/clinical/,/clinical/pted/,/clinical/pted/hffy/,/clinical/pted/hffy/gyn-onc/,

/clinical/pted/hffy/gyn-onc/5954.hffy

201607193

page

100

UWHC,UWMF,

Clinical Hub,Patient Education,Health and Nutrition Facts For You,Gynecology, Oncology

Preparing for Surgery For Cervical Cancer- Radical Hysterectomy (5954)

Preparing for Surgery For Cervical Cancer- Radical Hysterectomy (5954) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Gynecology, Oncology

5954






Preparing for Surgery
For
Cervical Cancer
Radical Hysterectomy


Date of Surgery:____________




Before your clinic visit

 Complete the Patient Health Profile
 Read this booklet
 Fill out a Power of Attorney for Health Care form,
if you wish.

Bring this booklet, your medicines, vitamins, and
herbal supplements, any medical records that have
been given to you, recent X-rays and test results to
your pre-surgery clinic visit.

First Day Surgery Unit (608) 265-8857






1


Welcome to UW Hospital and Clinics

Welcome to the University of Wisconsin Hospital and Clinics. We look forward to working with
you so that your surgery goes well and your healing process is a smooth one.

You have been diagnosed with cervical cancer. You will be having a radical hysterectomy. This
booklet will answer some of your questions about the cancer diagnosis. It will also help you
learn what to expect from your surgery, your stay with us, and after you go home.

Getting ready for your surgery is very important. It involves much more than lab tests and clinic
visits. It also involves learning about what to expect before, during, and after surgery.

Read this booklet. Write down any questions and bring them with you to your next visit. Your
doctor and nurse will talk with you and answer your questions. We know that you have received
a lot of information and hope this booklet will be helpful to you.

University of Wisconsin Comprehensive Cancer Center
Gynecologic Oncology Program




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Table of Contents


Coming to the Hospital ................................................................................................................... 3
What is the Cervix?......................................................................................................................... 4
Cervical Cancer ............................................................................................................................... 4
Radical Hysterectomy ..................................................................................................................... 4
Getting ready for Surgery ................................................................................................................ 4
Your Family .................................................................................................................................... 7
The Day of Surgery ......................................................................................................................... 7
After Surgery ................................................................................................................................... 8
Pain Control .................................................................................................................................. 10
Going Home .................................................................................................................................. 11
Important Phone Numbers ............................................................................................................ 14
Important Resources for Women with Cervical Cancer ............................................................... 15
Glossary ........................................................................................................................................ 16
Your Surgery Checklist ................................................................................................................. 19













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Coming to the Hospital

What is First Day Surgery?

First Day Surgery means that you come in the day of surgery and stay until you are ready to go
home. Most often, you do not go home the same day.

The time of your surgery will be set the day before surgery. We will call you at the number you
gave us, sometime after 9:00 am the day before your surgery (on the Friday before a Monday
surgery). We will tell you when to arrive, where to go, and answer questions.

Before this call, review details you clinic or anesthesia staff gave you during your clinic
visit. If you do not hear from us by 3:00 pm, call (608) 265-8857. We do need to talk to you
before your surgery. Tell us where you will stay the night before surgery.

If you have a cold, fever, or other illness the day before surgery call your doctor’s clinic. If you
need to reach us after hours or on weekends, ask for the GYN resident on call

The First Day Surgery Unit’s hours are 5:30 am to 6:00 pm. The Main Hospital Entrance is open
at all times. Check in at the First Day Surgery Unit at your scheduled time. To arrive at the First
Day Surgery Unit, use the Main Hospital Entrance the day of your surgery. As you approach the
Information Desk, follow the gray tile on the floor to your left until you come to the “D”
elevators. Take the “D” elevator to the 3rd floor. Turn left and walk down the hallway to the
First Day Surgery Unit entrance.





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What is the Cervix?

The uterus is the hollow, pear-shaped organ that
holds the growing baby when a woman is
pregnant. The cervix is the lower, narrow part of
the uterus that connects it to the vagina. These
organs are found in a woman’s pelvis between
the bladder and the rectum.

Cervical Cancer

Changes can take place in the cells on the surface
of the cervix. These changes are known as dysplasia or precancerous changes. If the abnormal
cells on your cervix have spread below the surface tissue of the cervix, you now have invasive
cervical cancer. This means that the cancer cells are now able to spread to other parts of your
body. In order to find out what kind of treatment is best for you, the doctor will assign a “stage”
to the cancer. Stage I cervical cancer is most often treated with a radical hysterectomy. Cervical
cancer with a higher stage is most often treated with radiation therapy.

