Exercise after removal of the uterus and ovaries. Removal of the uterus: postoperative period, rehabilitation of the woman

A hysterectomy is the surgical removal of the uterus. Also in gynecology, the procedure is called “amputation” or “extirpation” of the uterus. Many women who have undergone surgery or are preparing for it are interested in a lot of questions. The first of them is how the rehabilitation period proceeds, because an important reproductive organ is removed. Also, what recommendations should be followed to ensure that recovery is quick and successful.

General principles of the rehabilitation period

Recovery is the period of time after the end of the operation until full restoration of functionality, including sexual activity after removal of the organ. For any surgical treatment, the complete rehabilitation period is conditionally divided into two stages: early and late stages.

Early rehabilitation is a stage that takes place in a hospital under the supervision of health workers and a doctor. The duration of the stage depends on what postoperative consequences are identified after the operation.

If the operation is successful, the early recovery period takes approximately 8-12 days, after which the stitches are removed and the woman is allowed to go home. With laparoscopy, the recovery period is reduced to approximately 5 days.

The main tasks of early rehabilitation:

• prevent or stop bleeding;
• eliminate pain and other unpleasant symptoms;
• exclude infection of the surgical site;
• ensure that the functions and normal functioning of internal organs are not disrupted;
• ensuring primary scarring.

Late rehabilitation takes place at home and with the consultation of a specialist. When the operation is without complications, the average period takes from 28 to 32 days; if problems arise, it takes about 46 days. The stage implies complete tissue renewal, normalization of the body’s condition, strengthening of protective functions, improvement of the psycho-emotional state, as well as complete restoration of performance.

During the first 24 hours after surgery, measures must be taken to eliminate complications, large blood loss, inflammation, infection, and eliminate uncomfortable symptoms. Stages play an important role in the early rehabilitation of the body.

The most basic activities after hysterectomy:

• Painkillers. After surgery, a woman feels characteristic pain inside and in the lower abdomen. Potent drugs are used to relieve pain.
• Activation of the work of internal organs. The first thing you need is to stabilize blood circulation and stimulate the gastrointestinal tract to begin performing its functions. If necessary, Proserpine can be injected.
• The right diet. It is important to restore normal intestinal microflora. Therefore, on the menu: drinks, pureed or pulped foods, broth. During the first 24 hours, the intestines should empty themselves; if this happens, it means that the initial rehabilitation measures were carried out correctly.

Also drug therapy: antibacterial drugs for 5 to 8 days, anticoagulants for 3 days and droppers.

Life after hysterectomy

When performing a hysterectomy, the woman is allowed to go home after 48 hours; with an extended operation, a few days later. After laparoscopy, after 2-3 weeks the patient returns to normal, everyday life.

Within 6 weeks after removal it is strictly prohibited:

• lift weights;
• take a hot bath, swim in lakes and other bodies of water;
• be sexually active;
• overcool your body.

Rehabilitation treatment after removal of the uterus includes: massage, balanced, proper nutrition, a recommended diet rich in fresh vegetables and fruits, therapeutic exercises, physiotherapeutic procedures, acupuncture. After surgery, a course of hormone replacement therapy in a combination of gestagens and estrogens is required. It would also be nice if additional recovery was carried out in a sanatorium-resort establishment.

Indications for physiotherapy:

• swelling of the limbs;
• post-castration syndrome;
• fibrosis;
• atony or hypotension.

For post-castration syndrome, electrosleep can be used to make the patient’s life easier and more adaptable. It has been proven that the method helps treat severe disorders of the vegetative-vascular and neuropsychological systems.

When electrosleep is contraindicated:

• tumors in the head;
• high myopia;
• focal symptoms;
• problems with the circulation of spinal fluid;
• psycho-emotional problems.

For swelling, pneumatic lymphatic drainage is used, and compression knitwear of special density is also individually selected for the woman.

Kegel exercises are used in the form of therapeutic exercises, and special complex exercises are used to prevent adhesions in the pelvis and peritoneum.

