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    Hysterectomy - laparoscopic - discharge

    Supracervical hysterectomy - discharge; Removal of the uterus - discharge; Laparoscopic hysterectomy - discharge; Total laparoscopic hysterectomy - discharge; TLH - discharge; Laparoscopic supracervical hysterectomy - discharge

    While you were in the hospital, you had surgery to remove your uterus. This is called a hysterectomy. The surgeon made 3 - 5 small cuts in your belly. A laparoscope (a thin tube with a small camera on it) and other small surgical tools were inserted through those cuts.

    Part or all of your uterus was removed. Your fallopian tubes or ovaries may have also been taken out.

    You probably spent 1 day in the hospital.

    What to Expect at Home

    It usually takes 2 - 6 weeks to recover fully. You may get tired easily during this time. You may not feel like eating much.

    If you had good sexual function before the surgery, you should continue to have good sexual function after you have completely healed. If you had problems with severe bleeding before your hysterectomy, sexual function often improves after surgery. If you have a decrease in your sexual function after your hysterectomy, talk with your health care provider about possible causes and treatments.

    Activity

    Start walking after surgery. Begin your everyday activities as soon as you feel up to it. Do NOT jog, do sit-ups, or play sports until you have checked with your doctor.

    Move around the house, shower, and use the stairs at home during the first week. If it hurts when you do something, stop doing that activity.

    Ask your doctor about driving. You may be able to drive after 2 or 3 days if you are not taking narcotic pain drugs.

    You may lift 10 pounds (about the weight of a gallon of milk) or less. Do NOT do any heavy lifting or straining for the first 3 weeks. You may be able to go back to a desk job within a couple of weeks. But, you may still get tired more easily at this time.

    Do NOT put anything into your vagina for the first 8 - 12 weeks. This includes douching and tampons.

    Do NOT have sexual intercourse for at least 12 weeks, and only after your doctor says it is okay. Resuming intercourse sooner than that could lead to complications.

    Wound Care

    If sutures (stitches), staples, or glue were used to close your skin, you may remove your wound dressings (bandages) and take a shower the day after surgery.

    If tape strips were used to close your skin, cover the wounds with plastic wrap before showering for the first week. Do NOT try to wash the tape strips off. They should fall off on their own in about a week. If they are still in place after 10 days, remove them unless your doctor tells you not to.

    Do NOT go swimming or soak in a bathtub or hot tub until your doctor tells you it is okay.

    Self-care

    Try eating smaller meals than normal. Eat healthy snacks in between meals. Eat plenty of fruits and vegetables and drink at least 8 cups of water a day to keep from getting constipated.

    When to Call the Doctor

    Call your doctor or nurse if:

    • You have a fever above 100.5 °F.
    • Your surgical wound is bleeding, is red and warm to touch, or has thick, yellow, or green drainage.
    • Your pain medicine is not helping your pain.
    • It is hard to breathe.
    • You have a cough that does not go away.
    • You cannot drink or eat.
    • You have nausea or vomiting.
    • You are unable to pass any gas or have a bowel movement.
    • You have pain or burning when you urinate, or you are unable to urinate.
    • You have a discharge from your vagina that has a bad odor.
    • You have bleeding from your vagina that is heavier than light spotting.
    • You have a heavy, watery discharge from the vagina.
    • You have swelling or redness in one of your legs.

    References

    Lentz GM. Endoscopy: Hysteroscopy and laparoscopy: Indications, contraindications and complications. In: Lentz GM, Lobo RA, Gershenson DM, et al. Comprehensive Gynecology. 6th ed. Philadelphia, PA: Mosby Elsevier; 2012:chap 10.

    Frequently asked questions, FAQ008, special procedures: Hysterectomy. American College of Obstetrics and Gynecology Web site. http://www.acog.org/~/media/For%20Patients/faq008.pdf. Accessed August 5, 2013.

    Jones, HW. Gynecologic surgery. In: Townsend CM Jr, Beauchamp RD, Evers BM, et al. Sabiston Textbook of Surgery. 19th ed. Philadelphia, PA: Saunders Elsevier; 2012:chap 71.

    Kives S, Lefebvre G, Wolfman W, et al. Supracervical hysterectomy. J Obstet Gynecol Can. Jan 2010;32(1):62-68.

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      Self Care

        Tests for Hysterectomy - laparoscopic - discharge

          Review Date: 2/8/2013

          Reviewed By: Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.

          The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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