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	<title>preparing for surgery - Medika Life</title>
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<site xmlns="com-wordpress:feed-additions:1">180099625</site>	<item>
		<title>Giving Patients More Dignity</title>
		<link>https://medika.life/giving-patients-more-dignity/</link>
		
		<dc:creator><![CDATA[Michael Hunter, MD]]></dc:creator>
		<pubDate>Mon, 04 Jul 2022 18:15:12 +0000</pubDate>
				<category><![CDATA[Editors Choice]]></category>
		<category><![CDATA[For Doctors]]></category>
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		<category><![CDATA[Medical Privacy]]></category>
		<category><![CDATA[Michael Hunter]]></category>
		<category><![CDATA[Patient Experience]]></category>
		<category><![CDATA[preparing for surgery]]></category>
		<category><![CDATA[Surgical Care]]></category>
		<guid isPermaLink="false">https://medika.life/?p=15686</guid>

					<description><![CDATA[<p>How medical undergarments improve the surgical experience.</p>
<p>The post <a href="https://medika.life/giving-patients-more-dignity/">Giving Patients More Dignity</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></description>
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<p id="2f9d"><strong>MEDICAL UNDERGARMENTS TO COVER GENITALIA AND BUTTOCKS</strong>&nbsp;significantly increase patient satisfaction levels for surgery patients.</p>



<p id="ab88">The newer approach of wearing undergarments to surgery appears to lower anxiety about the exposure of one’s body in a medical setting, according to a recently reported&nbsp;<a href="https://journals.lww.com/jbjsjournal/Abstract/9900/Exposure_Related_Anxiety_and_Improving_Patient.564.aspx" rel="noreferrer noopener" target="_blank">randomized clinical trial</a>.</p>



<p id="ec70">For all my four decades in the medical profession, patients removed all clothing and put on a hospital-provided gown. Many patients have anxiety and stress when they expose their bodies in a medical setting.</p>



<h2 class="wp-block-heading" id="f432">Medical undergarments during surgery</h2>



<p id="2dc1">Researchers from Arizona (USA) randomly assigned patients at an orthopedic hospital: Half of the patients received a standard-of-care gown versus a standard-of-care gown and a releasable waistband.</p>



<p id="5f1a">Researchers collected preoperative and postoperative surveys from patients evaluating their anxiety levels about exposing their bodies in a medical setting. Here are the survey-based&nbsp;<a href="https://journals.lww.com/jbjsjournal/Abstract/9900/Exposure_Related_Anxiety_and_Improving_Patient.564.aspx" rel="noreferrer noopener" target="_blank">study results</a>:</p>



<blockquote class="wp-block-quote is-layout-flow wp-block-quote-is-layout-flow"><p>A substantial proportion of surgical patients had exposure-related stress or anxiety. Medical undergarments to cover their buttocks and genitalia significantly improved patient satisfaction.</p></blockquote>



<figure class="wp-block-image size-large"><img fetchpriority="high" decoding="async" width="696" height="464" src="https://i0.wp.com/medika.life/wp-content/uploads/2022/07/image.jpeg?resize=696%2C464&#038;ssl=1" alt="" class="wp-image-15687" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2022/07/image.jpeg?resize=1024%2C682&amp;ssl=1 1024w, https://i0.wp.com/medika.life/wp-content/uploads/2022/07/image.jpeg?resize=300%2C200&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2022/07/image.jpeg?resize=768%2C512&amp;ssl=1 768w, https://i0.wp.com/medika.life/wp-content/uploads/2022/07/image.jpeg?resize=150%2C100&amp;ssl=1 150w, https://i0.wp.com/medika.life/wp-content/uploads/2022/07/image.jpeg?resize=696%2C464&amp;ssl=1 696w, https://i0.wp.com/medika.life/wp-content/uploads/2022/07/image.jpeg?resize=1068%2C712&amp;ssl=1 1068w, https://i0.wp.com/medika.life/wp-content/uploads/2022/07/image.jpeg?w=1400&amp;ssl=1 1400w" sizes="(max-width: 696px) 100vw, 696px" data-recalc-dims="1" /><figcaption>Photo by&nbsp;<a href="https://unsplash.com/@arturtumasjan?utm_source=medium&amp;utm_medium=referral" rel="noreferrer noopener" target="_blank">Artur Tumasjan</a>&nbsp;on&nbsp;<a href="https://unsplash.com/?utm_source=medium&amp;utm_medium=referral" rel="noreferrer noopener" target="_blank">Unsplash</a></figcaption></figure>



<p id="8341">And now, the details for the 200 patients undergoing orthopedic surgery:</p>



<ul><li><strong>Uncomfortable with exposure.</strong>&nbsp;Thirty-one percent reported being uncomfortable exposing intimate body parts in a medical center.</li><li><strong>Stress and anxiety.&nbsp;</strong>Twenty-two percent reported stress or anxiety related to body exposure.</li><li><strong>Personal modesty.&nbsp;</strong>Fifty-four percent reported that “protecting personal modesty is important when undergoing surgery.”</li></ul>



<p id="fcfe">Does all of this translate into patient satisfaction? Eighty-seven percent of patients in the undergarment group (versus 73 percent in the stand-of-care group) offered that the provided garments met their privacy expectations.</p>



<p id="905d">Of the undergarment group members, 39 percent appeared satisfied with the hospital garments. Only 18 percent of the patients in the standard garment group strongly agreed with the statement that they were satisfied with the provided garments.</p>



<p id="362e">Finally, those in the undergarment group appeared three times more likely to indicate that the hospital-provided garments would influence their hospital choice.</p>



<p id="d968">Should hospitals consider offering specially-designed medical undergarments (single-use undergarments designed with retractable panels and a releasable waistband) to reduce the concerns of patients?</p>



<p id="2e36">Thank you for joining me in this look at single-use undergarments for surgery.</p>
<p>The post <a href="https://medika.life/giving-patients-more-dignity/">Giving Patients More Dignity</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">15686</post-id>	</item>
		<item>
		<title>Preparing for: Laparoscopic Supracervical Hysterectomy</title>
		<link>https://medika.life/preparing-for-laparoscopic-supracervical-hysterectomy/</link>
		
