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Question : How to manage the post operative care of the patient for Histerectomy and the precautions needed? Thanks. tkroys@rediffmail.com

In Details : My wife will undergo general Histerectomy nextweek. I want to know what to do when she will be discharged from the hospital at home. Thanks again.

2022 days ago       1 Answer(s)

Thanks for your question. The recommendations that follow are intended as a general guide to your first weeks at home. However, the most important thing is to use good common sense in planning your activities. If it hurts, don’t do it; and don’t do anything to the point of exhaustion.

1. If the surgery is minimally invasive laparoscopy, hysteroscopy, robotic procedures, she should be up and moving about freely soon after the surgery. Gradually increase the activities.
2. It is better not to climb stairs for few days and later when you do try not to become too tired.
3. Completely avoid lifting and medium heavy to heavy items.
4. Avoid strenuous exercise or sports for 4 weeks.
5. Do not get on a car or drive until you can do so without discomfort and without using pain medicine. This can take upto 4 weeks.
6. You may shower and wash your hair. Do not soak the incisions in a tub immediately following surgery.
7. No intercourse, douching, for at least 4 weeks or till it gets totally painless.
8. It can be normal to have a slight vaginal discharge, which may be bloody.
9. If you experience bleeding heavier than a period, immediately get in touch with your doctor.
10. You may eat and drink as tolerated. Go easy at first, with clear liquids, soup or broth, before progressing to solids.
11. Increase fiber and fluids if you get constipated. If needed, a stool softener maybe purchased and taken by mouth as directed only by your surgeon or physician .
12. If no bowel movement has occurred for 2-3 days, you may use Milk of Magnesia, but consult your doctor beforehand.

Please understand that the above are suggestions, but you must follow recommendations given to your wife by the surgeon which you will find in the discharge summary given to you at the time of discharge.

Once again happy to help you.
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