Diet: nutritional features

It is imperative, as mentioned above, that after the removal of an important organ, it is necessary to follow the recommendations that are aimed at normalizing and restoring intestinal function.

What do we have to do:

• receive extensive specialist advice on nutritional rules, enriching the diet with vitamins and minerals;
• eat small meals, but often 6 times a day;
• drink 2 liters of water per day;
• Most of the food should be semi-liquid and liquid food.

What products can you:

• crumbly porridge;
• canned and boiled sea fish;
• meat broths;
• fermented milk;
• vegetables (be careful with legumes, cabbage);
• salads seasoned with vegetable oil;
• dried fruits;
• walnuts;
• greenery;
• pomegranate juice;
• green tea;
• vitamin and mineral complexes as prescribed.

Forbidden:

• spicy;
• semi-finished products;
• smoked meats;
• bakery products;
• sparkling water;
• mushrooms;
• White bread;
• limit salt;
• coffee, strong tea.

If you stick to the diet, your body will recover in 2 months and then you can eat as before.

What are you preparing for and what to expect?

Removal of an important sexual organ, like the uterus, entails many consequences that cannot be avoided, so you need to be mentally and psychologically prepared.

Premature menopause often occurs after surgery. Because the appendages and ovaries suffer, so menopause occurs almost immediately.

A sharp menopause provokes the cessation of menstruation. At the same time, you should not worry about your sex life. After removal, sexual intercourse is allowed within 2-3 months.

Also, during the first days, weeks or months, complications such as:

• inflammation of the skin at the suture site;
• excessive discharge of blood (bleeding);
• inflammatory process in the bladder;
• thromboembolism;
• vaginal prolapse;
• incontinence;
• soreness caused by bleeding or the formation of adhesions.

Treatment of gynecological diseases is aimed at maximizing the health and reproductive functions of women. But in some cases, only complete removal of an organ can help: ovaries, fallopian tubes, uterus. After such a surgical intervention, the patient’s life changes dramatically. To avoid complications and restore the body faster, it is important to pay attention to the quality of the rehabilitation period.

Specifics of hysterectomy

Surgery to remove the uterus is called a hysterectomy. Such intervention is carried out as a last resort when other treatment methods have been ineffective or emergency assistance is necessary. Sometimes the uterine (fallopian) tubes and ovaries are cut out along with the organ (oophorectomy). Radical surgery is performed for the following diseases:

• prolonged uterine bleeding in the presence of benign tumors, for example, fibroleiomyoma (combines the properties of muscle and connective tissue), endometriosis.
• benign tumor during menopause;
• prolapse, prolapse of an organ (with this pathology, the patient needs to wear tight-fitting panties to support the muscle tissue).

The operation is performed using different technologies, depending on the complexity of the lesion, the experience of doctors, and available equipment.

Types of hysterectomy

1. Vaginal (the organ is removed through the vagina without damaging the muscle layer of the abdominal cavity; it can be performed only if certain conditions are met: small size of the organ, elastic vaginal walls).
2. Abdominal wall or abdominal (intervention occurs through an incision in the anterior abdominal wall).
3. Laparoscopic (the doctor makes several small incisions from 5 to 10 mm and, using special laparoscopic instruments, an optical system, and endoscopic equipment, separates the uterus and removes it through the vagina; thanks to this method, it is also possible to take a biopsy of the uterus - a tissue sample for laboratory testing).
4. Supravaginal extirpation (removal of the organ while preserving the cervix).
5. Robotic (the intervention is carried out using laparoscopy technology, but with a three-dimensional image; the operating technique is difficult to learn, so this is not done in all countries and is rare).

Surgical laparoscopy is one of the most progressive treatment methods. With its help, you can not only find out the cause of the disease, but also perform the necessary amount of interventions. The current level of development of medicine makes it possible to perform about 95% of gynecological operations using this technology, including ovarian operations. In this case, the recovery period is much shorter compared to open interventions.

