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GYNAECOLOGICAL SURGERY -DILATATION AND CURRETTAGE (post operative care …
GYNAECOLOGICAL SURGERY -DILATATION AND CURRETTAGE
DEFINITION
a surgical procedure involving dilatation of the cervix and curettage of the uterus, performed after a miscarriage or for the removal of cysts or tumors
post operative care
Some cramping or mild abdominal discomfort is considered usual after a D&C, consult the doctor if the pain is severe.
Medications should be taken as per the prescription of the doctor
Ensure that the patient takes the entire course of antibiotic
Refrain from the use of internal tampons and sexual intercourse for about a week or as advised by your doctor.
Ensure the Use sanitary napkins during this time period
If there are any signs of infection such as fever, pain or discharge consult the doctor immediately.
For your first post-operative day, do not
drive
sign any legal document
make any important decisions
Get plenty of rest. LISTEN TO YOUR BODY
vital signs are to be monitored
temperature to be monitored hourly post operatively so as to detect any signs of infection
patient to be provide with pads as blood will be visible after operation
pain medication will be admistered as per doctors order
PRE OPERATIVE CARE
The genital area may be shaved and prepared for the surgery.
Before surgery or during the previous night a bath maybe advisable
bathing thorough cleaning of the genital area with soap and water a few times can help in lowering the bacterial count and lessen the chances of any infection from surgery.
An enema maybe administered to the patient prior to performing the surgery
Sometimes a laxative maybe given to clear the bowels prior to the surgery.
Admission is 24 hours before the operation
NPO post-midnight
•Pre-op meds like analgesic, antiprostaglandin and a laxative
Enema early morning on the day of operation
Health education on what to watch for following operation like large blood clots and signs of impending infection
Advised too that pending no complications, she may be discharge the same day of operation or after 24 hours