Wertheim - operation (Abdominal Hysterectomy)

Removal of the uterus through a midline incision + removal of tubes and ovaries + removal of lymph nodes due to cancer

Speciality Gynaecology
Urgency elective, urgent
Duration 1 to 3 h
Blood Loss 500 ml to 1.5 litre
Anaesthesia General Anaesthetic + Epidural
Anaesthesia II General +/- Local Anaesthetic, General +/- Nerve Block
Nerve Blocks TAP-Block
Procedures Urinary catheter
Pain moderate-severe (++++)
Post-op Pain Epidural Infusion 3-5 days, Nerve Block up to 10-30 hours
Post-op Pain II Tablets, Suppositories, Injection (im, iv), PCA
Hospital Stay 4 to 6 days
Full Recovery 4 to 8 weeks
Additional Info longer hospital stay when hysterectomy due to cancer, sexual activity usually after 6-8 weeks

Specialities