		<dc:creator><![CDATA[Dr Jeff Livingston]]></dc:creator>
		<pubDate>Wed, 20 Jan 2021 14:07:38 +0000</pubDate>
				<category><![CDATA[General Health]]></category>
		<category><![CDATA[Patient Zone]]></category>
		<category><![CDATA[Preparing for Procedures]]></category>
		<category><![CDATA[Surgical Innovations]]></category>
		<category><![CDATA[Womens Health]]></category>
		<category><![CDATA[Ambulatory surgery]]></category>
		<category><![CDATA[Cervical dysplasia]]></category>
		<category><![CDATA[Endometriosis]]></category>
		<category><![CDATA[Heavy periods]]></category>
		<category><![CDATA[Hysterectomy]]></category>
		<category><![CDATA[Laparoscopic Supracervical Hysterectomy]]></category>
		<category><![CDATA[Medical Procedures]]></category>
		<category><![CDATA[preparing for surgery]]></category>
		<category><![CDATA[Uterine Fibroids]]></category>
		<category><![CDATA[Uterus]]></category>
		<category><![CDATA[Vaginal hysterectomy]]></category>
		<guid isPermaLink="false">https://medika.life/?p=9730</guid>

					<description><![CDATA[<p>This article will help you prepare for a Laparoscopic Supracervical Hysterectomy. Understand what is involved in the procedure and </p>
<p>The post <a href="https://medika.life/preparing-for-laparoscopic-supracervical-hysterectomy/">Preparing for: Laparoscopic Supracervical Hysterectomy</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p id="b3cf"></p>



<h2 class="wp-block-heading" id="bd4e"><strong>What is a hysterectomy?</strong></h2>



<p id="e56b">A hysterectomy is a surgery to remove the uterus. Hysterectomies are performed for a variety of gynecologic conditions such as&nbsp;<a href="https://medika.life/understanding-uterine-fibroids-leiomyomas/" target="_blank" rel="noreferrer noopener">uterine fibroids</a>,&nbsp;<a href="https://medium.com/beingwell/keep-your-uterus-and-stop-heavy-periods-with-an-endometrial-ablation-8c5ae56718c" target="_blank" rel="noreferrer noopener">heavy periods</a>,&nbsp;<a href="https://medika.life/endometriosis/" target="_blank" rel="noreferrer noopener">endometriosis</a>, chronic pelvic pain, uterine prolapse, and gynecologic cancer.</p>



<p id="5280">A hysterectomy is a surgery to remove the <a href="https://medika.life/the-uterus/">uterus</a>. When the entire uterus is removed, this is called a total hysterectomy. If the entire uterus, tubes, and ovaries are removed this is called a total hysterectomy with bilateral salpingo-oophorectomy. Sometimes the uterus is removed, but the cervix is left behind. This surgical technique is called a supracervical hysterectomy.</p>



<p id="1792">During hysterectomies, Obgyns often recommend fallopian tube removal (<a href="https://medika.life/preparing-for-permanent-birth-control-bilateral-salpingectomy/" target="_blank" rel="noreferrer noopener">bilateral salpingectomy</a>) to reduce&nbsp;<a href="https://www.cdc.gov/cancer/ovarian/basic_info/prevention.htm" target="_blank" rel="noreferrer noopener">ovarian cancer risk.</a>&nbsp;Some women will also need the removal of the ovaries (oophorectomy).&nbsp;<a href="https://medika.life/understanding-hormones-the-roles-of-estrogen-and-progesterone/" target="_blank" rel="noreferrer noopener">Hormonal changes</a>&nbsp;only occur when the ovaries are removed.</p>



<p id="031c">Gynecologists perform hysterectomies through a variety of techniques. The size of the uterus, surgeon experience, the patient’s body type, and the prior surgical history help determine the proper surgical approach. Techniques include:</p>



<ol><li><a href="https://medika.life/preparing-for-vaginal-hysterectomy/" target="_blank" rel="noreferrer noopener">Vaginal hysterectomy</a></li><li><a href="https://medika.life/preparing-for-abdominal-hysterectomy/" target="_blank" rel="noreferrer noopener">Abdominal hysterectomy</a></li><li>Laparoscopic hysterectomy (total or supracervical)</li><li>Laparoscopic-assisted vaginal hysterectomy</li><li><a href="https://medika.life/preparing-for-robotic-hysterectomy/" target="_blank" rel="noreferrer noopener">Robotic hysterectomy</a></li></ol>



<figure class="wp-block-image size-large is-style-default"><img decoding="async" width="696" height="696" src="https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-8.jpeg?resize=696%2C696&#038;ssl=1" alt="" class="wp-image-9732" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-8.jpeg?w=1024&amp;ssl=1 1024w, https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-8.jpeg?resize=300%2C300&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-8.jpeg?resize=150%2C150&amp;ssl=1 150w, https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-8.jpeg?resize=768%2C768&amp;ssl=1 768w, https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-8.jpeg?resize=696%2C696&amp;ssl=1 696w, https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-8.jpeg?resize=600%2C600&amp;ssl=1 600w, https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-8.jpeg?resize=100%2C100&amp;ssl=1 100w" sizes="(max-width: 696px) 100vw, 696px" data-recalc-dims="1" /></figure>



<h3 class="wp-block-heading" id="7f28"><strong>What are the advantages of laparoscopic supracervical hysterectomy?</strong></h3>



<p id="0521">Many patients who need a hysterectomy are concerned about a long recovery and missing time off work. A laparoscopic supracervical hysterectomy is an excellent option for hysterectomy candidates who do not have any cervix problems.</p>



<p id="73fe">The cervix is the opening of the uterus at the back of the vagina. Some women are not candidates for supracervical hysterectomy due to a history of&nbsp;<a href="https://medika.life/preparing-for-loop-electrosurgical-excision-procedure-leep/" target="_blank" rel="noreferrer noopener">cervical dysplasia</a>,&nbsp;<a href="https://medika.life/hpv-human-papillomavirus/" target="_blank" rel="noreferrer noopener">HPV</a>, or&nbsp;<a href="https://medium.com/sexography/no-one-wants-a-pap-smear-but-it-can-save-your-life-9d84b1ce1e0b" target="_blank" rel="noreferrer noopener">abnormal pap smears</a>.</p>



<p id="2f3d">This minimally invasive technique allows faster recovery, reduced pain, and shorter hospital stay. Patients benefit from small incisions, a short hospital stay, and a quicker return to work, exercise, and everyday activities.</p>



<p id="5eb4">During laparoscopic surgery, the surgeon places a camera through the umbilicus (belly button). This technique allows the surgeon to use small instruments to perform the surgery and monitor the surgical field through these tiny incisions.</p>



