For patients at risk, thromboembolism prophylaxis is begun preoperatively, or pneumatic compression boots are applied in the OR Prophylactic antibiotic agent should be given as a single dose 30 minutes prior to the incision Incision choice - transverse or vertical Need for exploration of the upper abdomen, Size of the uterus, Presence of prior incisions, desired cosmetic results
Hysterectomy can be performed in different ways. The oldest known technique is vaginal hysterectomy. Abdominal hysterectomy is done through laparotomy. In modern medicine today, total laparoscopic techniques have been developed
Not necessary to leave a bladder catheter in place postoperatively, IV fluids for the first 24 hours to ensure that the patient remains well hydrated, Early feeding of a regular diet can stimulate the bowel and decrease the length of hospitalization, Deep breathing to prevent atelectasis Ambulation is encouraged Intermittent compression boots.
