The disadvantages of Hysterectomy involves risk associated with abdominal hysterectomy surgery. Premature menopause associated with long-term health risks which may include premature death, osteoporosis, cardiovascular disease, neurologic disease and so on. Side lying is also a useful position for shifting gas after hysterectomy. After a hysterectomy lying on your side can cause discomfort owing to the effect of gravity stretching the abdominal and pelvic tissues towards the mattress.
Post-op restrictions. Restrictions on showering, swimming, sex, exercise, bending, and lifting will affect your daily life for about weeks. You will be unable to drive while you are on pain medication and likely unable to sit comfortably.
Activities should be limited for weeks after surgery including most housework. It is important that you do not do any heavy work for 6 weeks or heavy lifting for 8 weeks after surgery this includes vacuuming and sweeping.
As a general rule, if it hurts do not do it! When the ligaments are severed to remove the uterus, the spine compresses causing the rib cage to gradually fall toward the hip bones and the hip bones to widen.
This causes a shortened, thickened midsection, protruding belly, and loss of the curve in the lower back, giving the appearance of a flat derriere. Good LucK. They tell you you can't vacuum or scrub or do laundry or bend at the waist I mean what housewife can go for 6 weeks without doing these things?
Did they do that to you back then? I am also having bladder repair, and not sure about ovaries until test tomorrow Next Question. Have an Answer? Notify me of new activity on this question. Join this community. You are reading content posted in the Hysterectomy Community Ask a question.
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Quick Links Hysterectomy What is a hysterectomy? Why is a hysterectomy performed? What are the alternatives to this treatment? How is this done? What are the risks of undergoing this procedure? What is a hysterectomy? There are three ways to remove the uterus: Vaginal hysterectomy —the removal of uterus and closing of the wound is performed through the vagina.
There is no cut in the abdomen. Laparoscopic hysterectomy —about four small keyhole cuts are made in the abdomen to divide the attachments of uterus, ovaries and tubes in the pelvis.
The uterus is usually then removed through the vagina. Abdominal hysterectomy —the uterus is removed through a cut in the lower abdomen. The cut is about 15—20 cm in length and runs across your abdomen, usually below the bikini line. Less commonly, it may be necessary to have a cut that runs from the belly button down to the pubic area. Specific risks to be aware of in relation to vaginal hysterectomy, laparoscopic hysterectomy and abdominal hysterectomy include: Severe bleeding from large blood vessels around the uterus or top of vagina.
This is not common. Emergency surgery may be required to repair the damaged blood vessels, or a blood transfusion may be required to replace blood loss. A vaginal pack may also be used to control the bleeding. Infection in the operation site, pelvis or urinary tract. Treatment may include antibiotics. Nearby organs such as the ureter tube leading from kidney to bladder , bladder or bowel may be injured—expected to happen to approximately one in every women.
Further surgery will be needed to repair the injuries. For bladder injuries, a catheter may be put into the bladder to drain the urine away until the bladder is healed. For ureter injury, a plastic tube stent is placed in the ureter for some weeks. If the bowel is injured, part of the bowel may be removed with a possibility of a temporary or permanent colostomy bag on the abdomen to collect faeces.
The bowel may not work after the operation; this is usually temporary. Treatment may include a drip to give fluids into the vein and no food or fluids by mouth. Rarely, a connection fistula may develop between the bladder and the vagina. This causes uncontrollable leakage of urine into the vagina and requires further corrective surgery. A change in the sensory nerves of the bladder and bowel.
Constipation and bladder problems may occur. Psychological changes may occur after surgery. Feelings of depression and anxiety can be prolonged after surgery.
Counselling may be of some benefit. Specific risks to be aware of in relation to laparoscopic hysterectomy and abdominal hysterectomy wounds: Bleeding into the wound internally from surrounding blood vessels. A drain may be required to drain fluid from the wound and antibiotics may also be required. The layers of the wound may not heal well and the wound may open up.
An infection may involve ongoing wound care with dressings and antibiotics. The scar can be thickened, red and may be painful. This can be disfiguring and may be permanent.
Numbness under or around the wound is relatively common and, while it normally resolves, it may be permanent. General risks during all operations: Small areas of the lungs may collapse, increasing the risk of chest infection.
This may require antibiotics and physiotherapy. Clots in the legs with pain and swelling. Rarely, part of this clot may break off and go to the lungs which can be fatal. A heart attack because of strain on the heart or a stroke.
Extremely rarely, death is a possibility in anyone undergoing an operation. Chronic abdominal pain related to internal scarring adhesions. Some women have an increased risk of complications: Women who are very overweight may have an increased wound infection, chest infection, heart and lung complications and blood clots.
