Postoperative care after vaginal hysterectomy

The uterus is a very important reproductive organ for women and is very prone to disease. Unless in serious cases, the uterus is generally not removed. Vaginal hysterectomy is a surgery to remove the uterus. When suffering from uterine cancer and serious complications occur, hysterectomy is the best treatment. It is important to provide good post-operative care. So, what are the postoperative care methods for vaginal hysterectomy?

Minimally invasive uterine surgery is a type of minor gynecological surgery that includes the following three types:

1. The advantages of laparoscopic total hysterectomy are less trauma, less pain, faster recovery of gastrointestinal function, shorter hospitalization time, less interference with the pelvic environment, and fewer complications. Laparoscopic intrafascial hysterectomy maintains the anatomical integrity of the vagina and pelvic floor structure to the maximum extent, prevents the occurrence of cervical stump lesions, preserves the cervical sheath, ensures the integrity of the vaginal wall, and has little impact on sexual life.

2. Laparoscopically assisted vaginal hysterectomy: the operation starts under laparoscopy and ends in the vagina. It is a combination of laparoscopic surgery and vaginal surgery. This surgical procedure makes up for the shortcomings of laparoscopic surgery and vaginal surgery. For example, when the uterus is large, the resected uterus can be removed through the vagina, shortening the operation time.

3. Vaginal hysterectomy: the entire operation is completed vaginally. In the past 10 years, with the popularization and deepening of the concept of minimally invasive surgery and the update of the concept of vaginal surgery, vaginal resection of uterine myoma is generally better for women younger than 12 weeks of pregnancy.

Postoperative Care

1. It is advisable to eat liquid food 1-2 days after surgery, semi-liquid food 3-4 days, and normal food on the 5th day. It is advisable to eat a high-protein, high-vitamin and nutritious diet. You should pay attention to increasing the intake of fresh crude fiber vegetables and fruits appropriately, avoid raw, cold, spicy and hot foods to prevent constipation.

2. Place a urinary catheter; the specific time depends on the surgical procedure.

3. Remove the gauze stuffed in the vagina 24 hours after the operation.

4. Give antibiotics, generally for preventive use not exceeding 48 hours.

5. Pay attention to rest, avoid actions that increase abdominal pressure within six months after the operation, avoid coughing and constipation, and do not stand or sit for a long time or lift heavy objects.

6. Keep warm and prevent colds. Check again after 1 month. No sexual intercourse or bathing within 3 months.

7. If you experience lower abdominal pain or abnormal vaginal discharge, you should seek medical attention immediately. Pay attention to maintaining personal hygiene and strengthen pelvic floor function exercises.