If an adhesive process or severe endometriosis is diagnosed in the pelvis, (fallopian) tubes are prescribed to cut the adhesions and restore their patency. In case of ectopic pregnancy, this is a necessary intervention to save life. Surgeries on the fallopian tubes are divided into several types:

• salpingo-ovariolysis (removal of adhesions to restore patency);
• fimbryolysis (the surgeon separates the fimbriae - the villi at the ends of the tube that propel the fertilized egg into the uterus);
• salpingoneostomy (creation of a new lumen of the fallopian tube);
• salpingotomy (removal of an ectopic pregnancy while preserving the organ);
• tubectomy (complete removal).

In many cases, such interventions save the patient’s life. They also require a recovery period and regular consultations with specialists.

After laparoscopy of the fallopian tubes and ovaries, postoperative antibiotic therapy, physiotherapy, and therapeutic exercises are required. Within a few hours after the intervention, the woman can get up.

Recovery after hysterectomy: principles of rehabilitation therapy

After removal of the uterus, a woman will not be able to bear or give birth to her child. If the fallopian tubes and ovaries were cut out, even assisted reproductive technologies will not help her. In addition, menstruation will disappear, the body will stop producing female hormones, and menopause will occur.

Before laparoscopic surgery, the patient feels fear of pain and consequences, but the next period does not always bring relief. In order for a woman not to consider herself inferior or devastated, in addition to the medical component, consultations with a psychologist must be included in the rehabilitation schedule.

Depending on the woman’s age, pathology, and condition of the ovaries, the operation is performed with their preservation or excised along with the uterus. Such intervention is carried out strictly according to indications. To correct hormonal levels, an endocrinologist will prescribe special treatment.

Almost all women in the postoperative period exhibit clinical symptoms of posthysterectomy syndrome. It occurs in approximately 32-79% of patients. Depending on the stage, its signs can be early (starting on the 1st day) and late - a period from 1 month to a year after the intervention. The main symptoms are headache, insomnia, irritability, hot flashes, depression, weakness. Restorative therapy is aimed at eliminating them and restoring the body.

During the first time after surgery, the woman will be given painkillers and electrophoresis to relieve pain. It is also necessary to follow a diet; the diet is expanded gradually. Its basis should be protein, easily digestible food. Stable intestinal function without constipation and flatulence contributes to better tissue healing. As in the case of removal of the fallopian tubes, the patient is given antibiotics and vitamins. Postoperative underwear (pants) will make you feel more comfortable and support your muscles. After discharge home, the second stage of recovery begins.

Advice: In the first week after the intervention, spotting may appear. To avoid discomfort, you should use pads and regularly wash with boiled water, chamomile, and sage decoction.

Rehabilitation after hysterectomy includes:

• therapeutic exercises (to avoid problems with urination and defecation, you need to do Kegel exercises, which strengthen the walls of the vagina, the pelvic floor muscles, and prevent the formation of adhesions in the tubes, but you cannot do fitness and running);
• physiotherapy (electric sleep, low-frequency magnetic therapy, massage of limbs for swelling);
• drug support (to avoid the development of specific diseases - atherosclerosis, diabetes mellitus; after removal of the uterus, the patient must take preventive medications, hormones, if the ovaries are removed);
• acupuncture (impact on active points on the human body contributes to the rapid recovery of the body).

If the operation was performed in the traditional way through an incision in the abdominal cavity, you can return to your previous life after 6-8 weeks, with laparoscopy - after 2-3. You cannot take a bath, lift heavy things, or have sex. When the stitches heal, they gradually return to their usual hobbies: fitness, going to the pool, running.

Attention! The information on the site is presented by specialists, but is for informational purposes only and cannot be used for independent treatment. Be sure to consult your doctor!

The postoperative period after removal of the uterus is an important stage in a woman’s treatment, which is fraught with a number of complications and therefore requires a careful and professional approach.

Naturally, when a hysterectomy is performed, the consequences depend on the type of operation and many factors. You can watch videos about how hysterectomy is performed on the official websites of specialized clinics. In general, when a high-quality hysterectomy is performed, the consequences and reviews give no reason to doubt the positive result. Even if a good clinic performs the most complex removal of the uterus for fibroids, the consequences and reviews allow us to make a very optimistic prognosis.

