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???
5.
6.
7.
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
9.
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.
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
19.
20.
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.
23.
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
26.
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
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.