<h3 class="wp-block-heading" id="cb48"><strong>How long will I be in the hospital?</strong></h3>



<p id="f5d6">Surgeons perform a laparoscopic supracervical hysterectomy as an outpatient procedure or inpatient surgery with an overnight stay. Various factors, such as the patient’s underlying health status, surgical complexity, and physician preference, help determine the surgical plan.</p>



<p id="d5c6">Most laparoscopic supracervical hysterectomy patients can leave the hospital much faster after a traditional abdominal hysterectomy.</p>



<h3 class="wp-block-heading" id="dcd9"><strong>Can my family visit me?</strong></h3>



<p id="1011">A trusted family member should drive you to and from the hospital or ambulatory surgery center for a laparoscopic supracervical hysterectomy. Families are welcome to stay with you before and after surgery. Hospital visitor policies for overnight stays vary from region to region due to the&nbsp;<a href="https://medika.life/?s=covid" target="_blank" rel="noreferrer noopener">Covid-19 pandemic</a>.</p>



<h3 class="wp-block-heading" id="9dcc"><strong>Does my procedure require an anesthetic?</strong></h3>



<p id="2f95">A laparoscopic supracervical hysterectomy requires general anesthesia. An anesthesiologist will temporarily put the patient to sleep so they will feel no pain during surgery. The surgeon may also inject a local anesthetic into the incisions to decrease postoperative pain.</p>



<h3 class="wp-block-heading" id="0317"><strong>What’s the procedure when I check-in?</strong></h3>



<p id="75ae">Most surgeries will involve a preoperative visit with your surgeon to go over the procedure’s risks and benefits in detail. Your surgeon answers questions regarding your upcoming surgery. The surgical consent form is reviewed, signed, or updated with any changes.</p>



<p id="ef85">Because any hysterectomy will eliminate the possibility of child-bearing, your doctor will ask questions to make sure you are confident you will not want children in the future.</p>



<p id="98e4">In most settings, patients will receive a preoperative phone call by a nurse or medical assistant one to two days before surgery. If any blood work or preoperative testing is required, it will be scheduled and confirmed.</p>



<p id="2a1f">After arrival at the hospital or Ambulatory Surgery Center, the staff will guide you to the preoperative holding area to change into a surgical gown and store your valuables. You will meet the nursing team who will provide care during your stay. Your nurse will place an IV at this time.</p>



<p id="ba4b">The anesthesia team will come to interview you and answer questions. Typically your surgeon will also come and review any last-minute questions.</p>



<h3 class="wp-block-heading" id="03b4"><strong>What happens on the day of surgery?</strong></h3>



<figure class="wp-block-image size-large is-style-default"><img decoding="async" width="696" height="582" src="https://i0.wp.com/medika.life/wp-content/uploads/2021/06/Laparoscopic-Hysterectomy.jpeg?resize=696%2C582&#038;ssl=1" alt="" class="wp-image-12326" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2021/06/Laparoscopic-Hysterectomy.jpeg?w=992&amp;ssl=1 992w, https://i0.wp.com/medika.life/wp-content/uploads/2021/06/Laparoscopic-Hysterectomy.jpeg?resize=300%2C251&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2021/06/Laparoscopic-Hysterectomy.jpeg?resize=768%2C642&amp;ssl=1 768w, https://i0.wp.com/medika.life/wp-content/uploads/2021/06/Laparoscopic-Hysterectomy.jpeg?resize=150%2C125&amp;ssl=1 150w, https://i0.wp.com/medika.life/wp-content/uploads/2021/06/Laparoscopic-Hysterectomy.jpeg?resize=696%2C582&amp;ssl=1 696w, https://i0.wp.com/medika.life/wp-content/uploads/2021/06/Laparoscopic-Hysterectomy.jpeg?resize=600%2C501&amp;ssl=1 600w" sizes="(max-width: 696px) 100vw, 696px" data-recalc-dims="1" /></figure>



<h3 class="wp-block-heading" id="e3ec"><strong>What happens in the operating room?</strong></h3>



<p id="be81">After the preoperative evaluation, the team will guide you to the operating or procedure room. You will move from the mobile bed to the operating table. Once you are positioned comfortably and safely, the anesthesiologist will give you medication through your IV to help you go to sleep.</p>



<p id="c644">The OR nursing team will cover your body with sterile drapes and prep the abdomen for surgical sterility. The team then performs a “surgical time-out.” The head nurse will read a surgical safety checklist aloud, requiring all surgical team members to be present and attentive.</p>



<p id="f746">The gynecologic surgeon will insert a speculum into the vagina to allow visualization of the cervix, the opening of your uterus located at the back of the vagina.</p>



<p id="1245">Once the speculum is in place and the cervix visualized, the surgeon inserts a device called a uterine manipulator into the cavity of the uterus. This step facilitates the surgeon’s ability to safely operate and avoid injury to surrounding tissue such as the bladder, rectum, intestines, and ureter.</p>



<p id="bddf">The surgeon will mark the surgical sites with a small marking pin and insert a small camera through an incision in the belly button. Air inflates and distends the abdomen to allow visualization of the pelvis. My preference is to insert a specialized instrument called Gel point mini by Applied Medical. This type of port will enable me to use one incision to perform the procedure.</p>



<div class="wp-block-image is-style-default"><figure class="aligncenter size-large"><img loading="lazy" decoding="async" width="198" height="188" src="https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-10.jpeg?resize=198%2C188&#038;ssl=1" alt="" class="wp-image-9734" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-10.jpeg?w=198&amp;ssl=1 198w, https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-10.jpeg?resize=150%2C142&amp;ssl=1 150w" sizes="(max-width: 198px) 100vw, 198px" data-recalc-dims="1" /><figcaption><a href="https://www.appliedmedical.com/Products/Gelpoint" target="_blank" rel="noreferrer noopener">Image CC Applied medical</a></figcaption></figure></div>



<p id="15ed">The surgical team positions the laparoscopic camera to show the pelvic anatomy. We pass small instruments through the additional ports.</p>



<p id="dec9">Many surgeons recommend complete removal of the fallopian tubes (<a href="https://medika.life/preparing-for-permanent-birth-control-bilateral-salpingectomy/" target="_blank" rel="noreferrer noopener">bilateral salpingectomy</a>) at the time of surgery as this technique reduces&nbsp;<a href="https://www.cdc.gov/cancer/ovarian/basic_info/prevention.htm" target="_blank" rel="noreferrer noopener">the risk of ovarian cancer.</a></p>