The essence of the emerging problem

Surgery to remove the uterus or hysterectomy is considered a fairly well-developed and widespread method of surgical treatment for some serious pathologies that threaten serious problems for women's health. World medicine statistics claim that almost 1/3 of all women after 40 years of age are forced to undergo such a procedure.

Any surgical intervention causes injuries of varying severity associated with damage to various vessels and tissues. After surgery to remove the uterus, characteristic damage also remains, and complete tissue restoration requires some time. The duration and scheme of rehabilitation measures depends on the individual characteristics of the female body, the severity of the disease, the type of operation and the degree of surgical intervention, aggravating circumstances and postoperative complications.

In order for the uterus to be removed, what indications are necessary? The following reasons are highlighted:

• heavy and prolonged uterine bleeding;
• myomatous nodes;
• metroendometritis that cannot be treated;
• oncological diseases;
• endometriosis;
• uterine prolapse.

Depending on the severity of the pathology, the following types of operations can be performed:

• removal of the uterine body only (subtotal amputation);
• removal of the uterus and cervix (total estirpation);
• removal of the uterus with appendages and nearby lymph nodes (radical panhysterectomy).

The degree of traumatization depends not only on the type of operation, but also on the method of its implementation. The most radical is considered to be the abdominal technology associated with opening access by cutting the peritoneal wall. Another option is the vaginal method, where an incision is made in the vagina. The least dangerous method is to remove the uterus using the laparoscopic method, which uses a special laparoscope that allows you to make a minimal incision. When a laparoscopic hysterectomy is performed, the consequences are less dangerous.

General principles of postoperative rehabilitation

The postoperative recovery period includes the entire time period from surgical intervention to full restoration of performance, including sex after hysterectomy. As with any surgical treatment, complete postoperative rehabilitation is divided into 2 stages: early and late stage.

The early stage of recovery is carried out in a hospital setting under the supervision of a doctor. The duration of this stage depends on what consequences after removal of the uterus occurred after surgery.

On average, with a successful abdominal operation, the early period is about 9-12 days, after which the sutures are removed and the patient is discharged from the hospital. Laparoscopic intervention reduces the time of early rehabilitation to 3.5-4 days. The main tasks of the early stage: eliminating bleeding, pain and other symptoms, eliminating infection of the affected area and dysfunction of internal organs, ensuring primary tissue scarring.

The late stage of rehabilitation is carried out at home as prescribed and in consultation with a doctor. In the case of surgical intervention without complications, this stage lasts on average 28-32 days, and in case of a complex operation it is extended to 42-46 days. At this stage, complete restoration of tissues, improvement of general condition and strengthening of the immune system, normalization of the psychological state, and complete restoration of performance are ensured.

What measures are taken immediately after surgery?

During the first 24 hours after removal of the uterus, all measures must be taken to exclude the occurrence of complications, blood loss from internal bleeding, the occurrence of inflammatory processes, the penetration of infections and the elimination of painful symptoms. This period is the most important in the early stages of rehabilitation.

The main activities include the following impacts:

1. Anesthesia. After the operation, the woman feels natural pain in the lower abdomen, inside. Strong drugs are used for pain relief.
2. Activation of organ functions. Measures are being taken to normalize blood circulation and stimulate the intestines. If necessary, Proserpine is administered by injection to activate intestinal functions.
3. Providing diet. It is important to restore normal intestinal motility. The menu is dominated by broths, pureed foods, and drinks. If independent defecation occurs at the end of the first day, then the measures were carried out correctly.

Drug therapy immediately after surgery includes the following:

• antibiotics to exclude infection (course – 5-8 days);
• anticoagulants to prevent blood clots in blood vessels (administered over 2-3 days);
• infusion influence through intravenous drips to normalize blood circulation and restore blood volume.

