Nursing care plan hysterectomy

Hysterectomy with Salpingectomy and Oophorectomy
Hysterectomy is the surgical removal of the uterus. It is performed to treat conditions such as malignant and nonmalignant growths in the uterus and cervix, symptomatic endometriosis, uterine prolapse, intractable pelvic infection, irreparable rupture of the uterus, and dysfunctional or life-threatening uterine bleeding. Both the uterus and cervix are removed in a total hysterectomy. A panhysterectomy is the removal of the uterus, cervix, fallopian tubes, and ovaries and is often referred to as a total abdominal hysterectomy with bilateral salpingectomy and oophorectomy (TAH-BSO). A radical hysterectomy also includes a partial vaginectomy and dissection of the pelvic lymph nodes.

A vaginal or abdominal approach can be used to perform a hysterectomy. The approach used depends on factors such as the woman’s pelvic anatomy and size of the uterus, whether repairs to the vaginal wall or pelvic floor are needed, the presence of other medical conditions, previous abdominal surgeries, and the diagnosis.

Preoperative
Fear/Anxiety

Postoperative
Urinary retention
Potential complications
bladder or ureteral injury
thromboembolism
Disturbed self-concept
Grieving
Deficient knowledge, Ineffective therapeutic regimen management, or Ineffective health maintenance

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