Recuperation after hysterectomy: pain relief and thrombosis

RECUPERATION AFTER HYSTERECTOMY: PAIN RELIEF AND THROMBOSIS
Pain relief. An important guiding principle to remember is that when the wound is healed physical activity can do no harm; it can actually play an important part in the healing process. Pain is a good guide to wound healing and will usually indicate what is feasible. If you want to walk, try it. If it causes pain, take a rest. When you can walk easily, try a new activity requiring a little more physical exertion. While pain relief after surgery makes it more difficult to judge when the wound has healed, it has other important benefits. Jan was extremely reluctant to accept pain relief after her hysterectomy and wanted to do without painkillers if at all possible. The only problem with this approach was that it caused Jan to restrict her movements to minimise the pain. This resulted in the formation of a blood clot that settled in her leg. She was persuaded that pain relief would enable her to move about and this seemed to short-circuit further clot problems.
Thrombosis. Thrombosis, the formation of blood clots within a blood vessel, is one of the most dangerous complications of any type of surgery. The pelvis or leg are the most common sites of thrombosis after major abdominal surgery. If the thrombosis is swept along by the bloodstream, it can lodge in the lungs blocking the circulation and depriving the body of oxygen.
Lung complications. Lung complications such as pneumonia or lung collapse occur very rarely after a hysterectomy. If you have a bad cold in the days before you are due for your operation, let your doctor know so that a new time can be made. It is also important to stop smoking at least one week before surgery.

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