Main problems during early rehabilitation

At the first stage of rehabilitation after removal of the uterus, the following complications may occur:

1. Inflammation of the site of tissue dissection. This phenomenon, when it occurs, is characterized by such signs as redness, swelling, and purulent exudate. Possible seam divergence.
2. Disruption of the urinary process. Main manifestations: pain and pain when urinating. A complication usually occurs when the mucous membrane of the urinary canal is damaged during surgery.
3. Internal and external bleeding. Their intensity depends on the correct performance of hemostasis during surgery. External blood discharge may have a scarlet or dark red, brown tint, and blood clots may be released.
4. Pulmonary embolism. One of the very dangerous complications that can cause a blood clot in an artery or its branches. The development of pathology can lead to pneumonia and pulmonary hypertension.
5. Peritonitis. If there are violations during the surgical procedure, damage is possible that can cause an inflammatory reaction in the peritoneum. The danger of peritonitis is the rapid spread to other internal organs and the development of sepsis.
6. Hematomas. In the area of ​​scarring of damaged tissue, hematomas often occur due to damage to small blood vessels.
7. Pain syndrome. Often becomes the result of an adhesive process. For such pain, enzyme agents are administered: Trypsin, Chymotrypsin, Longidaza, Lidaza, Ronidaza.
8. Fistula formation. This problem occurs when the sutures are of poor quality and infection occurs. Often it is necessary to perform additional surgery to remove the fistula.

An important early postoperative measure is to exclude infection during the first 1-3 days. The penetration of infection is indicated by an increase in temperature to 38.5 0 C. To eliminate the risk of infection, antibiotics are administered and antiseptic treatment of the suture area is carried out. The first change of dressing and treatment of the wound is carried out the next day after exposure. Curiosin provides an antibacterial effect and accelerates the formation of scar tissue, so it is often used to treat sutures.

Fighting peritonitis

When performing total and radical operations, especially in emergency situations, there is a high probability of developing peritonitis. This pathology is expressed by the following obvious symptoms:

• a sharp deterioration in general health;
• temperature increase to 40.5 0 C;
• intense pain;
• peritoneal irritation.

Treatment includes the active administration of several types of antibiotics. Saline solutions are introduced. If the effectiveness of therapy is low, a repeat operation is performed to remove the uterine stump, and the abdominal cavity is washed with antiseptic drugs and a drainage system is installed.

What should be done during late rehabilitation

After discharge from the clinic, a woman should not stop restorative procedures. Late-stage rehabilitation helps the body fully recover after surgery. The following activities are recommended:

1. Wearing a bandage. A supportive corset helps weakened abdominal muscles during the postoperative period. When choosing a bandage, you should adhere to the condition that its width exceeds the length of the wound scar by 12-15 mm from below and from above.
2. Avoid lifting loads over 2.5 kg and limiting physical activity. Sexual contact should be avoided for 1.5-2 months after surgery.
3. Gymnastic exercises and exercise therapy. Kegel exercises are recommended to strengthen the muscles of the vagina and pelvic floor using a special exercise machine called the perineal trainer. Serious sports activities are possible only after 2.5 months after surgery.
4. Saunas, steam baths and hot baths are prohibited for the entire period of late rehabilitation. Swimming in open waters should be significantly limited.
5. Organization of proper nutrition. A gentle diet is an important element of the recovery phase. Dietary measures should be taken to prevent constipation and flatulence. It is recommended to include fiber and liquids (vegetables, fruits, coarse bread) in the menu. Alcoholic drinks and strong coffee should be excluded. It is necessary to increase the intake of vitamins.

A hysterectomy is a surgical procedure in which the female reproductive organ is removed. This operation is very common in gynecology. The uterus is removed in cases where all other treatment methods have been ineffective. Sometimes the uterus is removed along with the fallopian tubes and ovaries. The postoperative period is an important stage in a woman’s treatment, which may be accompanied by the development of complications, so it requires a professional approach.

Surgery to remove the uterus is quite common which is carried out for very serious illnesses that threaten a woman’s health. According to statistics, about a third of all women who have reached the age of 40 are forced to resort to such a procedure.

