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Assess patient. The health history and the physical and pelvic examinations
are completed and the laboratory tests are performed.
Encourage patient to share details of her menstrual history, the date of her last
menstrual period, the events leading up to admission and the current degree of
vaginal blood loss or discharge.
The patient who has previously been prescribed with oral contraceptive drug
will have to stop taking the drug 6 weeks prior to operation.
Let the patient will wear anti-embolism socks to prevent venous stasis during
the operation.
Let the patient relax on bed until she leaves the ward escorted by her nurse
who completes a safe transfer to the operating theater staff.
Perform skin operation: The lower half of the abdomen and the pubic and
perineal area may be shaved and these areas may be cleaned with soap and
water.
The nurse must know what information the physician has given the patient
about the surgery.
Post Op
If pain is experienced during sexual intercourse let the patient manipulate the
penetration.
Avoid heavy lifting for about 6 weeks to prevent straining the abdominal muscles and
surgical sites.
Avoid activities that increase pelvic congestion such as aerobics activity, horseback
riding and prolonged standing.
Report any fresh bleeding and any abnormal vaginal discharge to surgeon.
If the patient has abdominal distention or flatus, rectal tube and application of heat to
the abdomen may be prescribed