Radical Hysterectomy

The doctor will remove the uterus, cervix, upper vagina and other tissues close to these organs.
This is not the same as a simple hysterectomy because a large amount of normal tissue removed
around the cervix. This is done to prevent the return of the cancer. Since the cervix is very close
to the bladder and rectum, this surgery can lead to some changes in bowel and bladder habits.

Getting ready for Surgery

1. Your doctor may ask you to stop taking pills that “thin” your blood. You may need to stop
these anywhere from 24 hours before surgery to 7 days before. Ask your doctor when you
should stop them. Blood thinners include:

ξ Aspirin, Excedrin , Ascriptin and Ecotrin
ξ Plavix
ξ Vitamins and herbal supplements
ξ Coumadin or warfarin
ξ Ibuprofen, Advil , Motrin , Nuprin , and Aleve

If you take any of the pills listed above or herbs, let us know.

It is alright to use acetaminophen (Tylenol ) if you can normally take it.

2. If you are taking pills, we will tell you during your clinic visit whether you should take them
the day of surgery. If you take them, swallow with just a sip of water.


5





3. You will need to stop all eating and drinking at midnight the night before surgery. This
includes no gum, candy, or tobacco. Be sure to ask about this if you have questions or call
the clinic if this was not made clear to you.

4. Do not drink alcohol after 8:00 p.m. the night before your surgery. When mixed, alcohol and
anesthetic medicines can have severe effects on your body.

5. Try to stop smoking or at least cut back. It takes at least 3 days to rid your body of carbon
monoxide from cigarettes. If present in your body it will delay wound healing. It can also
increase the risks from anesthesia. If you’d like help quitting, call the Quit Line: 1-800-
QUITNOW (784-8669).

6. Once you are home, it may take a few days or many weeks for you to get back to your normal
routines (work, child care, laundry, shopping). Make plans for these changes. The length of
time each person needs to recover varies. Plan to talk about these details with us. You may
need to make special plans before surgery.

What to bring to the hospital

1. Leave all jewelry, rings, large sums of money, and credit cards at home. You will be asked to
remove all jewelry. Remove all body piercings.

2. You may want to bring a small amount of money to pay for small items.

3. Bring along inhalers, CPAP, glucose meter, eye glasses, eye drops, hearing aids, dentures,
prostheses, and other special equipment that you will need. Be sure these items are labeled
and in a case, if needed. Do not bring bottles of pills with you unless you have been told to
do so. You will be asked to leave your glasses, teeth, and hearing aides with your family
before you go to surgery.

4. Bring non-skid slippers or slip-on shoes and a few personal items. You do not need to bring
pajamas or a robe. You may want to bring a book or something to do. TVs are in each room
at no charge. Bring a calling card or your cell phone if you wish to make long distance calls.
You may bring in your laptop; all of the rooms have patient internet access. Have your
family member leave your belongings in the trunk of your car the day you check in.
Once your room is ready, they can bring your things to you. The hospital is not responsible
for theft of personal items.
If you have diabetes, you will be given details about your insulin
or oral pills at your clinic visit.


6
5. By law, we need to ask if you would like to complete an advance medical directive (AMD).
This is a Power of Attorney (POA) for Health Care or a Living Will. This decision is up to
you. A POA allows you to name a health care agent who could speak for you if you were not
able to do so. If you choose to complete an AMD, you must be 18 or older and of sound
mind. You have the choice to complete the form or not.

If you choose to fill one out, complete it and have it signed and witnessed before coming to
surgery. There is not enough time to complete the forms that morning. The two witnesses
cannot be family members or UW Hospital staff. Exceptions are chaplains, social workers
and volunteers. The person you name as your health care agent may not be a witness. We
suggest you choose a neighbor or friend to be a witness. If you need help to complete this
form or have questions, call our Patient Relations office at (608) 263-8009.

You may wish to have a member of the Spiritual Care Services visit while you are in the
hospital. We can arrange it for you or you can call (608) 263-8574.

6. On the last page of this booklet, there is a checklist. Review it the day before you come in. It
includes things that must be taken care of before you have surgery.

The night before surgery

1. Shower before surgery using the Hibiclens® soap. You may get this soap during your clinic
visit. First, shower with your own soap. Any special beauty treatments you do, you may
want to do now as you may not be able to shower for a few days after surgery. Rinse. Pour
the Hibiclens® soap on a damp, clean washcloth or new shower sponge. This thin soap tends
to easily run down the drain. Wash from head to toe for 10 minutes. Rinse well. Do not use
lotions, powder or perfumes. If you do not get Hibiclens at your clinic visit, you can buy it
at your local drug store or you may be able to use other soap as instructed by your clinic.

2. Remove make-up, nail polish, and acrylic nails.

3. Try your best to have a restful night before surgery. If you are coming from out of town, you
may wish to stay in Madison. A Housing Accommodations Coordinator, (608) 263-0315,
can provide you with a list of nearby motels and arrange for your stay at a discount rate.

