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Robot Assisted Laparoscopic Hysterectomy

WHAT YOU SHOULD KNOW:

Robot Assisted Laparoscopic Hysterectomy (Discharge Care) Care Guide

Robot-assisted laparoscopic hysterectomy (RH) is surgery done through small incisions (cuts) in your abdomen. RH uses a machine controlled by your surgeon. The machine has robotic (mechanical) arms that use small tools to remove your uterus and cervix. Your ovaries, fallopian tubes, top of your vagina, supporting tissues, and some lymph nodes may also be removed. After RH, you will not be able to become pregnant. You will go through menopause if your ovaries are removed.

AFTER YOU LEAVE:

Medicines:

  • Pain medicine: You may need medicine to take away or decrease pain.

    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.

    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.

    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.

  • Hormone replacement therapy: You may need to take hormone medicine, such as estrogen.

  • Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Always take your antibiotics exactly as ordered by your primary healthcare provider. Do not stop taking your medicine unless directed by your primary healthcare provider. Never save antibiotics or take leftover antibiotics that were given to you for another illness.

  • Take your medicine as directed. Call your primary healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Activity guidelines:

  • You may feel like resting more after surgery. Slowly start to do more each day. Rest when you feel it is needed.

  • Ask your gynecologist or primary healthcare provider when you can start having sexual intercourse again.

What to expect after surgery:

  • Ask your gynecologist or primary healthcare provider about follow-up care that you will need.

  • It is normal to bleed from your vagina after your uterus and cervix are removed. Change the sanitary pad often to prevent infection. Ask your gynecologist or primary healthcare provider how much bleeding to expect.

CONTACT A CAREGIVER IF:

Contact your gynecologist or primary healthcare provider if:
  • You have a fever.

  • Your pain is getting worse, even with medicine.

  • Your incisions look red and swollen. The drainage may have a bad smell, or you may see pus.

  • You see new or more bright red blood coming from your vagina or your incisions.

  • You have yellow, green, or bad-smelling discharge coming from your vagina.

  • You feel pain when you urinate. You may need to urinate more often than usual.

  • You have trouble having a bowel movement.

  • Your skin is itchy, swollen, or has a rash.

  • You have questions or concerns about your surgery, medicine, or care.

SEEK CARE IMMEDIATELY IF:

Seek care immediately or call 911 if:
  • You have more bleeding from your vagina than you were told to expect.

  • You have chest pain or trouble breathing that is getting worse over time.

  • You suddenly feel lightheaded and have trouble breathing.

  • You have new and sudden chest pain. You may have more pain when you take deep breaths or cough. You may cough up blood.

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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