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1 of 34
0
•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???
 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
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.
Uterine Fibroids
Endometriosis
Abnormal Vaginal bleeding Chronic Pelvic pain
• Cancer of the
• History taking and physical examination
• Vaginal examination
• Investigations
Routine blood and urine analysis
Abdominal x-ray
X-ray of the kidneys
Ultrasound imaging
• 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
• Provide psychology support
• Get the informed written consent from the
patient before surgery.
• Prepare for the surgery
• 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
• Prevent light chores, some driving,
returning to work and resume sexual
relations after six weeks.
• Excessive bleeding
• Pain
• Infection
• Anaesthetic complications
• Accidental injury to the bowel, rectum, or
ureters
• Obstruction / accidental injury to the
urinary system or bowel
• Vesico - vaginal fistula
• Vaginal prolapse
• Ineffective tissue perfusion
• Risk for imbalanced fluid volume
• Acute pain/Chronic pain
• Risk for aspiration
• Anxiety
• Risk for infection
• Risk for urinary incontinence
• Risk for constipation
• Deficient knowledge
Well
being
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.
Vaginal hysterectomy
Vaginal hysterectomy

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Vaginal hysterectomy

  • 1. 0
  • 2.
  • 3.
  • 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.
  • 11.
  • 14. Abnormal Vaginal bleeding Chronic Pelvic pain
  • 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
  • 29.
  • 31.
  • 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.