gynaecological surgery-VULVECTOMY
vulvectomy
refers to a gynecological procedure in which the vulva is partly or completely removed. The procedure is usually performed as a last resort in certain cases of cancer, vulvar dysplasia, vulvar intraepithelial neoplasia, or female genital mutilation
post operative care
The patient have to take good care of the vulvar region
The patient have to use soft and dry towels to clean and dry the wound regularly
sits bath is recommended for the hygiene of vulvar region
A hair dryer or a fan should be used to make the wound dry completely
Thermometer should be used on daily basis to check the infections on vulvar region
Loose clothes and the underwear used should be of suitable stuff.
pre operative care
Make sure your JP drain(s) are secured to your clothes so they don’t pull. Check your JP drain every day and write down the amount of fluid you have on the “Output Record Form” that the nurse gave to you after your surgery
Use natural soaps (glycerin) or just warm water when cleaning the vulvar area. Don’t use bubble bath or perfume soaps
The following are the physiologic assessments necessary during the preoperative phase
Age
Obtain a health history and perform a physical examination to establish vital signs and a database for future comparisons
Assess patient’s usual level of functioning and typical daily activities to assist in patient’s care and recovery or rehabilitation plans
Nutritional status and needs
.Infection
.Drug and alcohol use
Previous medication therapy
Diuretics – thiazide diuretics may cause excessive respiratory depression during the anesthesia administration
These diagnostic tests may be carried out during the perioperative phase
Blood analyses such as complete blood count, sedimentation rate, c-reactive protein, serum protein electrophoresis with immunofixation, calcium, alkaline phosphatase, and chemistry profile
X-ray studies
MRI and CT scans (with or without myelography
Electrodiagnostic studies
Informed consent
Preoperative Patient Education
Teach each patient as an individual, with consideration for any unique concerns or learning needs
If hair is to be removed, remove it immediately before the operation using electric clippers.
Dress patient in a hospital gown that is left untied and open in the back
Cover patient’s hair completely with a disposable paper cap; if patient has long hair, it may be braided; hairpins are removed
Remove jewelry, including wedding rings
Inspect patient’s mouth and remove dentures or plates