Patient Instructions After Surgery

Day Surgery – D & C, Hysteroscopy, Laparoscopy, Endometrial Ablation

Take it easy for for first 24 hours after surgery. Start with liquids and then may take regular diet if there is no nausea. After 24 hours, you can do the activities you feel comfortable. By 3 to 4 days you should be able to do most of the activities except sexual intercourse.

Your pain after surgery should be minimal and may notice slight discomfort at surgery sites. After laparoscopy it is not unusual to have some shoulder pain due to the co2 inserted during surgery, but it is gone by 24 to 48 hours. You may use Tylenol or ibuprofen for the discomfort or the prescribed medications.

You may feel dizzy, sleepy or light headed for the first 12-24 hours which is normal. You should not drive or operate any machinery for 24 hours if you had general anesthesia. It will be good if someone is with you helping first 24 hours.

You may take a bath after 24 hours and remove the bandaids, then you don’t need any dressing. Slight oozing may be present which is normal and may apply a pressure with a clean towel and should stop it, but if it is heavy or persists please call us. Please do not remove steristrips ( thin white strips covering the incision), these may fall out by itself, you may remove them after one week or will remove it when you come for your two weeks post-op check up.

We usually use dissolvable sutures, and they don’t need to be removed. Please do not lift heavy weight or hard rubbing of your the laparoscopy incision.

You may have small amount of vaginal bleeding or spotting for one week after surgery. Do not douche, use a tampon or have intercour untill your physician indicate it is ok to do.

Notify your physician if you develop:

  • Fever of greater than 100.4 F.
  • Abdominal pain not relieved by pain pills and getting worse or associated with nausea and vomiting.
  • Persistent nausea and vomiting.
  • Persistent bleeding at the incision site not helped by pressure.
  • Persistent dizziness or fainting spells.

Hospital Major Surgery like Hysterectomy, Vaginal Repairs or c section.

When you return home from the hospital, you will have enough exercise and excitement for the day. It is good to take rest whole day and have no visitors. It takes about six weeks to completely heal from the surgery. After major surgery it is normal to slowly feel better everyday, but some day you may not feel well. Walking, shower or tub bath are usually good. You should not lift more than 10 to 15 lbs and excessive social activity is avoided.

The recovery is gradual so if you feel tired it is completely normal and lying down is the best rest. After two weeks you may drive car if you feel up to it. External skin incision is healed by first two weeks but internal sutures may take up to 6 to 12 weeks. Exercise is not advised until 6 weeks after the operation.

Constipation is not uncommon, so it good to drink 6 to 8 glasses of water, fresh fruits, vegetables, dry fruits, prune juice and walking help. You may take over the counter Dulcolax. Please call the office if the problem persists.

Vaginal discharge and spotting are usual after hysterectomy, and sometime you may have fresh blood as sutures are healing two weeks after surgery. Douching should not be done unless you are instructed to do it.

After vaginal surgery, sitz bath ( sitting in the water) helps a lot. Usually you are advised to wait for sexual intercouse for 8 weeks after surgery. Please make an appointment to see us two weeks after surgery unless you are advised otherwise.

Notify your physician if you develop:

  • Fever of greater than 100.4 F orally.
  • Frequency and burning with urination
  • Persistent nausea and vomiting.
  • Excessive heavy or prolonged vaginal bleeding
  • Persistent dizziness or fainting spells.
  • Swelling, redness or tenderness around the incision