How long does it take to get out of bed after a hysterectomy

The uterus is a very important organ of women and an important feature of women. However, sometimes if something happens to the uterus and it becomes sick, it may have to be removed. Well, some people don't know how long it takes to perform the hysterectomy surgery, which will make relatives outside the clinic worry. Now let me tell you how long it takes to perform the hysterectomy surgery.

How long does it take to get out of bed after hysterectomy

After a total hysterectomy, you can usually get out of bed about a week later, and three days after a partial hysterectomy.

How long does hysterectomy surgery take?

It will take about three hours.

process:

(A) Wound: Make an incision in the middle of the lower abdomen, from below the umbilicus to the upper edge of the ischial tuberosity.

(ii) After suturing the Brunner's infundibulum tendon and round ligament and entering the abdomen, first explore to understand the extent of the disease.

Use a toothed hemostatic forceps to clamp the two corners of the uterus as a traction band and block the ascending blood of the uterine artery. Use No. 7 wire

The Palace

The round ligament is sutured 2 to 3 cm away from the uterine angle, and the pelvic Brunner's infundibulum tendon is sutured in both directions slightly away from the pelvic wall (to bypass the urethra). The uterine and ovarian arteries and venous plexus are located in the Brunner's infundibulum tendon of the pelvis, which can be seen very clearly under translucency and must be sutured tightly.

(III) Disconnect the tendons and incise the uterus and bladder to reverse the peritoneum

When the uterus is opened and the suture band is applied, the Brunner's infundibulum tendon and round ligament of the pelvis are severed. The blood at the uterine level has been blocked at the uterine angle, so only a small amount of blood is added when the tendon is disconnected, and clamping to activate blood circulation is generally not required. Cut the anterior leaf of the broad muscle tendon between the pelvic Bruch's infundibulum tendon and the round ligament, spread it forward, cut the uterine bladder peritoneum and fold it to the other side (Figure 253).

(IV) Dispersing the uterus

Use your fingers to gently pull the bladder slightly downward along the loose connective tissue plane between the uterus and bladder to reveal part of the cervix, and then slightly separate the tissue on both sides to reveal the uterine artery and vein. The urethra tube is located just below the blood vessels and about 2 cm from the cervix. Then cut the posterior leaf tissue of the broad tendon on both sides of the uterine body to the top of the uterine artery. There is usually no bleeding during the cutting, but the cutting should be slightly away from the uterine body to avoid damaging the ascending branches of the uterine arteries close to both sides of the uterine body. At this point, the uterine body is completely dispersed, with only a small amount of tissue on both sides connected to the inner vault of the vagina.

5. Wandering cervix

Use moderate force to pull the uterus toward the head, use your thumb to push the bladder further to below the level of the external cervical opening, and at the same time slowly open the urethra to both sides. If you carefully feel to both sides, you can feel a cord-like substance dragging from under your fingertips about 2 cm away from the cervix, which is the urethra tube. As long as the plane is correct, pushing down the bladder is mostly painless and there is little bleeding. If there are difficulties, it is mostly related to the plane entered too deep, or it may be caused by inflammation and adhesion, which should be checked before separation. Sharp detachment can be performed if necessary. It is of great significance to clear the position of the urethra tube and then deal with the tissues on both sides of the cervix to prevent damage to the urethra tube.

6. Hysterectomy

Place a gauze pad in the uterine duodenal pouch to help absorb secretions that may come out of the vagina. The uterus is raised, the anterior fornix of the vagina is cut, the anterior vaginal wall is clamped and raised, and a small piece of gauze is inserted from the wound to prevent the discharge of vaginal blood and contamination of the pelvis. Then clamp the anterior lip of the cervix and lift it upwards, cut it open along the vaginal vault, and remove the uterus. When circumcising the vaginal vault, always pay attention to lifting the cervix to facilitate cutting without touching the surrounding area to avoid contamination. After each incision, pinch the end that will be inside the vagina to reduce bleeding, and use it as a traction belt to facilitate surgical suture after hysterectomy.

Post-operative care

(1) Monitor body temperature, blood pressure, pulse rate and respiration.

(2) Connect the continuous urinary catheter.

(3) Intravenous infusion can be given 1 or 2 days after surgery.

(4) Immediate pain relief.

(5) Pay attention to abdominal distension.

(6) Initial activities of getting out of bed.

(7) Observe the condition of the wound.

(8) If the recovery is satisfactory, the patient can be hospitalized 1 to 5 days after the operation.

In the above content, I have introduced in detail how long it takes for hysterectomy surgery and some things related to the surgery. After reading my introduction, the patient or the patient's relatives will also understand how long it takes for this surgery, and can also use the methods I introduced to treat the patient's condition. This can also be told to their relatives and friends, so that more people can heal their bodies.