Discharge Advice and Information for patients operated in Department of Gynaecology

Depending on the type of operation you have undergone, expect some weeks of recovery before you return to normal levels of energy and strength.

Home again

Depending on the type of operation you have undergone, expect some weeks of recovery before you return to normal levels of energy and strength. See the written information you received during admittance.

Vaginal bleeding

It is normal to have fresh, light vaginal bleeding the first week. After that, brownish discharge for 3-4 weeks is normal. If you have heavy bleeding, bleeding with lumps or signs of infection (unpleasent odour / discharge and fever) contact your local doctor.

Care of wounds

Wounds will heal quickly, but infection can arise in or around the wound (redness, heat, swelling, soreness, tenderness and fever). Large areas of bruising (haematoma) can also arise, resulting in tenderness for a longer period.

Care for the wound with water, parfume free soap and cream. If the wound seeps, apply a loose dressing that an be bought at the chemists. You can return to bathing and swimming when the wound is healed or vaginal bleeding has stopped.

Pain

You may experience some degree of pain and discomfort around the stomach, for the first few weeks. We recommend that you continue to take painkillers.

If the pain is continuous or increases despite medicine, contant the ward or your local doctor.

If you have undergone keyhole surgery you can experience should pain, due to a build-up of air in the stomach during the operation. Activity will reduce pain and the accumulation of air.

Recommended painkillers: see the medicine chart you received during admittance.

Eating and drinking

To ensure the wound heals, continue to eat a varied diet enriched with extra energy and protein. Furthermore, drink plenty of fluids, about 2 litres a day.

Digestion

Your bowels will probably first begin to function after a few days. Drinking plenty of fluids, eating a varied diet and activity will stimulate bowel movement. A few people will need Magnesia supplements, which you can buy at a chemist.

Tiredness

It is normal to feel tired for quite a while after the operation. We recommend daily walks and a varied diet. If you have a low blood count, take iron supplements which can be bought over the counter: the discharging doctor will assess your need.

    Sexuality

    Desire to resume an active sex life will return as tiredness and pain decreases. Your ability to reach orgasm and sexual satisfaction will not change after the operation. The time to resume sexual activity depends on the type of operation; this is evaluated by the discharging doctor.

    Psychological reactions

    People react differently after an operation. It is important to take your reactions seriously. When you come home, it is a good idea to involve your friends and family in your thoughts and worries. Everyone needs support and someone to talk to.

    How to contat the ward after discharge

    Within the first two weeks after discharge, you can contact the outpatient clinic, department 4004, by telephone. If you have problems after this period, contact your local doctor.

    All weekdays between 2.30 pm and 3.45 pm. Telephone 35 45 81 81 where nurses can advise you on all sorts of questions related to your operation and admittance.

    Emergencies

    Within 14 days of discharge, contact the ward where you were admitted.

    Acute referrals

    • Temperature over 39o C
    • Strong vaginal bleeding with lumps
    • Strong bleeding from the wound or if the wound opens
    • Continual strong pains.
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