With any surgical intervention, injuries of varying severity occur, which are associated with damage to tissues and blood vessels. After a hysterectomy, damage also remains, and it takes time for the tissue to fully recover. The duration of postoperative rehabilitation depends on the severity of the disease, the type of surgery and postoperative complications.

More often removal of the uterus is indicated in the following cases X:

Depending on the severity of the disease carry out the following types of operations:

• removal of the uterus only;
• removal of the uterus and cervix (total extirpation);
• removal of the uterus with appendages and lymph nodes located nearby (radical panhysterectomy).

How severe the trauma will be depends not only on the type of operation, but also on the method of its implementation. The most radical is the abdominal technology, in which the walls of the peritoneum are cut, and another method is the vaginal method with an incision in the vagina. The least traumatic method is to remove the uterus using the laparoscopic method. In this case, a special laparoscope is used, which makes a very small incision. After laparoscopic surgery, complications are not so dangerous.

How long do you stay in hospital after a hysterectomy? It depends on the type of operation. After laparoscopy, the patient can be discharged The next day. If abdominal surgery was performed, the patient can go home after 2 to 3 days.

Principles of rehabilitation

Recovery after surgery is divided into early and late stages. The early stage is carried out in a hospital setting under the supervision of a doctor. Its duration depends on the consequences that occurred after surgery. The early stage of recovery after abdominal surgery usually lasts 9–12 days, after which the doctor removes the stitches and the patient is discharged. After laparoscopy, early rehabilitation is reduced to 3.5 – 4 days.

Main tasks early stage of rehabilitation are:

• relief from pain syndrome;
• elimination of bleeding;
• prevention of dysfunction of internal organs;
• avoiding infection of the affected area.

The late stage of rehabilitation is carried out at home. If complications do not develop after the operation, then recovery takes 28–32 days, and in case of complications it is extended to 42–46 days. This stage is characterized by complete restoration of tissues, strengthening of the immune system, improvement of general condition, normalization of the psychological state, and complete restoration of performance.

What measures are taken immediately after surgery?

On the first day after surgery doctors take measures to eliminate painful symptoms, prevent complications and inflammatory processes from developing, eliminate blood loss from internal bleeding and prevent infection. This period is very important at the early stage of rehabilitation.

Key activities include specific activities.

Anesthesia. After the operation, the woman experiences natural pain in the inside and lower abdomen. To relieve pain, potent medications are prescribed.

Activation of organ functions. In this case, measures are taken to normalize blood circulation and stimulate the intestines. If such a need arises, then Proserpine is administered by injection to activate intestinal functions.

Diet. After surgery to remove the uterus and appendages, it is very important that normal intestinal motility is restored. The menu should consist of broths, drinks, pureed foods. If spontaneous defecation occurs at the end of the first day, it means that the event was carried out correctly.

Immediately after the operation the following drug therapy:

• antibiotics to prevent infection;
• anticoagulants to prevent the formation of blood clots in blood vessels;
• infusion effect carried out using intravenous droppers to restore blood volume and normalize blood circulation.

Complications during early rehabilitation

The first stage of rehabilitation may be accompanied by the following complications after hysterectomy:

How to recover after surgery? It is very important to prevent infection in the first 1–3 days. If this happens, the temperature rises to 38.5 degrees. To eliminate the risk of infection, the doctor prescribes antibiotics and performs antiseptic treatment of the suture area.

Activities for late rehabilitation

After the woman is discharged from the hospital, her recovery from the hysterectomy continues. The late stage of rehabilitation allows the body to fully recover. Must the following actions are carried out:

It is very important to organize proper nutrition after removal of the uterus. A woman should not “push” and strain her abdominal muscles, so it is recommended to reduce the load on the intestines, trying not to eat aggressive and difficult-to-digest foods. The diet should be such that a laxative effect occurs.

Diet after hysterectomy includes the following approved products:

• crumbly porridge;
• green tea;
• vegetable oil;
• fresh vegetables and fruits (except grapes and pomegranates);
• mashed boiled vegetables;
• low-fat fermented milk products;
• boiled meat.

