Hysterectomy Rehabilitation

Hysterectomy Rehabilitation

Hysterectomy is the surgery performed to remove the uterus which results in ending up menstruation and ability to become pregnant for a woman.


Causes for the surgery:

  • Abnormal vaginal bleeding
  • Prolapse of the uterus
  • Uterine fibroids
  • Cancer ( Cervix , Uterus or Ovaries )
  • Endometriosis

Different types in hysterectomy:

  • Total hysterectomy = removal of uterus and cervix
  • Partial hysterectomy = removal of only uterus leaving cervix intact
  • Hysterectomy and salpingo oophorectomy = removal of uterus, one or both ovaries and fallopian tubes.
  • Radical hysterectomy = removal of womb, cervix, fallopian ovaries and part of vagina.

Approaches through which hysterectomy is done:

  • Abdominal approach
  • Vaginal approach
  • Laparoscopic approach

 Rehabilitation treatment slightly varies depending on the approach.


Signs and symptoms:

  • Pain at the surgical site
  • Scar
  • Swelling ,redness around the site of incision

Preoperative and postoperative rehabilitation:


Preoperative exercises – Includes exercises which are done in the early postoperative period, so that the patient can cope-up with the exercises postoperatively.

  • Breathing exercises
  • Cough reflex includes huffing and coughing
  • Aerobic exercises
  • Upper limb and lower limb strengthening exercises
  • Postural correction

Benefits of preoperative rehabilitation program:

  • Systemic review concludes that preoperative exercises reduces the length of stay in the hospital
  • Reduces the postoperative complications
  • Helps in educating and training patient about the postoperative exercises

Postoperative rehabilitation aim:

  • To avoid postoperative respiratory and circulatory complications
  • To prevent muscles from wasting
  • To prevent wound infection
  • Scar management
  • To prevent pressure sore
  • Returning to daily living functional activities with minimal or no pain

Postoperative rehabilitation management:

  • Deep breathing exercises
  • Circulatory exercises initially when bed ridden
  • Bracing exercises
  • Mobility exercises like walking
  • Pain management which includes electrotherapy modalities
  • Scar mobilization
  • Positioning – educating about comfort positions
  • Pelvic floor strengthening exercises
  • Lower abdominal muscle (transverse abdominis) activation exercises
  • Upper and lower limb strengthening exercises

Recovery usually takes around 6 weeks to return to normal functional activities.


Benefits:

  • Results in early recovery
  • Reduces the length of hospital stay

Don’ts during first 6 weeks:

  • Do not do heavy lifting and heavy activities like cooking large meals
  • Avoid sudden movements
  • Avoid sexual intercourse
  • Avoid bending forward
  • Avoid smoking
  • Avoid sexual intercourse

Check out these links for relevant information: Women’s healthAnte-natal post-natal


For further details contact us on : 040-40044266/9618906780

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