Patient education: Salpingectomy – Discharge instructions (The Basics)

What are discharge instructions? — Discharge instructions are information about how to take care of yourself after getting medical care for a health problem.

What is salpingectomy? — Salpingectomy is surgery to remove 1 or both of the fallopian tubes. The fallopian tubes connect the ovaries to the uterus (figure 1).

Both fallopian tubes can be removed, or just 1. Or, in some cases, doctors might remove just part of a tube. This is called "partial salpingectomy."

How long it takes for you to recover, and what you need to do, depends on the type of surgery you had. If you had minimally invasive surgery, you might be able to return to your normal activities sooner. With open surgery, it usually takes longer to recover.

How do I care for myself at home? — Ask the doctor or nurse what you should do when you go home. Make sure that you understand exactly what you need to do to care for yourself. Ask questions if there is anything you do not understand.

For the first 24 hours after surgery:

●Do not drive or operate heavy or dangerous machinery.

●Do not make any important decisions or sign any important papers.

●Do not drink alcohol of any kind.

You should also:

●Use a small pillow to put pressure on your belly when you cough, laugh, sneeze, or change positions. This can support your belly as it heals.

●Expect some light bleeding or spotting from the vagina. You can use pads, but do not use tampons until your doctor says that it is OK.

●Take all of your medicines as instructed:

•If your doctor prescribed opioid pain medicine, you might get constipated. Take a stool softener to prevent this problem.

•Instead of opioids, you can also take non-prescription medicines to relieve pain, such as acetaminophen (sample brand name: Tylenol), ibuprofen (sample brand names: Advil, Motrin), or naproxen (sample brand name: Aleve).

●Take care of your incision – You might have stitches, skin staples, surgical glue, or a special skin tape on your incision. If you had minimally invasive surgery, you might have more than 1 incision.

•Keep your incision dry and covered with a bandage for the first 1 to 2 days after surgery. Your doctor or nurse will tell you exactly how long to keep your incision dry.

•Once you no longer need to keep your incision dry, gently wash it with soap and water whenever you take a shower. Do not put your incision underwater, such as in a bath, pool, or lake. This can slow healing and raise your chance of getting an infection.

•After you wash your incision, pat it dry. Your doctor or nurse will tell you if you need to put an antibiotic ointment on the incision. They will also tell you if you need to cover your incision with a bandage or gauze.

•Always wash your hands before and after you touch your incision or bandage.

●Increase your activity slowly – Start with short walks around your home, and walk a little more each day.

•Keep coughing and doing deep breathing exercises for 7 to 10 days after you go home. This will help prevent lung infections. When you cough, sneeze, or do deep breathing exercises, press a pillow across your incision to support the wound and ease pain.

•Avoid heavy lifting, sports, and swimming for at least a week or 2. (Your doctor or nurse will tell you exactly how long to avoid these or other activities.)

●Eat when you are hungry – If you have an upset stomach, it might help to start with clear liquids and foods that are easy to digest, like soup, pudding, toast, or eggs. You can eat other types of foods when you feel ready. If your doctor or nurse gave you specific instructions about what to eat or avoid, follow them.

●Expect to have some pain in your shoulder if you had minimally invasive surgery. This is from gas that the doctor put into your belly during the surgery. Walking and moving around will help to reduce the gas and ease the pain.

What follow-up care do I need? — The doctor will want to see you again after surgery to check on your progress. Go to these appointments.

If you have stitches or staples, you will need to have them taken out. Your doctor will usually want to do this in 1 to 2 weeks. Some stitches absorb on their own and do not need to be removed. If the doctor used skin glue or tape, it will fall off on its own. Do not pick at it or try to remove it yourself.

When should I call the doctor? — Call for advice if you:

●Have a fever of 100.4°F (38°C) or higher, or chills

●Have redness or swelling around the incisions from your surgery

●Have an upset stomach or vomiting for more than 2 days after going home

●Have trouble urinating or a burning feeling when urinating, or are not able to have a bowel movement for 3 days

●Are bleeding a lot from your vagina, or soaking more than 2 pads per hour

●Have swelling in your leg or arm that is worse on 1 side than the other

●Notice vaginal discharge that is yellow, is green, or has a bad smell

●Feel short of breath

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