Removal of Uterus without Ovaries

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.