<p id="8e49">The fallopian tubes are located and grasped with one instrument. Using the other hand, the surgeon clamps and cuts the fallopian tubes from the adjacent anatomy.</p>



<p id="65fe">The surgeon travels down the sides of the uterus, freeing it from the connecting tissues. The round ligament and uterine/ovarian ligaments are clamped, cauterized, and then cut. At each step, the surgeon will take precautions to control and avoid bleeding.</p>



<p id="f47c">Critical anatomy lies towards to lower end of the uterus. The surgeon will separate the bladder from the lower uterine segment to allow visualization of the cervix and avoid bladder injury.</p>



<p id="cfbc">The surgeon will focus careful attention on the uterine arteries, the main blood supply to the uterus. These two blood vessels travel over the ureters, which are the tubes connecting the kidney to the bladder.</p>



<p id="fdab">At this point, we can separate the uterus from the cervix for removal. There are various techniques, but I prefer to use a product called the bipolar Lina Loop.</p>



<div class="wp-block-image is-style-default"><figure class="aligncenter size-large"><img loading="lazy" decoding="async" width="263" height="263" src="https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-2.png?resize=263%2C263&#038;ssl=1" alt="" class="wp-image-9735" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-2.png?w=263&amp;ssl=1 263w, https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-2.png?resize=150%2C150&amp;ssl=1 150w, https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-2.png?resize=100%2C100&amp;ssl=1 100w" sizes="(max-width: 263px) 100vw, 263px" data-recalc-dims="1" /></figure></div>



<p id="4c2c">The surgeon lassos the loop over the uterus and positions it at the uterus and the cervical junction. We perform a safety check to make sure no other anatomy is in contact with the loop. Then the uterus is amputated from the cervix.</p>



<p id="2436">The uterus is now free but still needs to be removed. We place the uterus into a surgical bag for tissue retrieval.</p>



<div class="wp-block-image is-style-default"><figure class="aligncenter size-large"><img loading="lazy" decoding="async" width="526" height="350" src="https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-11.jpeg?resize=526%2C350&#038;ssl=1" alt="" class="wp-image-9736" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-11.jpeg?w=526&amp;ssl=1 526w, https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-11.jpeg?resize=300%2C200&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2021/01/image-11.jpeg?resize=150%2C100&amp;ssl=1 150w" sizes="(max-width: 526px) 100vw, 526px" data-recalc-dims="1" /></figure></div>



<p id="f39e">The surgeon examines all of the surgical sites for bleeding. When safe, the Obgyn removes the uterus safely located inside the bag through the umbilical (belly button) incision. We removal the operative ports and sew the surgical incisions closed.</p>



<p id="b3b9">Once the procedure is complete, the surgical team completes a post-procedure review. All instruments and equipment are counted and verified. When finished, the anesthesiologist will begin to wake the patient up for transfer to the recovery room.</p>



<figure class="wp-block-image is-style-default"><img decoding="async" src="https://miro.medium.com/max/696/0*is10ZlcYmTDO9qD_" alt="Image for post"/></figure>



<h3 class="wp-block-heading" id="055a"><strong>How long will I be in the operating room?</strong></h3>



<p id="aee2">Once the patient enters the operating room, a series of safety steps must occur. This process takes about 20 minutes.</p>



<p id="af10">The operative time for laparoscopic supracervical hysterectomy varies. The surgeon’s experience, surgical technique, patient body type, uterine size, and previous surgeries are all factors. For example, a small uterus is a much easier surgery than a large,&nbsp;<a href="https://medium.com/beingwell/understanding-uterine-fibroids-diagnosis-treatment-and-options-a609e68228c2" target="_blank" rel="noreferrer noopener">fibroid</a>&nbsp;uterus.</p>



<p id="1666">In general, the patient should expect 1–2 hours of total operative time.</p>



<h3 class="wp-block-heading" id="e032"><strong>When can I go home?</strong></h3>



<p id="ca32">Postoperative recovery time will vary from person to person. Some surgeons will recommend an outpatient procedure, while others prefer an overnight stay. The patients underlying health status, surgical complexity, and physician preference are all factors.</p>



<p id="6321">To be able to go home, each patient must meet specific discharge criteria. The patient’s vital signs must be stable. The patient must be alert, oriented, and able to walk with assistance. The recovery room team will control postoperative nausea, vomiting, and pain and monitor for postoperative bleeding.</p>



<p id="cd1e">The nursing team will go over discharge instructions, and confirm postoperative pain management plans.</p>



<h2 class="wp-block-heading" id="ce49">AFTERCARE AND RECOVERY QUESTIONS</h2>



<h3 class="wp-block-heading" id="c976"><strong>What is the usual recovery time?</strong></h3>



<p id="b2c8">Most women should be able to return to normal daily activities within a few weeks of surgery. The nursing team will help patients walk and move around a few hours after surgery to reduce blood clots’ risk, improve lung function, and expedite bowel function return.</p>



<p id="2c10">Most patients will require pain medication like NSAIDs and narcotics for a time. Many experience discomfort in the right shoulder due to air irritating the nerves of the diaphragm.</p>



<p id="806f">Light bleeding, spotting, and brown or black discharge is common and expected. Sanitary napkins are safe to use.</p>



<h3 class="wp-block-heading" id="5fd8"><strong>What aftercare is required?</strong></h3>



<p id="e70d">You should speak with your physician regarding the resumption of exercise and sexual activity. Most can return to basic activities in one to two weeks. Sexual activity is typically restricted for 6–8 weeks to allow complete healing.</p>



<p id="00a7">Your doctor will schedule a postoperative examination 1–2 weeks after the procedure to evaluate the incisions.</p>



<h3 class="wp-block-heading" id="ec5c"><strong>Danger Signals to look out for after the procedure</strong></h3>



<p id="6c1e">You should call your doctor if you experience heavy vaginal bleeding, fevers, severe nausea or vomiting, worsening abdominal pain, or the inability to pass gas.</p>



<p id="373e">If you experience heavy bleeding, abdominal or pelvic pain, a fever, or pain that increases over 24 hours, call your physician. After any surgery, contact your physician if you meet any of the following criteria:</p>



