Vaginal discharge one week after hysterectomy

Hysterectomy is a common surgery in daily life and is a method and means of treating uterine problems. Hysterectomy is a last resort only when uterine problems are very serious. Some people experience vaginal discharge after a hysterectomy. Many times it is caused by some blood stasis in the body after a hysterectomy. But apart from these reasons, you need to consider whether it is a vaginal infection.

Hysterectomy is a gynecological surgery. Depending on the nature, location, size and age of the lesion, different surgical methods can be adopted, such as partial resection, subtotal resection, total resection, sub-extensive resection and extensive resection. The surgery can be performed via abdominal, laparoscopic, and vaginal routes.

Surgical method

1. Total vaginal hysterectomy

Suitable for surgical treatment of uterine inversion. It is suitable for patients with local infection or tissue necrosis in the inverted uterus; patients with long-term inversion, edema and thickening of the inverted uterine body, difficulty in recovery, and older age; and patients with inverted uterus and concurrent submucosal uterine fibroids. The difference from vaginal subtotal hysterectomy is that the incision on the posterior wall of the uterus reaches the posterior fornix of the vagina and the cervix is ​​not preserved.

2. Vaginal subtotal hysterectomy

It is suitable for patients with local infection or tissue necrosis in the inverted uterus; patients with long-term inversion, edema and thickening of the inverted uterine body, difficulty in recovery, and older age; and patients with inverted uterus and concurrent submucosal uterine fibroids.

3. Radical hysterectomy

It is the basic surgical procedure for the treatment of cervical cancer. The key is to completely remove the regional lymph nodes and perform an extensive total hysterectomy, removing the parauterine, paracervical, paravaginal and proximal vaginal tissues.

It is a commonly used surgical procedure for benign uterine lesions. Subtotal hysterectomy preserves a healthy cervix and retains the cervix's role in regulating the body's endocrine system. The cervix can still secrete mucus after surgery, the vaginal length remains unchanged, and there is no vaginal scar after cervical removal, which is beneficial to women's physical and mental health after surgery.

5. Abdominal or laparoscopic hysterectomy

It is the most commonly used procedure. It is mostly used to remove uterine tumors, certain uterine bleeding and adnexal lesions, etc. During surgery, care must be taken not to damage the ureter and to minimize blood loss.

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.