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    Transferring after hysterectomy

    I'm having a hysterectomy on Thursday due to several large fibroids and severe endometriosis, plus having an ovary removed due to a cyst. (Conservative treatment methods have failed, I'm 45, my bladder capacity may improve with the removal of my lumpy uterus and I've had multiple iron infusions due to high menstrual loss - I have had enough). The surgery will be mostly laparoscopic, with one additional 5cm vertical incision through my naval for removal of the uterus, as we plan to leave my cervix intact.


    I have an incomplete T7 SCI. I use one leg to support me in transfers and I can stand up. Sitting up in bed and transferring requires a bit of effort however, and I'm worried about straining. I have no use of my adbdominal muscles, and I won't feel pain.


    My surgeon has never operated on someone with a SCI before, he's told me to expect to stay one night in hospital and that I "should be ok" to do transfers and the like. I've also been told by a spinal doctor that I should have 3 days of hoisting, which would mean 2 more nights in hospital, as I don't have the set up for that at home.


    Has anyone had a hysterectomy or similar abdominal surgery who can comment on their experience of transferring after the procedure? Will a hoist be absolutely necessary or is "should be ok" the right advice?

    #2
    since you have no abs anyway i would think transfers like you have done them will be ok. watch for autonomic dysreflexia stay on top of pain meds even though you don't think you need them. at least for the first week or so. stay the night and transfer and see how it goes if you think you want the extra few days then talk to the surgeon. i was in hospital a week but i also had an open surgery and there were complications. transfers sucked for weeks after so i mostly stayed in bed didn't feel like getting up anyway.
    T6 Incomplete due to a Spinal cord infarction July 2009

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      #3
      If you were advised to stay in the hospital little bit longer by a spinal cord injury specialist then I would take that seriously. I would petition the hospital and insurance due to your pre-existing condition. I would also ask if the surgeon could get a physical therapy consult for you while you’re in the hospital to ensure that your transfers are safe and that you are safe.

      pbr
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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        #4
        Originally posted by Smashms View Post
        stay on top of pain meds even though you don't think you need them.
        Thanks for the feedback Smashms, I wasn't actually planning on taking pain meds - what's the rationale for this?

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          #5
          Originally posted by SCI-Nurse View Post
          I would also ask if the surgeon could get a physical therapy consult for you while you’re in the hospital to ensure that your transfers are safe and that you are safe. pbr
          Thank you pbr, I would not have thought of this, I will look into the physio option.

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            #6
            Originally posted by AMinSydney View Post
            Thanks for the feedback Smashms, I wasn't actually planning on taking pain meds - what's the rationale for this?
            to prevent autonomic dysreflexia if you are prone to that i am a T6 so i am prone to it but i would stay on top of it anyway. you said your a T7 so you may not be prone to it however your blood pressure may say something different. just keep an eye on it. i would also suggest as PBR has to get a pt opinion as well as you trying to transfer BEFORE you are discharged. this way if you need the extra few days your surgeon can arrange for that. also a slide board may need to be used in the interim as well. i can't remember if i used 1 for the first month or so or not. i am pretty sure i did since mine was an open procedure.
            T6 Incomplete due to a Spinal cord infarction July 2009

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              #7
              Originally posted by Smashms View Post
              to prevent autonomic dysreflexia if you are prone to that i am a T6 so i am prone to it but i would stay on top of it anyway. you said your a T7 so you may not be prone to it however your blood pressure may say something different. just keep an eye on it. i would also suggest as PBR has to get a pt opinion as well as you trying to transfer BEFORE you are discharged. this way if you need the extra few days your surgeon can arrange for that. also a slide board may need to be used in the interim as well. i can't remember if i used 1 for the first month or so or not. i am pretty sure i did since mine was an open procedure.
              Right, interesting. I don't get dysreflexic, but no doubt they will be taking my blood pressure every 5 minutes so I will keep this in mind. Really appreciate the feedback and advice.

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                #8
                Eeesh. I had a hysterectomy in 2011 after a bladder prolapse. The doc said she sewed more than normal because of my flaccid paralysis so it held .. and while I was up in my chair the next day, I mostly rested. I went home on the fourth day. Wish they'd give you a few more days. My first transfer out of the car hurt like hell ... when I lifted, everything dragged down and I just felt fire and pain throughout the top of my abdomen. Actually screamed.

                Had to use the washroom later that night ... same deal and it took me over an hour. Getting into bed that night was longer and harder too. (live on my own).

                It slowly got better .. within a week. I'm now almost 46 and my bladder leaks constantly around a foley
                Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

                T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

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                  #9
                  Originally posted by lynnifer View Post
                  Eeesh. I had a hysterectomy in 2011 after a bladder prolapse. The doc said she sewed more than normal because of my flaccid paralysis so it held .. and while I was up in my chair the next day, I mostly rested. I went home on the fourth day. Wish they'd give you a few more days. My first transfer out of the car hurt like hell ... when I lifted, everything dragged down and I just felt fire and pain throughout the top of my abdomen. Actually screamed.

                  Had to use the washroom later that night ... same deal and it took me over an hour. Getting into bed that night was longer and harder too. (live on my own).

                  It slowly got better .. within a week. I'm now almost 46 and my bladder leaks constantly around a foley
                  Wow, Lynnifer that sounds like a nightmare experience. I spoke with my surgeon today. He is still confident that I will only need one night, but we're going to arrange it so there are options should they be required.

                  Are you using the Foley via your urethra? Size? (Catheters are my thing)

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                    #10
                    18fr over inflated. Used crede/valsalva before so I believe I'm damaged. Bladder shrunk to less than 50ml as well.

                    I wasn't allowed to leave until I went #2 either. (No accessible washroom in the room so had to get up and go down the hall - they used it as a storage room).

                    It actually went well considering ... but just those initial transfers at home where I stretched my abdomen - ouchie. Have pain meds for when you go home, just in case.
                    Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

                    T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

                    Comment


                      #11
                      Originally posted by lynnifer View Post
                      18fr over inflated. Used crede/valsalva before so I believe I'm damaged. Bladder shrunk to less than 50ml as well.
                      Wow, that sounds unworkable. One of the reasons why I'm having my uterus removed is to make way for a future bladder augmentation (ie when they attach a piece of bowel to the bladder to increase the capacity). I've been stalling on this procedure for a long time, it's pretty prehistoric. I'm only considering it as I developed antibodies to botox - which previously worked very well.

                      Do you have a good urologist? 50ml is no way to live.

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                        #12
                        Here is an update for any future readers. Transferring after 1 day of bed rest was fine, I didn't need hoisting or a slide board. The advice from Smashms to take pain meds was very good advice, as my legs had some severe spasticity and spasms without it. Tramadol worked a treat for this. I spent 2 nights in hospital (I was passing out when I got up on the morning after the surgery, I think this was due to low blood pressure after the anaesthesia, but by that night I was ok). Day 3 and I am home. I am using an indwelling catheter for a few days so I can limit the number of transfers that I'm making. Ultimately I feel like the experience went very smoothly, and beyond the catheter, there wasn't much difference in treatment between me and an able bod.

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                          #13
                          all great news yes your spasms will increase due most likely to pain. glad recovery is going well so far.
                          T6 Incomplete due to a Spinal cord infarction July 2009

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                            #14
                            That's great news! And, I might add that having my hysterectomy was one of the best decisions I ever made. I had mine done 7 months before my accident but not having to deal with the monthly thing was a blessing-plus I physically felt much better. A nurse friend told me that having those fibroids in there were sapping my health! I hope that you find you have more energy as well

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