<ul><li>Pain not controlled with prescribed medication</li><li>Fever &gt; 101</li><li>Nausea and vomiting</li><li>Calf or leg pain</li><li>Shortness of breath</li><li>Heavy vaginal bleeding</li><li>Foul-smelling vaginal discharge</li><li>Abdominal pain not controlled by pain medication</li><li>Inability to pass gas</li></ul>



<h3 class="wp-block-heading" id="05e3"><strong>What preparations should I make for aftercare at home?</strong></h3>



<p id="5cd0">Laparoscopic procedures require very little postoperative care. Keep the incisions clean and dry. Patients should avoid sexual activity until cleared by their doctor. One may resume a normal diet the day of surgery and begin light exercise the day after the procedure or when you feel ready.</p>



<h3 class="wp-block-heading" id="e3f2"><strong>What information should I provide to my doctors and nurses?</strong></h3>



<p id="346a">It is very important to provide your doctor with an updated list of all medications, vitamins, and dietary supplements prior to surgery. All medication and food allergies should be reviewed. Share any lab work, radiologic procedures, or other medical tests done by other healthcare providers with your surgeon prior to your procedure.</p>



<h4 class="wp-block-heading"><strong>Still have questions?</strong></h4>



<p>Read through any existing comments in the section below and if you still need information on this procedure please do leave your questions in the comments section.</p>
<p>The post <a href="https://medika.life/preparing-for-laparoscopic-supracervical-hysterectomy/">Preparing for: Laparoscopic Supracervical Hysterectomy</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">9730</post-id>	</item>
		<item>
		<title>My First Time Operating as an Intern Was Eye-Opening</title>
		<link>https://medika.life/my-first-time-operating-as-an-intern-was-eye-opening/</link>
		
		<dc:creator><![CDATA[Simona Cazanescu]]></dc:creator>
		<pubDate>Mon, 14 Dec 2020 07:03:18 +0000</pubDate>
				<category><![CDATA[A Doctors Life]]></category>
		<category><![CDATA[Editors Choice]]></category>
		<category><![CDATA[For Doctors]]></category>
		<category><![CDATA[Medical Students]]></category>
		<category><![CDATA[Patient Zone]]></category>
		<category><![CDATA[Understanding]]></category>
		<category><![CDATA[conquering fear]]></category>
		<category><![CDATA[learning about surgery]]></category>
		<category><![CDATA[medical intern]]></category>
		<category><![CDATA[medical student]]></category>
		<category><![CDATA[operating]]></category>
		<category><![CDATA[preparing for surgery]]></category>
		<category><![CDATA[scalpel]]></category>
		<guid isPermaLink="false">https://medika.life/?p=8498</guid>

					<description><![CDATA[<p>The very real life experience of a medical student experiencing their first call to surgery.  The feelings that accompany being on the other side of the knife for the first time</p>
<p>The post <a href="https://medika.life/my-first-time-operating-as-an-intern-was-eye-opening/">My First Time Operating as an Intern Was Eye-Opening</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<blockquote class="wp-block-quote td_pull_quote td_pull_center is-layout-flow wp-block-quote-is-layout-flow"><p>Scalpel, please!</p></blockquote>



<p id="09a3">I’ve never been ‘on the table’ in surgery. I can’t empathize, but I’m endlessly curious about it. As a doctor in training in Romania, I consider it only from a professional perspective. As much as I would like first-hand knowledge, I fear the loss of control over myself.</p>



<p id="9545">What is more, I’ve seen the movie ‘Awake’. Certain visuals are so hard to erase from one’s mind!</p>



<p id="fed3">Despite all the movies featuring surgery, I never imagined that anyone could be brought up to such a fragile state of being.</p>



<p id="8934">TV screens don’t do humanity justice. They make us seem too ‘fixable’, and downplay our risk of death. It’s almost a systematic desensitization, seeing your fellow humans bleeding out while you’re on the couch, your eyes glued onto the display. With the movies nowadays engaging in such explicit (yet unrealistic) content, it’s hard not to be fooled by the idea that sucker punches and knife-stabbings are easy from which to recover.</p>



<p id="f069">But is it,&nbsp;<strong>really</strong>, the same in real life? Has the ‘scalpel please’ line become so commonplace that we no longer associate it with the incision that can make the difference between life and death?</p>



<p id="546e">Itwas 7 a.m. on a summer morning. I was already at the hospital, attending my internship in the ENT (Otolaryngology) department. I’ve chosen this specialty because it offers both the clinical and surgical experience, which is great for someone trying to explore their options. At that moment, I wasn’t sure if ENT would be something I wanted to pursue in the future, but I was trying to keep an open mind and wait for something interesting to happen and spark my curiosity.</p>



<p id="f6a3">As an intern, what I can or cannot do depends on the doctor supervising me. If there’s enough time in their schedule, I can even talk with the patients and work on my history-taking and clinical examination skills. If not, I would usually attend consultations and surgeries.</p>



<p id="9670">All the surgeries were being scheduled early, which was so painful due to the lack of sleep I was suffering from. That morning I was talking about, I’ve felt like I could really fall asleep while standing up.</p>



<p id="0527"><strong>What can you do, though? A padawan never complains!</strong></p>



<p id="1886">A patient was already waiting for us in the operating room. The case was a classic ENT procedure:&nbsp;<strong>nasal septum deviation</strong>. I’ve watched enough of these cases. However, I never imagined how awfully different the perspective could become.</p>



<p id="a9d8">Usually, this type of surgery is pretty basic. Doctors in this department call it ‘the bread and butter of the surgeon’ since there isn’t a day that passes by without squeezing a quick septoplasty into the already busy schedule. These cases last about an hour, and the recovery is also pretty smooth. Not that big of a deal if you think.</p>



<p id="9eea">The procedure doesn’t require more than two people: the primary attending surgeon and the assistant surgeon (in this case, a resident). That morning, the resident was out of the office. When this happens, a nurse can take their place. Even though there was a nurse available at the moment, still I heard:</p>



<blockquote class="wp-block-quote td_pull_quote td_pull_center is-layout-flow wp-block-quote-is-layout-flow"><p>‘Scrub in and come help me!’</p></blockquote>



<p id="dce2"><strong>DO WHAT???</strong></p>



<p id="050d">My eyes, struggling to stay open at that excruciating painful hour, suddenly were wide open. My ears couldn’t guide the sound any faster to my brain for it to process those few words that weren’t making any sense.</p>



<p id="bc2d"><strong>Me? To play the role of an assistant surgeon? How is that even possible?</strong></p>



