You will usually meet your Anaesthetist on the day of your surgery in the anaesthetic bay where your anaesthetic plan will be discussed with you and you will have the opportunity to ask any questions.
Anaesthetic options for gynaecological surgery include: general anaesthesia, regional anaesthesia and/or local anaesthesia and sometimes a combination of two or more options.
Once your anaesthetic plan has been agreed upon, you will have an intravenous (IV) drip placed and be given some medication which will take away any anxiety you may have and make you mildly sleepy. You will be taken into the operating room and routine anaesthetic monitoring will be attached to you. You will breathe oxygen via a face mask and anaesthesia will be induced by the injection of anaesthetic drugs through your IV line.
Your Anaesthetist will remain with you for your entire operation, monitoring and adjusting your anaesthetic as required. You will be taken by your Anaesthetist to the recovery unit at the end of your operation, where you will wake from anaesthesia and be cared for by highly trained recovery nurses. At this point if you have discomfort, pain or nausea you will be given extra medication prescribed by your Anaesthetist.
Gynaecological procedures commonly cause a higher incidence of nausea compared with most other procedures. Special steps will be taken to minimise this side effect. If you have suffered from postoperative nausea in the past then please make sure that your Anaesthetist is aware of it.
From recovery, you will be taken to the post operative care ward (POCU) if you are going home, or to your ward bed if you are staying in hospital overnight. Either way, before you can be discharged home you will need to be eating, drinking and mobilising safely.
You will be given discharge instructions by nursing staff.
General recommendations include taking regular paracetamol for the first few days after surgery. If necessary, you will be given a prescription for stronger pain relief.
A cramping type pain is often seen after minor gynaecological procedures. This pain is similar to period pain and should be treated as such with warm heat packs and simple analgesics such as paracetamol/codeine and/or ibuprofen.
During the recovery period it is important to:
- Drink plenty of fluids
- Take regular analgesia. You will be given a prescription and instructions before you leave hospital
- Rest adequately and avoid excessive exertion