Diet after hysterectomy surgery prohibits the following dishes and products:

A diet after surgery should only be prescribed by a doctor.

Consequences

After extirpation of the uterus along with the ovaries, the location of many pelvic organs begins to change. This rearrangement negatively affects the health of the intestines and bladder.

Consequences after removal of the uterus for the intestines and bladder:

• constipation;
• the appearance of hemorrhoids;
• pain in the lower abdomen;
• difficulty going to the toilet;
• frequent urge to urinate without producing enough urine;
• urinary incontinence;
• problems with urine output that occur due to compression of the bladder.

After operation the patient may experience the development of vascular atherosclerosis, and a woman may gain excess weight. Lymphostasis of the extremities often develops during surgery. To prevent this from happening, the lymph nodes are removed during the removal of the uterus, ovaries and appendages. Amputation of the uterus and ovaries ends in premature menopause. The body begins to rebuild itself because a lack of estrogen leads to irreversible changes. Hot flashes appear very often.

In gynecological practice, removal of the uterus is sometimes the only method to eliminate a number of diseases. To perform an operation there must be compelling indications, among which are fibroids, malignant tumors and cancer. Surgery can be performed using laparoscopy, an abdominal incision, through the vagina.

It may involve removing only the uterus or combining it with the appendages, fallopian tubes and cervix. In any case, removal of the uterus has its consequences, which may manifest themselves in the postoperative period and later.

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Consequences of the early period

Removal of the uterus has various consequences. First of all, they differ depending on the method of surgical intervention. For example:

The postoperative period for a particular surgical intervention is associated with various consequences. They can be divided into common and complications.

Common consequences include:

• Severe painful sensations. They can appear in the abdomen and sutures. To eliminate pain, special painkillers are used.
• Bloody issues. Basically, their duration ranges from several days to a couple of weeks.
• Deterioration in health due to adverse reactions to anesthesia.

When removing the uterus, two types of anesthesia are used - general and spinal. The choice of method of administering anesthesia depends on the woman’s age, the severity of the surgical intervention and other circumstances. The following consequences may occur during the use of anesthesia::

• Nausea and vomiting.
• Sore throat, including dryness.
• Trembling or chills, itching.
• Reduced blood pressure.
• Dizziness and lightheadedness.
• Headaches, muscle pain in the back and lower back.
• Confusion.
• Lung infections.
• Awakening during surgery.
• Nerve damage.
• Death and brain damage.

Other common complications include:

1. Inflammation of the sutures, which is characterized by:

2. Peritonitis, often manifested due to necrosis of the myomatous node. It is accompanied by the following symptoms:

• Increase in body temperature to 40 degrees.
• A sharp deterioration in condition and severe pain.
• Nausea and vomiting.
• Severe pain when pressing on the abdomen.
• The presence of bile and intestinal contents in the vomit.
• Paralytic intestinal obstruction.
• Retention of stool and gas passage.
• Adynamia, acrocyanosis.
• Pale skin, cold sweat.
• Decreased blood pressure, tachycardia.
• Confusion, euphoria, bloating.
• Sharpening of facial features, dry tongue with a dark coating.

3. Bleeding, manifested externally from the vagina or inside the body. It is a sign of a violation of the technology of surgical intervention and with it:

• Dark or scarlet bloody discharge,
• Clots of various sizes.

4. Thromboembolism of the pulmonary artery, which is associated with its blockage. This complication can provoke the development of pneumonia, pulmonary hypertension and death. It appears in the form:

4. Hematomas or bruises in the area of ​​the operation. They are absent if it was carried out through the vagina.

5. Urinary problems. It is most often observed during vaginal surgery. Occurs due to injury to the mucous membrane of the urethra.

Such consequences can be detected even in a hospital setting, which is why they can be quickly eliminated. It is important to pay attention to them and ask questions to your doctor.

Consequences of the late period

Removal of the uterus is a major surgical intervention on a woman’s body. It does not pass without leaving a mark on the health of the body and mental balance. The severity of mental problems largely depends on the mood of the woman herself and the support of her family and people close to her.