<p id="1360">Interns are usually allowed to come close to the operating table if they want to. What shocked me was that I wasn’t coming close to the table.&nbsp;<strong>I was being asked to take part in the whole process!</strong></p>



<p id="47e3">This thing rarely happens, because there’s a huge amount of responsibility that falls on doctors’ shoulders if students fail. Given that, one has to be really good in order to receive such a great opportunity. At the time, I didn’t think I was worthy.</p>



<p id="b0dc">I didn’t have a lot of time to reflect on the situation. Actually, I didn’t have any at all. The next moment, I was washing my hands, putting on my mask, cap, gloves, and gown. You could say I was ready to enter the O.R.</p>



<p id="0784">And I did. With both fear and curiosity pounding in my chest, I’ve positioned myself strategically opposite the surgeon. She was that fearless woman, so good at her job that she made me forget there was still a world outside of the room we were in. For the moment, nothing else mattered.</p>



<p id="4365"><strong>It was us against a deviated septum.</strong></p>



<p id="56a1">I never knew that an hour could last more than 60 minutes. Or at least, that it can feel like a whole day of hard work.&nbsp;For me, this hour felt as though it would never end.</p>



<p id="09a6">The level of adrenaline that was pumping through my body must have been through the roof. I constantly thought that I might do something wrong, putting the patient’s life at risk.</p>



<p id="91ec">There were moments when I had to use a hammer in order to help the doctor shape the nasal cartilage. Those were the scariest memories since I had to use both force and precision. We didn’t want to leave the poor man without a nose.</p>



<p id="09af">I also helped with the sutures, aspiration, and other chores I could manage to perform with the little knowledge I possessed. Although I felt utterly overwhelmed, somehow, I managed to get myself together and take it to an end.</p>



<p id="cff4">At the end of the surgery, my hands, and a great part of my gown were covered in blood. Another human being’s blood.</p>



<p id="85cd">As I was changing clothes and throwing out the surgical equipment, still trying to process the entire event I took part in, the surgeon came next to me. She confessed she forgot during the surgery that I wasn’t a resident. She expected from me what she would’ve expected from them. She apologized and asked me if I will give up surgery for good because of this incident.</p>



<p id="4af2">I told her that it had been the most real thing I’ve ever managed to experience. And I truly meant it. What is more, I’ve learned something new.</p>



<p id="a2a6"><strong>I could see what’s it like to be on the other side of fear: there’s fear there, too, until you turn it into strength.</strong></p>



<p id="2c51">Since that day, ENT has become a solid option for my future as a doctor. The confidence that day has offered me pushed me into constantly challenging myself and&nbsp;never thinking I’m not worthy of something until experiencing it first.</p>



<p id="9e55">We can never know what we’re capable of until we give it a try!</p>
<p>The post <a href="https://medika.life/my-first-time-operating-as-an-intern-was-eye-opening/">My First Time Operating as an Intern Was Eye-Opening</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">8498</post-id>	</item>
		<item>
		<title>Preparing for: Robotic Hysterectomy</title>
		<link>https://medika.life/preparing-for-robotic-hysterectomy/</link>
		
		<dc:creator><![CDATA[Dr Jeff Livingston]]></dc:creator>
		<pubDate>Mon, 12 Oct 2020 11:33:00 +0000</pubDate>
				<category><![CDATA[Patient Zone]]></category>
		<category><![CDATA[Preparing for Procedures]]></category>
		<category><![CDATA[Reproductive System]]></category>
		<category><![CDATA[Sexual Health]]></category>
		<category><![CDATA[Understanding]]></category>
		<category><![CDATA[Womens Health]]></category>
		<category><![CDATA[Anesthesia]]></category>
		<category><![CDATA[Endometriosis]]></category>
		<category><![CDATA[Gynecology]]></category>
		<category><![CDATA[Heavy periods]]></category>
		<category><![CDATA[Hysterectomy]]></category>
		<category><![CDATA[preparing for surgery]]></category>
		<category><![CDATA[Prolapsed Uterus]]></category>
		<category><![CDATA[Robotic Hysterectomy]]></category>
		<category><![CDATA[Uterine Fibroids]]></category>
		<category><![CDATA[Uterus]]></category>
		<guid isPermaLink="false">https://medika.life/preparing-for-hysteroscopic-myomectomy-copy/</guid>

					<description><![CDATA[<p>Prepare yourself for a Robotic Hysterectomy by learning more about what the procedure entails.</p>
<p>The post <a href="https://medika.life/preparing-for-robotic-hysterectomy/">Preparing for: Robotic Hysterectomy</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<h2 class="wp-block-heading">What is a robotic hysterectomy?</h2>



<p>A hysterectomy is a surgery to remove theuterus. Hysterectomies are performed for a variety of gynecologic conditions such as <a href="https://medika.life/understanding-uterine-fibroids-leiomyomas/" rel="noreferrer noopener" target="_blank">uterine fibroids</a>, <a href="https://medium.com/beingwell/keep-your-uterus-and-stop-heavy-periods-with-an-endometrial-ablation-8c5ae56718c" target="_blank" rel="noreferrer noopener">heavy periods</a>, <a href="https://medika.life/endometriosis/" rel="noreferrer noopener" target="_blank">endometriosis</a>, chronic pelvic pain, uterine prolapse and gynecologic cancer.&nbsp;</p>



<p>During a hysterectomy, the uterus is removed. Obgyns often recommend fallopian tube removal (<a href="https://medika.life/preparing-for-permanent-birth-control-bilateral-salpingectomy/" rel="noreferrer noopener" target="_blank">bilateral salpingectomy</a>) to reduce <a href="https://www.cdc.gov/cancer/ovarian/basic_info/prevention.htm" rel="noreferrer noopener" target="_blank">the risk of ovarian cancer.</a> Some women will also need the removal of the ovaries (oophorectomy). <a href="https://medika.life/understanding-hormones-the-roles-of-estrogen-and-progesterone/" rel="noreferrer noopener" target="_blank">Hormonal changes</a> only occur when the ovaries are removed.</p>



<p>Gynecologists perform hysterectomies through a variety of techniques. The size of the uterus, surgeon experience, the patient’s body type, and the prior surgical history help determine the proper surgical approach. Techniques include:</p>



<ol><li>Vaginal hysterectomy</li><li>Abdominal hysterectomy </li><li>Laparoscopic hysterectomy </li><li>Laparoscopic-assisted vaginal hysterectomy </li><li>Robotic hysterectomy robotic </li></ol>



