What Is Total Abdominal Hysterectomy?

This is a very common operation where the uterus (womb) and cervix (neck of the womb) are removed. After a hysterectomy, you will not have any more menstrual periods and will not be able to bear any more children. The ovaries may or may not be removed at the same time.

Are There Any Risks Involved?

Complications are rare but there are risks involved with any operation. These may be related to the anaesthesia or the operation. Risks related to the operation include bleeding, infection and injury to the abdominal organs such as the intestines, urinary bladder or ureter. Blood clots may occur in the legs or lungs; and occasionally, there may be slow return of bowels and bladder function.

The risks are higher in overweight patients, patients with poorly controlled medical problems (diabetes, high blood pressure, heart disease) and patients with previous abdominal surgery.

How Can These Risks Be Reduced?

Prior to the operation, you may be referred to a physician and / or anaesthetist to ensure that your medical problems are well controlled. On your part, you should remember to follow the doctor's instructions and take your medicine regularly.

What Happens On The Days After The Operation?

You may be given fluids to drink on the first day after the operation (1st post-operative day). The line into your arm vein and the catheter will usually be taken out on that day. Oral pain relief medication will be prescribed for your comfort.

You will be able to pass urine on your own once the catheter is taken out.

You are strongly urged to sit out of bed on the 1st post-operative day to prevent the blood in your leg veins from clotting; and if well, to start walking to aid in a speedier recovery.

In the days to follow, you will gradually resume your normal diet. Your usual bowel habits will return once you start eating normally.

When Will I Be Discharged?

The average hospital stay is 3 to 5 days. Before you are discharged, the abdominal wound will be checked and stitches may need to be removed. You will also be given adequate pain relief medication to bring home. The oral antibiotics prescribed must be completed to prevent infection from occurring. You may notice a reddish-brown discharge from the vagina for 1 to 2 weeks. This is part of the normal healing process.

What Must I Avoid?

You must avoid driving, sex and vaginal douching for 4 weeks after surgery.

When Do I Come Back To The Clinic For Check-up?

Your doctor will see you again in the clinic 1 week and 1 month after the operation. During this month, you will be given hospitalisation leave to recuperate at home.

What Are The Signs To Look For After Discharge?

You have to return to the O&G 24-hour Clinic on Basement 1 if you notice any of the following:

• Excessive bleeding from the vagina
• Fever
• Pain or swelling of the legs
• Unusual discharge from the vagina or wound
• Severe abdominal pain

Will I Need To Take Hormone After Surgery?

Many women believe that a hysterectomy will cause menopausal (change of life) symptoms such as hot flushes, night sweats, mood changes, vaginal dryness and premature ageing. However, it is the removal of the ovaries, not the uterus, which produces these symptoms.

If your ovaries are removed and you do experience these symptoms, your doctor may prescribe medication to alleviate these symptoms.

What About My Sex Life?

Your sexual life should not be affected after the hysterectomy. In fact, you can resume sexual intercourse 4 to 6 weeks after surgery.