This document discusses a 45-year-old woman with two children who has been experiencing irregular menstrual patterns and severe, persistent daily bleeding for 5 months. She is anemic. A Mirena coil was inserted but did not reduce the bleeding. Her consultant prescribed a hysterectomy, but she does not want large abdominal scars. The document then provides information on vaginal hysterectomy, including that it is a surgical procedure to remove the uterus through the vagina. It lists common indications, pre-operative and post-operative management, potential complications, and nursing diagnoses and interventions.

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4. •Age 45 yrs
•Two children
•Irregular menstrual
pattern
•Severe and persistent
daily bleeding ( 5 month)
•Anemic status
•Mirena coil inserted ,
but not reduce bleeding
•Consultant prescribed
hysterectomy. She don’ t
like large abdominal scars
Am I the only
person who
suffering this
world???

8.  Briefly explain the vaginal hysterectomy
 State the Indications of vaginal
hysterectomy
 list the investigations
 Explain the pre & post operative
management
 Identify the complications
 Select the nursing diagnoses and
interventions

10. Vaginal Hyster-ectomy
is a surgical procedure to remove the
uterus through the vagina
Hyterus- uterus, Ectomy - removal
It is a surgical procedure to remove the
uterus through the vagina.
laparoscopy may or may not use at the
time.

12. Uterine Fibroids

13. Endometriosis

14. Abnormal Vaginal bleeding Chronic Pelvic pain

15. • Cancer of the

16. • History taking and physical examination
• Vaginal examination
• Investigations
Routine blood and urine analysis
Abdominal x-ray
X-ray of the kidneys
Ultrasound imaging

17. • Refer to the surgeon before surgery
• Refer to the anesthesiologist
• No food or drink before surgery. (minimal 6
hrs
• Laxative or enema is indicated to empty
the bowels before surgery

18. • Provide psychology support
• Get the informed written consent from the
patient before surgery.
• Prepare for the surgery

21. • Regularly monitoring(BP,PR,RR,T,Sanitory
pads)
• Give medication – (Analgesics ,Antibiotics)
Normal saline
• Therapeutic bathe
• One overnight stay in the hospital
• Discharge plan and Health education

22. • Prevent light chores, some driving,
returning to work and resume sexual
relations after six weeks.

24. • Excessive bleeding
• Pain
• Infection
• Anaesthetic complications
• Accidental injury to the bowel, rectum, or
ureters

25. • Obstruction / accidental injury to the
urinary system or bowel
• Vesico - vaginal fistula
• Vaginal prolapse

27. • Ineffective tissue perfusion
• Risk for imbalanced fluid volume
• Acute pain/Chronic pain
• Risk for aspiration
• Anxiety
• Risk for infection

28. • Risk for urinary incontinence
• Risk for constipation
• Deficient knowledge

30. Well
being

32. Dewhurtst ’s text book of obstetrics
& gynaecology
Sandra M, M.S (2010) lippincott manual of
nursing practice,8th ed.Wolters kulwer,India
Wikipedia-vaginal hysterectomy.
www. Google .com – a story of the vaginal
hysterectomy patient.