Smokers have an increased risk of wound and chest infections, heart and lung complications and blood clots. Procedure planning day When you had your appointments with your specialist, the case manager and the preadmission clinic, planning for your surgery began, including: an explanation of your surgery signing the consent form booking the date of your surgery estimation of the day you will be going home booking your post-operative six week follow-up appointment, or phone call the provision of information regarding your pre-operative physiotherapy appointment discussion of your patient information booklet and its contents.
Below is a summary of your procedure plan and follow-up appointments: Preoperative planning Date of surgery Date of admission if different to surgery date Expected length of hospital stay laparoscopic or vaginal hysterectomy is two days. Abdominal hysterectomy is three days Estimated date of discharge Surgeon Anaesthetist Case manager Pre-operative physiotherapy appointment Postoperative consultations Specialist follow-up appointment your specialist follow-up appointment is made in advance to guarantee you a booking time.
As rescheduling is difficult we wish to suggest requests for rescheduling is limited to medical requests and unforeseen circumstances Abdominal hysterectomy postoperative appointment Vaginal hysterectomy postoperative appointment Laparoscopic hysterectomy post-operative appointment Allied health follow-up appointments.
Things to do before you come to hospital It is important for you to have all the tests ordered at your outpatient clinic appointment completed prior to coming to hospital. Please bring X-rays, any ECG reports and all your blood test results with you to hospital, along with your medications.
Your medications need to be in their labelled containers or Webster pack. If you are taking any blood thinning or arthritis medications please follow the instructions provided by your preadmission nurse or pharmacist, as sometimes it is important that these medications be stopped in preparation for your surgery. You should continue your regular medications, unless advised otherwise.
If you are a smoker it is also important for you to stop smoking. It is important for you to be familiar with, and start practising, your breathing and leg exercises, which you will need to commence once you have woken up from your operation, and getting in and out of bed.
You may be required to have a bowel preparation, which will empty your bowel prior to the surgery. If this is required, you should only have fluids clear soups, jellies, cordials, juices or similar drinks in the 24 hours prior to the surgery. The bowel preparation medication should be taken as prescribed. In some circumstances your surgery may need to be rescheduled or cancelled. If you are feeling unwell or have developed an illness we advise you to make an appointment with your GP who can then inform you if you are well enough to have surgery.
If your surgery needs to be rescheduled or cancelled due to advice from a medical practitioner or unforseen personal circumstances please notify Bookings at Mater Health Services on telephone 07 as soon as possible and provide them with your name, the reason for the cancellation and if you require the surgery to be rescheduled. You should stop eating and drinking at the following times on the day of your surgery unless otherwise notified At midnight if your procedure is in the morning At 6 am if your procedure is in the afternoon.
You will need to shower and dress into clean clothes prior to coming into hospital. While showering it is important to include cleaning your naval area well. No skin products such as deodorant, perfume, body lotion or powder are to be used following your shower. It is important that you do not shave your operation site as this increases the risk of wound infection.
Please remove all body jewellery. As Mater is unable to accept liability for losses it is highly recommended that you leave your valuables at home for safety and security purposes. Please bring essential items only. While Mater does not take responsibility for your personal belongings our Security Office will hold any lost property that is handed in.
The day of your surgery Before your surgery You will be admitted to hospital and prepared for surgery in the Day Procedure Unit, Level 5, Mater Adult Hospital, unless otherwise arranged.
The assessment form completed at the preadmission service will be reviewed and your health team will plan for your individualised care while in hospital, discuss any concern you may have and support you may require after discharge.
If any changes to your circumstances have occurred since the preadmission interview, please notify your nurse. Your nurse will also check that your consent form has been signed, or organise for it to be signed, before your operation.
It is an infection control requirement at Mater that you will be required to have swabs taken if you have transferred from, or worked at, another health care facility or you have had previous resistant infections.
This is usually identified, and attended to, at the preadmission clinic. Your admission nurse will check if these three swabs have been taken and will complete the test if there are further swabs required. The medications you brought to hospital will be collected. Please remember to ask for these to be returned to you when you leave the hospital. Please inform the nurse admitting you if you have been taking any blood thinning, arthritis medication or aspirin prior to your admission, as these may have needed to be stopped before your operation day.
It is usual for you to continue taking your other prescribed medications. You may walk as much as you like up until two hours prior to your surgery. Please notify staff if you leave the ward.
You will have an identification armband applied. This will stay on for the duration of your stay for identification and safety reasons. If you have any known allergies, you will have an allergy armband applied.
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