surgery. Tell your doctor or nurse about any over-the-counter medicines you are taking such as vitamins, herbs, food supplements, or laxatives. Your doctor can find out if these medicines interact with medicines you may need during surgery. You should discuss any questions or concerns with your doctor or nurse.
You may be told to give yourself an enema to empty your bowel and a betadine douche to help clean the vaginal area.
Do not eat or drink anything after midnight on the night before your surgery. Ask your doctor before taking any medicine on the day of surgery. These medicines include insulin, diabetic pills, high blood pressure pills, or heart pills. Bring a list of your medicines or the pill bottles with you to the hospital. Make sure you get a good night’s sleep.
You should arrive at Miami Valley Hospital two hours before the time of your surgery.
You have the right to understand your health. In words you can understand, you should be told what tests, treatments, or procedures may be done to treat your problem. Your doctor should also tell you about the risks and benefits of each treatment.
You may be asked to sign a consent form. If you are unable to give your consent, someone who has permission can sign this form for you. (A consent form is a legal piece of paper that gives your doctor permission to do certain tests, treatments, or procedures.) This form should tell you exactly what will be done to you. Your doctor should tell you what the risks and benefits of each treatment are before you sign the form. Before giving your consent, make sure all your questions have been answered so that you understand what may happen.
While you are in pre-op holding (before your surgery):
An anesthesiologist (the doctor who will put you to sleep for your surgery) will stop by to talk with you. Anesthesia is medicine to make you comfortable during surgery. You may be awake or completely asleep. You and your doctor will decide which type of anesthesia is best for you.
The different types of anesthesia are:
Also, you may be given medicine about 30 minutes before you go to surgery. It will help you relax and feel sleepy, and it may make your mouth dry. After you have been given your medicine, the side rails on your bed will be raised for your safety. If you need to get out of bed, please call your nurse for help.
You will also have a:
You will spend some time in the Recovery Room (PACU) before you go to your hospital room.
Later that day you will be given ice chips and something to drink if you are not sick to your stomach.
You will still have your IV.
You may have a tube (Foley catheter) in your bladder to drain your urine. It may be taken out the evening of surgery or the next morning. After the tube is taken out, your nurse will keep track of your urine each time you go to the bathroom.
Your nurse will often ask you about the amount of pain you may be feeling. The nurse will ask you to rate your pain on a scale of 1 to 10 with 10 being the worst. Rating your pain helps make sure that you are getting enough medicine to relieve your pain. This medicine may be given as a shot, by mouth, or through your IV or epidural catheter in your back. Tell your nurse if the pain does not go away or comes back. A special pump may be used that allows you to push a button and give yourself the medicine through your IV or the epidural catheter. This is called patient controlled analgesia (ah-null-g-z-uh) and is set up so you cannot accidentally give yourself too much medicine. You will receive only the amount of medicine you need for the day, as directed by your doctor.
If you have an upset stomach (nausea) you will be given medicine to lessen or stop your nausea.
It is important to keep your lungs healthy after surgery. When you lie in bed after surgery it can cause you to breathe shallow. Shallow breathing can make mucus collect in your lungs and can give you an infection. This is why it is so important to cough and deep breathe after your surgery. It will help keep your lungs clear and help keep you from getting pneumonia. It is best to cough and deep breathe at least every one to two hours. To help you do this, you will be given an incentive spirometer. A video showing how to use an incentive spirometer is shown three times a day on our Patient Education TV, Channel 5. If you put a blanket or pillow against your incision when you deep breathe and cough it will help lessen the pain.
Because smoking can cause lung problems, we encourage you not to smoke before your surgery and during your recovery. We also ask you not to go to the smoking area during your hospital stay. If you would like Nicotine Replacement Therapy, please ask your nurse or doctor.
To help prevent blood clots you will be shown how to do leg exercises. Making circles with your feet, pushing your legs into the bed and tightening and relaxing your leg muscles will also help blood flow. You may also wear stocking on your legs; these will also help to prevent blood clots.
Our staff will help you get out of bed the evening of your surgery.
The first day after your surgery:
You will begin to eat a regular diet.
Our staff will help you get out of bed and sit in a chair. You will also be encouraged to walk. Doing these activities several times a day will improve your blood flow and help keep blood clots from forming.
Your IV will be taken out and your pain medicine will be changed to pills that you will take by mouth.
The tube (Foley catheter) that drains the urine from your bladder will be taken out, if it was not taken out the night before.
You may be allowed to go home.
When you go home:
Your nurse will give you instructions on how to take care of your incision, if you have one; what activities you may do; and any medicines you will need to take.
Your doctor will give you a prescription for pain medicine. It is important that you get this from the drug store the day you go home.
Vaginal discharge is normal after surgery. It should slow down and stop in about two to four weeks.
When you get home and feel able, you may slowly increase your activity. But do not do anything hard such as housework, sweeping, or exercising. You may go up and down stairs. If you work outside of your home, your doctor will tell you at your follow-up appointment when you may go back to work.
Your follow-up appointment will be about 4 to 6 weeks after you are home. But, you will be seen sooner if needed.
Feelings you may have after your surgery:
Since you no longer have your uterus, you will no longer be able to have children. Also, you will no longer have monthly periods. If you do not have your ovaries removed then you will keep making female hormones and will have menopause (change of life) at your normal time. If your ovaries are removed you may feel symptoms of menopause, such as hot flashes, vaginal dryness or mood changes. Talk to your doctor about hormone medicines that will help you as you go through menopause.
Sexual feelings should not change because of this surgery. You should not have sex or douche vaginally until your doctor tells you that your body is healed. Also, talk to your doctor about any concerns you may have about sex.
Accepting that you have had a hysterectomy may be hard. You may have the following feelings; anger, fear, nervousness or anxiety, frustration or depression. These feelings are normal. It will help you to share these feelings with your loved ones, friends, nurse, and doctor. They can help you to deal with these feelings as you get well.
It is unusual to have problems after you go home, but you should call your doctor if you have any of the following:
Your comfort and trust are very important to our staff at Miami Valley Hospital. We welcome your questions and hope that you will let us know if we can serve you further.
If you would like more information on your surgery or health condition please call the Craig Memorial Library at Miami Valley Hospital (937) 208-2612. They will locate the information you are looking for and send it to you at no charge.