<h3 class="wp-block-heading"><strong>What are the advantages of robotic hysterectomy?</strong></h3>



<p>Contrary to the name, robots do not perform the surgery. A human gynecologic surgeon attaches a surgical system to intraabdominal ports. While sitting at a surgical console, the surgeon controls the robotic arms while monitoring the surgical field in a 3D view..</p>



<p>Through 4–5 small incisions, the surgeon detaches the uterus from the surrounding tissues. Robotic surgery is a minimally invasive surgery that allows for faster recovery, reduced pain, and shorter hospital stay.</p>



<p>The<a href="https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2020/09/robot-assisted-surgery-for-noncancerous-gynecologic-conditions" rel="noreferrer noopener" target="_blank"> American College of Obgyn</a> acknowledges this type of hysterectomy’s growing popularity but recommends robotic hysterectomy be reserved for more complex cases that can not be safely completed through other minimally invasive techniques.</p>



<p>Experienced robotic surgeons prefer the precise control of the surgical arms allowing complex cases to be completed in a minimally invasive fashion. Patients benefit from small incisions, a short hospital stay, and a faster return to work, exercise, and everyday activities.</p>



<h3 class="wp-block-heading"><strong>How long will I be in the hospital?</strong></h3>



<p>Surgeons perform robotic hysterectomies as an outpatient procedure or as an inpatient surgery with an overnight stay. Various factors, such as the patient’s underlying health status, surgical complexity, and physician preference, help determine the surgical plan.</p>



<p>Most robotic hysterectomy patients are able to leave the hospital much faster after a traditional abdominal hysterectomy.&nbsp;</p>



<h3 class="wp-block-heading"><strong>Can family visit me?</strong></h3>



<p>A trusted family member should drive you to and from the hospital or ambulatory surgery center for a robotic hysterectomy. Families are welcome to stay with you before and after surgery. Hospital visitor policies for overnight stays vary from region to region due to the Covid-19 pandemic.</p>



<h3 class="wp-block-heading"><strong>Does my procedure require an anesthetic?</strong></h3>



<p>Laparoscopic robotic surgery requires general anesthesia meaning patients will be temporarily put to sleep. The surgeon may also inject a local anesthetic into the incisions to decrease postoperative pain.</p>



<h3 class="wp-block-heading"><strong>What&#8217;s the procedure when I check-in?</strong></h3>



<p>Most surgeries will involve a preoperative visit with your surgeon to go over the procedure’s risks and benefits in detail. Your surgeon answers questions regarding your upcoming surgery. The surgical consent form is reviewed, signed, or updated with any changes.</p>



<p>Because robotic hysterectomies will eliminate the possibility of child-bearing, your doctor will ask questions to make sure you are confident you will not want children in the future.</p>



<p>In most settings, patients will receive a preoperative phone call by a nurse or medical assistant one to two days before surgery. If any blood work or preoperative testing is required, it will be scheduled and confirmed.</p>



<p>After arrival at the hospital or Ambulatory Surgery Center, the staff will guide you to the preoperative holding area to change into a surgical gown and store your valuables. You will meet the nursing team who will provide care during your stay. An IV will be placed at this time.</p>



<p>The anesthesia team will come to interview you and answer questions. Typically your surgeon will also come and review any last-minute questions.</p>





<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="696" height="502" src="https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-954765790.jpg?resize=696%2C502&#038;ssl=1" alt="" class="wp-image-6188" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-954765790.jpg?resize=1024%2C739&amp;ssl=1 1024w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-954765790.jpg?resize=600%2C433&amp;ssl=1 600w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-954765790.jpg?resize=300%2C217&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-954765790.jpg?resize=768%2C554&amp;ssl=1 768w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-954765790.jpg?resize=696%2C503&amp;ssl=1 696w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-954765790.jpg?resize=1068%2C771&amp;ssl=1 1068w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-954765790.jpg?resize=582%2C420&amp;ssl=1 582w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-954765790.jpg?resize=324%2C235&amp;ssl=1 324w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-954765790.jpg?w=1205&amp;ssl=1 1205w" sizes="(max-width: 696px) 100vw, 696px" data-recalc-dims="1" /><figcaption>Robotic surgery health care concept vector illustration scene with patients, robotic arms, and female doctor monitoring and assisting with controllers.</figcaption></figure>



<h3 class="wp-block-heading"><strong>What happens in the operating room?</strong></h3>



<p>After the preoperative evaluation, the team will guide you to the operating or procedure room. You will move from the mobile bed to the operating table. Once you are positioned comfortably and safely, the anesthesiologist will give you medication through your IV to help you go to sleep.</p>



<p>The OR nursing team will cover your body with sterile drapes and prep the abdomen for surgical sterility. The team then performs a “surgical time-out.” A surgical safety checklist is read aloud, requiring all surgical team members to be present and attentive.</p>



<p>The gynecologic surgeon will insert a speculum into the vagina to allow visualization of the cervix, the opening of your uterus located at the back of the vagina.</p>



<p>Once the speculum is in place and the cervix visualized, the surgeon inserts a device called a uterine manipulator into the cavity of the uterus. This step facilitates the surgeon&#8217;s ability to safely operate and avoid injury to surrounding tissue such as the bladder, rectum, intestines, and ureter.</p>



<p>The surgeon will mark the surgical sites with a small marking pin. A small camera is inserted through an incision into the belly button. Air inflates and distends the abdomen to allow visualization of the pelvis. Three or four secondary ports are placed to allow the robotic arms to function.&nbsp;</p>



<p>The robot is then positioned over the body and attached to the ports. The laparoscopic camera is positioned to show the pelvic anatomy. Small instruments are passed through the additional ports. Scissors are attached to one robotic arm and a grasping device in the other. This allows the surgeon to operate with both hands.&nbsp;</p>



<p>The surgeon then moves away from the patient to the surgical consult to control the robot.&nbsp;</p>



<p>As the surgeon takes her seat, she adjusts the camera and robotic arms’ position to begin the surgery.</p>



<p>Many surgeons recommend complete removal of the fallopian tubes (<a href="https://medika.life/preparing-for-permanent-birth-control-bilateral-salpingectomy/" rel="noreferrer noopener" target="_blank">bilateral salpingectomy</a>) at the time of surgery as this technique reduces <a href="https://www.cdc.gov/cancer/ovarian/basic_info/prevention.htm" rel="noreferrer noopener" target="_blank">the risk of ovarian cancer.</a></p>



