Plaza OB/GYN presents the "Ask the Physician" series, where our nationally recognized physicians answer patients most common questions about obstetrical care and gynecological conditions and procedures.
Q: What should I expect after a total laparoscopic hysterectomy?
If you and your doctor together have come to a decision that you need a hysterectomy, you should know that there are many ways to perform it: vaginal, total laparoscopic, and of course, abdominal. All except for the last one are considered minimally invasive approaches. The one that is incision-less is vaginal, which is the most minimally invasive surgery.
If you are having a vaginal hysterectomy then you will have no visible incisions.
Choosing the route of hysterectomy should be based on what is safest and least invasive for the patient.
If a total laparoscopic hysterectomy is decided, then these are the following expectations:
- Three or four small incisions on your abdomen
- Outpatient or 23 hours stay
- Recovery time typically 2 weeks (but may be less)
- Bloating, constipation from the anesthesia and pain medication.
- Typically the first two days you will be sore, from day 3 onwards, you should be feeling better and better each day as time moves away from the surgery date. If all of a sudden you feel any vomiting, fever, chills, increase the use of pain medication, have drainage, swelling, or redness around your incision sites — these are all reasons to call your doctor and as soon as possible (immediately for fever or bleeding).
Though you may be up and about routinely and feeling okay, you may have a generalized feeling of fatigue.
About the Physician: Dr. Bhalani