4. Your surgeon may want you to take laxatives to empty stool from your bowel before surgery.
You will get details on the bowel prep at your clinic visit.

The morning of surgery

1. If you need to take medicines, take them with a sip of water.

2. Brush your teeth and rinse, but do not swallow.

3. One hour before surgery, you will be asked to empty your bladder, remove underwear and
any tampons, pads, or belts.


7

Informed Consent

All surgery has risks. Your doctor will explain the risks to you before you sign the consent form.
The most common risks are problems with anesthesia, infection and blood loss. Some risks that
are unique to this procedure include injury to the bowel or bladder. If this occurs, your surgeon
will repair this.

Your Family

Parking and Family Housing

1. Inpatients are given one free visitor parking pass. The family member or friend who visits
the patient most often should go to Admissions to obtain this pass. To avoid a parking
charge, the visitor must present the parking pass with the time-ticket at the parking booth as
they exit the ramp. All other people who come to visit must pay for parking in the ramp.
The pass is good upon day of admission and is valid for the number of days listed when
issued. All passes may be renewed at no charge as noted on the pass.

2. If you would like, one adult family member may stay with you in your room the night after
your surgery. Tell the nursing staff and they will set this up for you.

A Note for Families

The amount of time your loved one spends in the operating room depends on the type of surgery.
You can wait in the Surgery Waiting Area (C5/2) on second floor. If you have family that will be
calling, have them call (608) 263-8590. You may want to bring along a book or something to do
since the time may seem to pass slowly. There is coffee, tea, reading materials, and a TV in this
waiting area from 7:00 am until 7:00 pm weekdays. If you wish to leave the waiting area, pick
up a pager at the volunteer desk. The nurses will keep you informed during surgery. After
surgery, the surgeon will talk with you.

The Day of Surgery

In the Operating Room

A nurse will be with you during your operation. Before you are asleep, the nurse will answer any
questions you have and explain what is going on around you.


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About Your Surgery

 You will have general anesthesia. A doctor (anesthesiologist) will talk with you about
this and give you medicine to make you sleepy. You will fall asleep quickly. You should
have no memory of the surgery.

 Your surgeon may remove the uterus through the abdomen or the vagina.

 If you have an abdominal hysterectomy, your surgeon will make an incision and remove
the uterus, cervix, and a small portion of the upper vagina. They will also remove some
of the supporting tissues and lymph nodes. If you have not gone through menopause,
your ovaries may or may not be removed.

 If you have a vaginal radical hysterectomy, your surgeon will make several small
incisions in your abdomen and insert a laparoscope (a small telescope) to remove the
lymph nodes. The uterus, cervix, upper vagina and supporting tissues will be removed
through the vagina.

 When tissues are removed, they will be sent to pathology for review. If it is found at that
time that your cancer was more advanced than previously believed, you may need to have
radiation treatments. These would be done after your surgery. Your doctor will discuss
this with you if needed. These findings may also change the stage assigned to your
cancer.

 If you have not yet gone through menopause, you may have another procedure called
ovarian transposition. This will only be done if you need radiation therapy. Most often,
radiation destroys the function of the ovary. This means that your production of estrogen
will be decreased a great deal. During this procedure one of your ovaries will be taken
apart from its normal place low in the pelvis. It will be reattached higher up in your
abdomen. This moves the ovary out of the radiation field. This may help you produce
estrogen after therapy. This will decrease your chances of having symptoms such as hot
flashes.

 Before your incision is closed, the doctors may place a tube into your bladder. This tube
will come out through the skin above your pubic bone. It is called a suprapubic catheter.
This will be left in place until you can fully empty your bladder on your own. It may be
taken out before you go home. If you are still having trouble emptying your bladder when
it is time to go home, you may be sent home with it still in place. You will return to the
Gyn/Oncology clinic in about a week to have it removed.

After Surgery

Recovery Room

After surgery, you will go to the Recovery Room. Here, the nurses check you often. Most
patients wear an oxygen mask or tube under the nose. You will have a tape or plastic clip on


9
your finger, toe, or earlobe to check your pulse and oxygen level in your blood. You will have a
blood pressure cuff on your arm. It will tighten for a few seconds every 10-15 minutes as it
checks your blood pressure. If you feel cold, tell your nurse. A heated blanket or lamp can be
used to warm you. You may hear beeps from the equipment.

Pain is common. Let the staff know if you need medicine to relieve pain. Nausea and vomiting
can happen. If you have nausea, tell your nurse. We have medicine to help you feel better.

