Post Laparoscopic Hysterectomy
It is better to prevent than treat pain. For the first 48 hours home after surgery, I recommend taking the prescription pain medication regularly every 4 hours while awake. You may take ½ of a pill if desired. Consider taking the full dose at bedtime. Also, I recommend taking Ibuprofen (Advil/Motrin/generic) 600mg (3 of the over-the-counter 200mg pills) 3-4 times daily during this time. Ibuprofen and the prescription pain medication may be taken together or alternated. After the first 48 hours home, continue the Ibuprofen 3times dialing for 2 more days and take the pain medication as needed until follow up.
It is important to return to normal bowel function as soon as possible after surgery, but remember that this may take a few days. Remember that you started out with an empty bower after your pre-op bowel prep. Narcotic pain medicine as prescribed and used in surgery may tend to constipate. I recommend taking Surfak or Colace stool softener over the counter 2 times a day for 2 weeks regularly, then as needed after that. If you have not had a bowel movement 48-72 hours after surgery or if desired before that, take Milk of Magnesia over the counter 1-2 times a day. You may also use a Dulcolax suppository and/or Fleet’s Enema if no bowel movement within 24 hours of the Milk of Magnesia. If this is not successful, call the office during regular business hours.
Activity and Diet:
In general, take it easy until seen in my office in a week. You may ride in a car, climb stairs, and do things at waist level. Do not do any heavy duty straining or lifting. You may shower anytime. You may take a tub bath 2 weeks after surgery. No sexual intercourse until notified- this will be at least 6 weeks after surgery. You may drive when you are off narcotic/prescription pain medicine and when you are able to move and hit the brakes comfortably. For most people this is 1-2 weeks. Your regular diet is fine. You may have light to moderate vaginal bleeding for up to 6 weeks- this may be accompanied by discharge.
There is no special care needed for your incisions. You may shower normally. Dermabond (surgical glue) will cover the incisions and protect them. Feel free to cover them with a band aid if they drain any. A heating pad on a low setting may feel good and improve the healing.
Symptoms to be reported:
Fever of 100.4 or greater, increasing pain unresponsive to medication, heavy vaginal bleeding, inability to hold down food or liquids, inability to urinate or excessively painful urination.
I can be reached during the day at 480-5530, and a physician can be reached 24 hours a day in case of emergency through this number.