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Post Operative Instructions
Women's Care

Cancer Care For Women

Post Operative Instructions

Discharge Instructions: Abdominal Hysterectomy
This guide will help you in your recovery at home. When you get home, call your doctor or nurse at 761-0125 to discuss removal of staples and/or stitches. Make an appointment for a checkup in 2 weeks. At this 2 week check up you will learn the results of the tissue samples (biopsies) and your follow up plan of care.

When to Call the Doctor

You should call your doctor if you have any of the following:

  • Fever more than 101 F by mouth
  • Shaking chills
  • Trouble breathing
  • Upset stomach or vomiting
  • Loose stools or diarrhea
  • Pain or foul odor when passing urine
  • Foul odor from vaginal drainage
  • Warmth, drainage, hardness, or bleeding from your suture line
  • Opening of your suture line
  • Inability to have a bowel movement 5 to 7 days after your surgery

Call (207) 761-0125 or toll-free 1-877-277-4331.

Bathing -You may shower. You may also take tub baths if your feet are first washed and are clean (using other water and a washcloth). Do not tub bathe if you have had any vaginal surgery until your doctor says it is OK.

Suture Line Care - Look at your suture line at least once a day to see how it is healing. Clean the suture line with soap and water during your shower or bath. The steri strips will fall off on their own. If you have staples, your doctor or nurse will remove them at your checkup.

Binder Care - If you had a binder on in the hospital, you may leave it off when you get home or wear it if you like the way it feels. The binder may be washed.

Ostomy Care -If you have an ostomy, a special nurse with stoma care skills (Enterostomal Therapy Nurse) will work with you, your family and your home health nurse to help you to learn the care you need to do.

Activities

Every woman recovers from a hysterectomy at her own speed. During the first week or two, just plan to rest and relax. You can be up and around the house, but don't expect too much from yourself. Limit your activities to prevent stress to your suture line so it does not open.

  1. Stairs - Plan to climb as tolerated.
  2. Driving - Do not drive a car for at least 2 weeks. If you ride in the car, plan to stop and stretch at least every 2 hours. When your doctor feels you may start to drive, try to practice in the driveway first. You need to know if your abdomen and leg muscles can react well. Have someone with you until you feel you have healed and you can drive safely.
  3. Lifting - Do not lift heavy objects which would make you strain. Lift no more than 10 pounds (such as a 10-pound bag of sugar). Lift slowly and use good body posture to prevent strain.
  4. Sex - Do not put anything in your vagina for 6 weeks. When you do have sex, be slow and gentle and use a lubricant (such as Replens, Astroglide or KY jelly). Stop when you feel pain or see blood. Call your doctor if you have extreme pain or bleeding.
  5. Exercise - Gentle stretching and walking as tolerated are encouraged and are acceptable.

If you have any questions about your recovery, talk to your doctor or nurse practitioner.

Your provider can help you with:

  1. "Change of life" or menopause symptoms (hot flashes, mood changes, trouble with sleep, or vaginal dryness)
  2. Feeling depressed for more than 2 weeks
  3. Relaxation techniques 
  4. Pelvic muscle exercises
  5. Sexuality and sexual questions
  6. Treatment education 
  7. Wig prescriptions (if you have chemotherapy which may cause hair loss)
  8. Return to work plans and forms

 

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