This is a procedure to look inside the pelvis with a telescope and operate if necessary. This is done in an operating room, instead of in the office, so that adequate anesthesia can be given. This procedure is done to treat uterine fibroids by either removing the fibroids or the uterus, to treat endometriosis by removing it, or to repair fallopian tubes blocked by scar tissue from previous healed infection, or to treat other abnormalities of the uterus, tubes or ovaries.
Day Before Surgery
Day of Surgery
- No solid food the day before surgery
- Clear liquids only until midnight (this includes Golytely®)
- Nothing to eat or drink after midnight (this includes gum, candy, and ice chips)
- Nothing to eat or drink
- You may brush your teeth but do not swallow any liquid
What to expect at the hospital
You will be checked into Meriter Hospital, and sent to the pre-operative area. There you will meet your nurse who will ask you questions, and get you changed into a gown in preparation for surgery. She/he might also draw some blood, collect a urine sample and start an intravenous line in your arm, through which you will receive medications.
There is a risk of infection, so this is done in a sterile environment. You may also receive antibiotics during the surgery if we think it is necessary. There is also a risk of damage to the organs of the pelvis, but this risk is dependent upon the difficulty and extent of the surgery. If there are any problems that occur during surgery, we will immediately handle them. You may then be asked to stay overnight in the hospital so we can watch you and make sure you are safe.
Very rarely, your abdomen may need to be opened up with a larger incision so we can complete our work. Before this happens, we will alert family members that this will be occurring. In this case, we would ask you to stay at least 2 nights in the hospital.
After the Surgery
You can expect to go home a few hours after the surgery is completed, but if you are having pain or nausea, or if the surgery is very long or performed late in the day, then we may ask you to stay overnight. You can expect to have some discharge and vaginal bleeding for several days after the surgery. The discharge may even become malodorous, or tissue may pass from your vagina. This is normal.
You can also expect to have some pain. The pain may last from a few hours to several days, to even a week or 2. This will depend upon the extent of surgery performed. You will be given some pain medication (narcotics) to help you feel more comfortable, but you can also use Tylenol (1000 mg 3 times a day) or Motrin (800 mg 3 times a day) to help with the pain. It will be important that you do not drive or perform any complicated skills while taking the narcotic, but it is ok with the Tylenol or Motrin.
You can perform physical activity once you are feeling more like yourself, but listen to your body. This is not the time to push yourself, but gently get back into your normal physical routine. You should be back to your normal routine in about 1-4 weeks.
In the event that surgery was performed on your bowels or rectum, we will ask you to put nothing in your rectum for at least 2 weeks, and to eat only soft foods, such as cream or broth soups, mashed or pureed vegetables, ice cream, pudding, jello and drinks.
When to Call the Doctor
Call us right away if you have:
- Cramping lasting longer than 1 hour
- Bleeding that fills more than 1 pad per hour
- Fever of 100°F or higher or chills
See Golytely Before Surgery