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Surgeries

A hysterectomy is the surgical removal of the uterus. Different portions of the uterus, as well as other organs, may be removed at the same time.

The types of hysterectomy include the following:

  • Total hysterectomy: Includes the removal of the entire uterus, including the fundus (the part of the uterus above the openings of the fallopian tubes) and the cervix, but not the tubes or ovaries. This is the most common type of hysterectomy.
  • Hysterectomy with salpingo-oophorectomy: Includes the removal of one or both ovaries, the fallopian tubes, and the uterus.
  • Abdominal hysterectomy: The uterus is removed through the abdomen via a surgical incision about six to eight inches long. This procedure is most commonly used when the ovaries and fallopian tubes are being removed, when the uterus is enlarged, or when disease has spread to the pelvic cavity, as in endometriosis or cancer. The main surgical incision can be made either vertically, from the navel down to the pubic bone, or horizontally, along the top of the pubic hairline.
  • Vaginal hysterectomy: The uterus is removed through the vaginal opening. This procedure is most often used in cases of uterine prolapse, or when vaginal repairs are necessary for related conditions. No external incision is made, which means there is no visible scarring.
  • Laparoscopic-assisted vaginal hysterectomy: Vaginal hysterectomy is performed with the aid of a laparoscope, which is a thin, flexible tube containing a video camera. Thin tubes are inserted through tiny incisions in the abdomen near the navel. The uterus is then removed in sections through the laparoscope tube or through the vagina.

Your healthcare practitioner will determine the type of hysterectomy performed and the technique used to perform the procedure based on your symptoms and diagnosis. For women who have not yet reached menopause, having a hysterectomy means that menstruation will no longer occur, nor will pregnancy be possible.

Preparing for Surgery

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Our Indianapolis Doctor’s Schedule Surgeries at the following locations:

Franciscan Surgery Center
5255 E. Stop 11 Road, Suite 100
Indianapolis, Indiana 46237
Phone: 317-528-5900
Fax: 317-528-5909
http://www.franciscansurgerycenter.com
View map, directions, and facility information

Franciscan Health Indianapolis
8111 S. Emerson Avenue
Indianapolis, Indiana 46237
Phone: 317-528-5000
http://www.franciscanalliance.org/hospitals/indianapolis/pages/default.aspx
View map, directions, and facility information

Community Surgery Center South
1550 E. County Line Road
Indianapolis, Indiana 46227
Phone: 317-887-7600
Fax: 317-887-7606
http://www.eCommunity.com
View map, directions, and facility information

Community Hospital South
1402 E. County Line Road South
Indianapolis, Indiana 46227
Phone: 317-887-7000
http://www.ecommunity.com/s/communitysouth/community-hospital-south/
View map, directions, and facility information

Our Mooresville Doctor’s Schedule Surgeries at the below facilities:

Franciscan Health Mooresville
1201 Hadley Road
Mooresville, Indiana 46158
Phone: 317-831-1160
http://www.franciscanalliance.org/hospitals/mooresville/pages/default.aspx
View map, directions, and facility information

Mooresville Ambulatory Surgery Center
1215 Hadley Road, Suite 100
Mooresville, Indiana 46158
Phone: 317-834-9900
Fax: 317-834-9501
http://www.stfrancismooresvillesurgerycenter.org

IU Health West Hospital
1111 N. Ronald Reagan Parkway
Avon, Indiana 46123
Phone: 317-217-3000
http://iuhealth.org/west/
View map, directions, and facility information

Post-Operative Instructions: Hysterectomy & Other Major Surgeries

 Warning Signs: Please call our office if, after arrival home, you experience a sustained fever greater than 101.5 on two measurements more than four hours apart, pain that is not relieved by your prescribed pain medication, heavy bleeding greater than one full pad an hour, persistent vomiting, or change in your bowel or bladder habits.

Activity: You may climb stairs if necessary, but limit your trips to two to three trips a day for the first two weeks after surgery. Morning and afternoon rest periods are advisable. Please restrict lifting to eight to ten pounds until your follow-up appointment. You may drive a car two weeks after your surgery if you feel capable of doing so. However, do not plan trips until your checkup, unless otherwise indicated.

Bleeding: Intermittent vaginal bleeding may be present until your checkup. This bleeding can stop and restart up to four weeks or so. Please call if you have heavy bleeding, greater than one full pad an hour.

Bathing: Showers and tubs are permitted at any time for vaginal surgeries. Following abdominal surgeries, showers are recommended rather than tub bathing during the first two weeks recovery to allow your incision time to heal. If you have had vaginal surgery, you may find tub baths to be a comfort measure, as well as a way to promote healing.

Bowels: Keep bowel movements soft by drinking large quantities of water and maintaining a good dietary intake of fruit and fiber. If necessary, use a laxative such as Miralax® or stool softener such as Colace or Surfak, All of these medications are available over the counter.

Bladder: To prevent infection and for proper bladder care, drink large quantities of water and cranberry juice.

Diet: Regular foods including lean meat and green leafy vegetables are suggested. If your doctor recommends an iron supplement, and over the counter supplement can be used. A daily multivitamin is recommended.

Sexual Intercourse: You should not place anything in your vagina until after your follow-up appointment. This includes tampons, douching, or having intercourse.

Incision(s): Your incision(s) should be cleaned daily with antibacterial soap and water. Absorbable stitches have been used in your incision and do not need to be removed. Dermabond glue may have been used over your incision. You may remove the glue one to two weeks after surgery. One month after surgery, you may use Mederma (over the counter) on your incision to decrease scarring. If the sutures have not dissolved by your post-operative visit, they may need to be removed at that time.

Support: A snug girdle or abdominal binder may help after surgery if desired. You may find this especially helpful following and abdominal surgery.

Return Visit: If you do not have a follow-up appointment already scheduled, please call our office as soon as possible to schedule an appointment to be seen between four and six weeks after surgery.

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