Today you can go home. We hope that your stay in our hospital was as good as possible. Below you will find some rules to help you take care of yourself at home. This information is in addition to the conversation you had with your doctor.General guidelines
- After keyhole surgery (laparoscopy), you may have shoulder pain for a few days. This happens because of the gas that was used during the operation to fill your belly. This gas irritates the muscle under your lungs (the diaphragm). The gas will go away on its own, and the pain will also stop within a few days.
- Do not lift heavy things (more than 5–10 kg) for the first 6 weeks. Walking and using stairs is fine. After 4 weeks, you can slowly start doing sports again. You can do housework and ride a bike when you feel ready. If you have pain or feel very tired, take a rest.
- Do not have penetrative sex for 10 weeks.
- For good wound healing, do not swim or take a bath for the first 2 weeks. You can take a shower. After showering, dry your belly carefully by patting it gently. Do not rub.
- You may have some vaginal bleeding or dark discharge for a few weeks. This comes from the small wound at the top of the vagina. Please contact us if the bleeding is more than a normal period.
- If contrast fluid was used during the procedure, your urine or stool may look green or blue. This is normal.
- Driving a car: we advise you not to drive yourself for the first 2 weeks, until you can concentrate well again and you no longer have pain. You must be able to make an emergency stop. Of course, you can ride along as a passenger, but not for longer than two hours in a row.
Important information about pain relief
Your belly will feel sore or sensitive after the operation. Please follow these tips for pain relief (if you do not have an allergy or intolerance):
We recommend the following for the first three days after you leave the hospital:
- Paracetamol 1000 mg, 4 times a day, together with:
- One anti-inflammatory painkiller (NSAID), 3 times a day: ibuprofen 600–800 mg, or naproxen 250–500 mg, or diclofenac 50 mg.
Always use paracetamol together with one of these medicines. After 3 days, only take pain medicine if you need it. Do not wait until the pain becomes very bad. Sometimes you may get a stronger painkiller (opioid) for extra pain relief. This is not always needed and can slow down your bowels. Always follow the advice of your doctor or nurse. If the pain clearly gets worse or moves to a different place, please contact us.
Wound care
You can remove the
wound plasters (if there are any) the day after the operation. If the small wounds are no longer leaking, you do not need to put new plasters on them. Wounds heal faster and better when uncovered. If
adhesive strips (steri-strips) were used, leave them on until they come off on their own. This usually happens after 5 to 10 days. If they have not come off by then, you can remove them yourself. The stitches used are dissolvable, so they do not need to be removed. Keep the wounds clean and dry.
Follow-up appointment
After
2 weeks, a nurse will call you to ask how you are doing. If tissue was removed during the operation, the nurse will also discuss the results with you. Your check-up with the gynaecologist will be
6 weeks after the operation. You will receive these appointments by email. You can also view them in the Reinier de Graaf patient portal.
When to contact us
If you are back home and you have one or more of the following problems, please contact de Nederlandse
Endometriose Kliniek:
- Fever: 38.5 degrees Celsius or higher
- Increasing pain or questions or doubts about pain
- Heavy vaginal bleeding, more than a normal period
- Your wound looks red or swollen, or there is pus coming out
- Vomiting, not being able to eat or drink
Contact
The Nederlandse
Endometriose Kliniek is available on working days for questions at
015-270 6868. We are available from 8:30 – 12:30 and 13:30 – 16:30.
For
urgent questions outside office hours that cannot wait until the next working day, call the hospital at
015-260 3060. You will be connected to the gynaecology resident on duty.
The team of the Nederlandse
Endometriose Kliniek
https://endometriosekliniek.nl | 015-270 6868 |
endometriosekliniek@rdgg.nlReinier de Graaf | Locatie de Gravin | Reinier de Graafweg 5 2625 AD Delft
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