Rehabilitation after removal of the uterus

A hysterectomy is a surgical procedure in which the reproductive organ is removed. This type of operation is considered the most popular in gynecology and is performed if women have certain indications. Usually, a hysterectomy is resorted to in the case when the treatment of pathology in other ways does not bring the desired effect. The postoperative period after removal of the uterus is one of the important stages of ongoing therapy and may be accompanied by the development of unpleasant consequences, therefore, it requires a careful approach from doctors.

Indications for surgical treatment

Hysterectomy is usually performed for certain indications:

• multiple myomatous nodes, which are rapidly increasing in size;
• detection of myomatous nodes in patients older than 50 years;
• myoma necrosis;
• severe prolapse of the uterus or its prolapse;
• persistent pain in the pelvic region, which cannot be eliminated by other methods;
• advanced stage of endometriosis and adenomyosis;
• subserous nodes with an increased risk of torsion of their legs;
• polyposis and heavy menstruation leading to anemia;
• rupture of the reproductive organ during pregnancy and childbirth;
• placental accreta or purulent endometritis;
• submucous nodes that grow into the endometrium.

Hysterectomy is a rather complicated operation and is often accompanied by the development of many complications. Unpleasant consequences of such an operation can be injuries to the gastrointestinal tract, ureters and bladder, as well as the formation of hematomas and severe bleeding.

The degree of damage is determined by both the type of operation and the method of its implementation. The most radical is the abdominal operation, when access to the organ is opened by cutting the abdominal wall. Another method of surgical treatment is the vaginal method, which is characterized by an incision in the genital organ. The least traumatic way to remove the reproductive organ is the laparoscopic method, during which a minimal incision is made. In the event that surgical intervention is carried out in this way, then the risk of developing dangerous complications is minimal.

Recovery period principles

After removal of the uterus, the postoperative period is divided into early and late stages. After a successful abdominal surgery, the early postoperative period can last up to 12 days, after which the woman's stitches are removed and she is discharged from the hospital. In the event that the removal of the reproductive organ was carried out using a laparoscope, then the duration of early rehabilitation reaches 3-4 days. At the very beginning of rehabilitation it is important:

• relieve pain;
• eliminate bleeding;
• exclude infection in the affected tissues;
• avoid malfunctions in the work of internal organs;
• ensure the formation of a scar on the tissues.

of rehabilitation after hysterectomy begins , which usually takes place at home. In the absence of any complications after the operation, the recovery of the body lasts about a month, and with a complex surgical intervention it can be 45 days. The main task of the late rehabilitation period after removal of the uterus is to improve the condition of the entire female body, normalize the immune system and heal tissues. The end of the recovery period after removal of the uterus is said only if it was possible to normalize the mental state of the patient and restore its working capacity.

Activities after a hysterectomy

Find out how to recover after surgery to remove the uterus, you need to see your doctor. On the first day after surgery to remove the reproductive organ, all measures must be taken to exclude the development of any complications. In addition, it is important to prevent the progression of pathological processes in the genital organs, avoid internal bleeding and eliminate pain. On the first day of rehabilitation after removal of the uterus by abdominal surgery, the following activities are carried out:

1. After removal of the organ, the patient is tormented by severe pain localized in the lower abdomen. In order to alleviate the patient's condition, the use of potent drugs is prescribed.
2. Measures are taken to normalize the movement of blood in the body and stimulate the intestines. If there are indications, Proserpine is injected by injection, thanks to which it is possible to activate bowel functions.
3. Rehabilitation after surgery to remove the uterus involves the restoration of normal intestinal motility, and this can be done with the help of a special diet. In the diet of a woman, mashed foods, broths and drinks should be present. An independent act of defecation at the end of the first day after hysterectomy indicates that the rehabilitation measures were chosen correctly.

Immediately after a hysterectomy, a woman is prescribed antibiotics for 5-8 days, which makes it possible to exclude infection. In order to prevent the formation of blood clots in the vessels of the circulatory system, coagulants are shown that are introduced into the body of a woman within 2-3 days. It is possible to normalize blood circulation and restore blood volume by intravenous droppers.

Possible Complications

After the operation to remove the reproductive organ, the woman will no longer be able to become pregnant and give birth to a child, and her pelvic organs are slightly displaced. With the successful conduct of surgical intervention and the absence of complications, recovery after removal of the uterus is quite fast. It is necessary to seek medical help if a woman has severe pain in the lower abdomen and bleeding from the genitals develops.

Visiting a doctor during the recovery period after surgery to remove the uterus is necessary in the following cases:

• suppuration of the imposed seams began;
• swollen lymph nodes in the groin area;
• severe bleeding developed;
• the body temperature has risen;
• there were difficulties with urination;
• suffer from pain of a chronic nature;
• the vagina fell out or fistulas formed.

After surgery to remove the uterus, the position of the intestines and bladder changes. In addition, the muscles that provide support to the vagina are greatly weakened.

One of the unpleasant consequences of abdominal surgery to remove the uterus in the postoperative period is the adhesive process. In most cases, it is not accompanied by the development of pronounced symptoms, but can lead to dangerous complications. The main sign of the adhesive process after removal of the uterus is severe pain in the pelvic area.

With adhesive disease during the rehabilitation period after removal of the uterus, intestinal obstruction develops due to a violation of the movement of feces through the large intestine. Women are tormented by periodic cramping pains, constant constipation, gas retention and flatulence. It is possible to eliminate such a pathological condition using conservative methods, but surgery may be required.

With late recovery after surgery to remove the uterus, the following measures are recommended:

• be sure to wear a bandage;
• refuse to lift weights and limit physical activity on the body;
• perform gymnastic exercises and exercise therapy;
• do not visit baths, saunas and refuse to swim in the pool;
• do not take hot baths throughout the entire rehabilitation period;
• Healthy food.

Surgical treatment to remove the uterus is carried out only when absolutely necessary, and especially in women of reproductive age. Rehabilitation after surgery can proceed in different ways and in some cases be accompanied by the development of some complications. It is for this reason that it is important to comply with all necessary measures of the early and late recovery period, and follow all the doctor's prescriptions.