After removal of the uterus, a woman may face the following consequences:

1. The onset of menopause. It can be triggered by the removal of appendages or disruption of their blood supply, which affects function. If the ovaries are preserved, menopause occurs after several years, and if the ovaries are removed, it occurs immediately.

Menopause is accompanied by:

• Emotional disorders.
• Frequent mood swings, anxiety and depression.
• Hot flashes, excessive sweating, weakness.
• Possible disturbances in the functioning of the cardiovascular system.
• Osteoporosis, development of vascular atherosclerosis, varicose veins.

2. Hormonal imbalances. They especially appear when the uterus is removed along with the appendages. They entail the following consequences:

3. Painful sensations of a chronic type. Pain after surgery can last for months or even years. In this case, we talk about their chronic type. To eliminate the pain, you must consult a doctor. Especially if it worsens the quality of life. In most cases, chronic pain is caused by a violation of surgical technology or psychological trauma.

4. Urinary incontinence. It occurs not only due to surgery, but also due to sagging muscles and ligaments of the pelvis, lack of estrogen and prolapse of the anterior vaginal wall. Incontinence can occur during physical or emotional stress, or failure to visit the restroom on time. The latter case is due to the late arrival of the signal to the brain about the need to go to the restroom.

If left untreated, urinary incontinence can lead to:

• Inflammatory processes in the urinary tract.
• Inflammation of the external genital area.
• The appearance of cracks and ulcers in the intimate area.
• Fecal incontinence.

5. Prolapse of the vaginal walls associated with deterioration of the tone of the pelvic floor muscles and ligaments. It may be associated with the following symptoms:

6. Formation of adhesions, which occurs in 90 percent of women. They can form between the abdominal part and the internal organs, or between the latter.

The formation of adhesions is affected by:

• Asthenic physique.
• Hereditary factor.
• Infectious complications.
• Internal bleeding.
• Volume and duration of the operation.

The main signs of the adhesive process are:

• Dyspeptic symptoms.
• Bloating.
• Disorder of defecation and urination.
• Constant or recurrent pain in the lower abdomen.

The important and main consequences that arise after removal of the uterus are the inability to get pregnant, bear a baby and a change in sex life. Sexual intercourse after surgery is contraindicated for 2 months and its initiation should be discussed with a doctor individually.

Important: the absence of a uterus can lead to problems in sexual life due to a psychological factor in a woman and/or her man. However, the absence of an organ does not affect physiological contact in any way. It does not change the sensations during contact!

Prevention of consequences

Removal of the reproductive organ sometimes becomes the only salvation and option for a woman to continue a happy and long life. All consequences after surgery can be prevented if you are careful about your health.

Prevention of consequences after surgery includes:

An important and main place in the prevention of consequences after removal of the uterus is occupied by physical and vaginal Kegel exercises. The last exercises after removal of the uterus can only be started after consultation with the doctor and after the end of the discharge. They will strengthen the vaginal muscles and prevent many sexual problems.

Exercise 1

Exercise 2

• You need to squeeze your muscles and hold for 5 seconds, then relax, repeat 10 times.
• Quickly squeeze and unclench your muscles 10 times, repeat 3 times.
• Squeeze and hold for a maximum of 120 seconds.
• Rest for 2 minutes and repeat from the beginning.

Exercise 3

• Tighten your vaginal muscles as if to stop urination.
• Slowly count to 3, gradually increasing.
• Relax.

Exercise 4

• Push down moderately a couple of times.
• The sensations during exercise are reminiscent of bowel movements.

For Kegel exercises to be effective, they should be performed 5 times a day. And it must be repeated that they should only be used after consulting a doctor.

The first regular physical exercises can be carried out as early as 2-3 days after surgery. They are very simple to perform - just turn from side to side, change the position of your legs and body. Active charging can be used a little later. Approximately 2 months after the operation, starting with the classic “bicycle”, turning from side to side and bending. In any case, removal of the uterus is not a death sentence and is not a contraindication to a normal lifestyle.

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