<p>The fallopian tubes are located and grasped with one instrument. Using the other hand, the surgeon clamps and cuts the tubes from the adjacent anatomy.</p>



<p>The surgeon travels down the sides of the uterus freeing it from the connecting tissues. The round ligament and utero-ovarian ligaments are clamped, cauterized and then cut. At each step, the surgeon will take precautions to control and avoid bleeding.&nbsp;</p>



<p>Towards to lower end of the uterus lies important anatomy. The surgeon will separate the bladder from the lower uterine segment to allow visualization of the cervix.&nbsp;</p>



<p>The surgeon will focus attention on the uterine arteries. These two blood vessels are the main blood supply to the uterus and travel over the ureters, which are the tubes connecting the kidney to the bladder.&nbsp;</p>



<p>Once the uterine arteries are controlled, the surgeon can safely separate the uterus from the vagina.&nbsp;</p>



<p>The surgeon makes a circular incision just below the cervix freeing the uterus. The uterus is delivered through the vagina and sent to the pathologist to analyze the tissue.&nbsp;</p>



<p>The surgeon then sews the edges of the vagina closed to form the vaginal cuff.&nbsp;</p>



<p>The surgeon examines all of the surgical sites for bleeding. When safe, the Obgyn removes the operative ports and sews the surgical incisions closed.&nbsp;</p>



<p>Once the procedure is complete, the surgical team completes a post-procedure review. All instruments and equipment are counted and verified. When finished, the anesthesiologist will begin to wake the patient up for transfer to the recovery room.</p>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="696" height="464" src="https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-489303654.jpg?resize=696%2C464&#038;ssl=1" alt="" class="wp-image-6190" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-489303654.jpg?resize=1024%2C683&amp;ssl=1 1024w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-489303654.jpg?resize=600%2C400&amp;ssl=1 600w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-489303654.jpg?resize=300%2C200&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-489303654.jpg?resize=768%2C512&amp;ssl=1 768w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-489303654.jpg?resize=696%2C464&amp;ssl=1 696w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-489303654.jpg?resize=1068%2C712&amp;ssl=1 1068w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-489303654.jpg?resize=630%2C420&amp;ssl=1 630w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/iStock-489303654.jpg?w=1254&amp;ssl=1 1254w" sizes="(max-width: 696px) 100vw, 696px" data-recalc-dims="1" /><figcaption>Female Patient And Nurse Have Consultation In Hospital Room</figcaption></figure>



<h3 class="wp-block-heading"><strong>How long will I be in the operating room?</strong></h3>



<p>Once the patient enters the operating room, a series of safety steps must occur. This process takes about 20 minutes.</p>



<p>The operative time for robotic hysterectomy varies. The surgeon’s experience, surgical technique, patient body type, uterine size, and patient’s previous surgeries are all factors.</p>



<p>In general, patient should expect 1–2 hours of total operative time.</p>



<h3 class="wp-block-heading"><strong>When can I go home?</strong></h3>



<p>Postoperative recovery time will vary from person to person. Some surgeons will recommend an outpatient procedure while others prefer an overnight stay. The patients underlying health status, surgical complexity and physician preference are all factors.&nbsp;</p>



<p>To be able to go home, each patient must meet specific discharge criteria. The patient’s vital signs must be stable. The patient must be alert, oriented, and able to walk with assistance. Postoperative nausea, vomiting, and pain must be controlled as well as confirmation of no postoperative bleeding.</p>



<p>The nursing team will go over discharge instructions, and the plan for postoperative pain management options will be confirmed.</p>





<h3 class="wp-block-heading"><strong>What is the usual recovery time</strong></h3>



<p>Most women should be able to return to normal daily activities within a few weeks of surgery. The nursing team will help patients walk and move around a few hours after surgery to reduce blood clots’ risk, improve lung function, and expedite bowel function return.</p>



<p>Most patients will require pain medication like NSAIDs and narcotics for a time. Many experience discomfort in the right shoulder due to air irritating the nerves of the diaphragm.</p>



<p>Light bleeding, spotting, and brown or black discharge is common and expected. Sanitary napkins are safe to use.</p>



<h3 class="wp-block-heading"><strong>What aftercare is required?</strong></h3>



<p>You should speak with your physician regarding the resumption of exercise and sexual activity. Most can return to basic activities in one to two weeks. Sexual activity is typically restricted for 6–8 weeks to allow the vaginal cuff to heal.</p>



<p>Your doctor will schedule a postoperative examination 1–2 weeks after the procedure to evaluate the incisions.</p>



<h3 class="wp-block-heading"><strong>Danger Signals to look out for after the procedure</strong></h3>



<p>You should call your doctor if you experience heavy vaginal bleeding, fevers, severe nausea or vomiting, worsening abdominal pain, or the inability to pass gas.</p>



<p>If you experience heavy bleeding, abdominal or pelvic pain, a fever, or pain that increases over 24 hours, call your physician. After any surgery, contact your physician if you meet any of the following criteria:</p>



<ul><li>Pain not controlled with prescribed medication</li><li>Fever &gt; 101</li><li>Nausea and vomiting</li><li>Calf or leg pain</li><li>Shortness of breath</li><li>Heavy vaginal bleeding</li><li>Foul-smelling vaginal discharge</li><li>Abdominal pain not controlled by pain medication</li><li>Inability to pass gas</li></ul>



<h3 class="wp-block-heading"><strong>What preparations should I make for aftercare at home?</strong></h3>



<p>Robotic procedures require very little postoperative care. Keep the incisions clean and dry. Sexual activity should be avoided until cleared by your doctor. One may resume a normal diet the day of surgery and begin light exercise the day after the procedure or when you feel ready.</p>



<h3 class="wp-block-heading"><strong>What information should I provide to my doctors and nurses?</strong></h3>



<p>It is very important to provide your doctor with an updated list of all medications, vitamins, and dietary supplements prior to surgery. All medication and food allergies should be reviewed. Share any lab work, radiologic procedures, or other medical tests done by other healthcare providers with your surgeon prior to your procedure.</p>





<h4 class="wp-block-heading"><strong>Still have questions?</strong></h4>



<p>Read through any existing comments in the section below and if you still need information on this procedure please do leave your questions in the comments section.</p>
<p>The post <a href="https://medika.life/preparing-for-robotic-hysterectomy/">Preparing for: Robotic Hysterectomy</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
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