Hysterectomy for Endometriosis

Overview

Endometriosis is a chronic condition where tissue similar to the lining of the uterus grows outside of the uterus.

Hysterectomy is a surgical procedure used to treat severe endometriosis. It involves the removal of the uterus. A total hysterectomy removes the cervix along with the uterus. Depending on the location and amount of endometriosis, sometimes the ovaries and fallopian tubes are removed during the same surgery. The removal of the ovaries and fallopian tubes is called salpingo-oophorectomy.

Hysterectomies are usually performed by a gynecologist or surgeon in a hospital setting. Here is a what to expect for a hysterectomy procedure:

• Pre-operation preparation: The healthcare professional will gather information about your medical history, allergies to medications and latex, and current medications, including non-prescription medications, vitamins, and herbal products. They will explain the procedure and answer your questions or concerns, including:
  • Possible complications and side effects from the hysterectomy surgery
  • How long to expect for the hospital stay and recovery
  • Medications, vitamins or other supplements to stop for a time before the surgery
  • Fasting (no eating and drinking) before the surgery
  • Lab tests you need to complete before the surgery
• At the hospital, you will change into a hospital gown and an intravenous (IV) line will be placed, usually in the arm. The IV line is used to administer fluids and medicines.
• Anesthesia: An anesthesiologist will administer the medications needed for the surgery.
• Surgery: The surgeon will make an incision in the abdomen or use laparoscopic techniques to access and remove the uterus. The incision will be closed using surgical sutures or staples.
• Immediate post-operative recovery: You will be taken to an area after the surgery for monitoring and for the anesthesia to wear off.
• Before leaving the hospital to return home, the healthcare professional team will provide instructions for:
  • Resting and avoiding strenuous activities for a specific period
  • Taking prescribed pain medications as directed
  • How to care for the surgical site, including bathing or showering instructions
  • Monitoring for signs of infection, such as increasing pain, swelling, or redness
  • Following up with the healthcare provider as scheduled

Complications from hysterectomy can include bleeding, infection, damage to surrounding organs, and complications related to anesthesia. Precautions may include avoiding driving for 24 hours after surgery and getting assistance while walking if needed. If there are any concerns or worsening symptoms, it is important to contact the healthcare provider for further guidance.

Medication dosing may be affected by many factors. Check with your healthcare professional about dosing for your individual situation. Other side effects can occur. Check with your healthcare professional or read the information provided with your medication for additional side effect information.