What is a trachelectomy and how is it performed?
What are the risks of having a trachelectomy?
What is recovery like?
Recovery from a trachelectomy will depend on many factors. You will need to stay in the hospital after surgery. Speak with your healthcare team for your plan of care.
Early walking and deep breathing will be encouraged to prevent blood clots and pneumonia.
Your medical team will discuss with you the medications you will be taking, such as those for pain, blood clot, infection, and constipation prevention and/or other conditions.
Your team will talk to you about your restrictions after surgery. In general:
• Get plenty of rest.
• Avoid heavy lifting.
• No tub bathing, sexual intercourse or anything in the vagina (tampons, douching, etc) until instructed by your healthcare provider. Bloody to light vaginal discharge can be expected.
• If you have constipation, changes to your diet, increased fluid intake, and over-the-counter medication to relieve constipation may be helpful. Do not strain to have a bowel movement.
• Avoid taking aspirin as it may cause bleeding.
Care of incision
Your team will tell you how to take care of your incisions. In general:
Laparoscopic Incision Care:
Your small incisions will be closed with stitches or a special glue. The incisions will be covered with Band-Aids or bandages which can be removed in 24 hours. The stitches do not need to be removed and they will dissolve over time. Keep the incision clean and dry.
Open Abdominal Incision Care:
Incisions should be kept clean and dry. Avoid tub bathing for at least 4 weeks or until your healthcare provider instructs otherwise. Showering is advised. Do not scrub the incision. Allow the water to run over the incision with a mild soap and pat dry.
At times, drains may be left in place, making careful attention to gentle drying important.
If staples are present, they will be removed at your post-operative visit (approx. 10-14 days after surgery) at which time steri-strips (special tape) will be placed. It is ok to shower with either staples or steri-strips.
Wear loose fitting clothes to avoid irritation of the incision. Avoid sun exposure to the incision.
Do not apply lotions or ointments to your incision unless instructed by your healthcare team.
For both laparoscopic and open abdominal incisions, be sure to look for signs of infection including redness, swelling, drainage or separation (opening) of the incision and report these to your provider.
What will I need at home?
• Thermometer to check for fever, which can be a sign of infection.
• Loose clothes and underwear.
• Incision care items, often times supplied by the hospital/physician office.
• Sanitary pads for vaginal bleeding/discharge.