If you need to urinate, do not get out of bed. Call for help and the nurse will help you. Some
patients have a tube in the bladder to drain urine.

You may be in the recovery room an hour or longer. Family and friends are not allowed in here.
Once you are settled in your room, they may join you. You will have your own room with your
own bathroom. Some patients may go to an Intensive Care Unit (ICU) for special care.

Back in Your Room

Once in your room, your nurse will check on you often. You may have a few tubes, drains and
other equipment such as:

 An IV (intravenous line) in your hand or arm to provide fluids and medicine until you are
able to drink fluids well.

 A face mask or tube under your nose to give you oxygen.

 A catheter to drain urine from your bladder. This tube constantly drains urine from your
bladder. You may still have the urge to pass urine.

 An NG (nasogastric) tube in your nose to your stomach helps prevent nausea and vomiting.

 Wound drains help you heal.

 Leg wraps inflate and deflate or elastic stockings to improve blood flow in your legs.

A nurse will help you to understand how these items work and how long they will be in place.

You will not be able to eat right away. First, you will be given ice chips. Your diet will progress
from liquids to solid foods.

You will be asked to use an incentive spirometer to breathe deeply and exercise your lungs. You
will learn how to do these simple lung exercises at your clinic visit.

The nursing staff helps you turn in bed often and do leg exercises. Nursing staff must be with
you the first time you get up. Some people may need help for a few days. Although you may
feel weak and sore, you will need to get out of bed and walk as much as you can. Activity helps
to decrease lung problems and prevent blood clots in your legs.


10

Pain Control

People used to believe that you had to put up with severe pain. This is not true. We will work
with you to prevent and relieve pain. Good pain control helps you

 Heal faster
 Leave the hospital sooner
 Prevent problems

Drug and non-drug treatments can help prevent and control pain. Do not worry about getting
“hooked” or “addicted” to pain pills. This is rare unless you already have a problem with drug
abuse.

For best results

Talk with your doctor and nurses about the choices you have. You and your doctor can decide
which is best for you.

Take (or ask for) pain medicine when pain first begins. Do not wait. Pain pills take 20-30
minutes to work.

You will be asked to rate your pain using this scale.

0-10 Number Pain Scale
________________________________________________________________________
0 1 2 3 4 5 6 7 8 9 10
No Mild Moderate Severe Worst
Pain Pain
Possible

The goal should be at a level that will allow you to deep breath, eat, walk, and sleep. We need
for you to rate your pain so we know how well your pain medicine is working.

Tell us about pain that will not go away. Do not worry about being a “bother”. Pain can
sometimes be a sign of problems.

Pain medicine may cause you to become drowsy, dizzy, or lightheaded. Do not drive, use
machines, or drink alcohol while taking pain medicine.

Narcotic pain medicine can cause constipation. Be sure to drink 8 (8-ounce) glasses of fluid a
day and increase the fiber in your diet. We will send you home with a stool softener




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Going Home

You should expect to be in the hospital for 3-5 days. This will
vary for each woman. Before you leave, we will talk with you
about how to care for yourself at home. A friend or family
member should be present to hear these instructions. At this
time, the nurse will give you supplies you will need at home.
You will receive prescriptions for medicines. Bring your
insurance card if you plan to fill these at the UWHC pharmacy.

Plan to leave by noon. A responsible person needs to drive you
home and stay with you during the first few days. It may be
helpful to have someone stay with you longer.

What to Do at Home

1. Each woman will recover at her own speed. It can take 8-10 weeks before you “feel like
yourself”. In the first two weeks at home, many women feel very tired. Listen to your body.
Take time to rest and relax. This will allow your body to heal.

2. You may have a small amount of vaginal drainage or spotting for up to six weeks.

3. Shower but do not take a tub bath or go in a hot tub until your staples are removed.

4. Avoid climbing stairs for your first 2-3 days at home. You should avoid brisk exercise. Do
not lift greater than 10 pounds for 6 weeks. Walking can help you to regain your strength.

5. You may start driving again when you stop taking pain pills and feel strong enough to drive.
This often takes 2-4 weeks.

6. Do not have sexual intercourse, douche, use tampons, or insert anything into the vagina for 6
weeks. When you resume sexual activity, take things slowly and wait longer if you have
pain. Most women return to their normal level of sexual activity after two to three months.

7. If your ovaries are removed, you will start menopause (if you have not already gone through
it). You may have hot flashes, vaginal dryness, and other symptoms. These problems may be
treated with hormone replacement therapy. Your surgeon will talk with you if there are any
concerns about you taking estrogen. If you have problems with vaginal dryness, ask your
nurse for help with this problem.

8. It is common for women to have some pain while emptying their bladder. This may feel like
cramping or pain near the end of the urine stream. This is normal and will most often
improve with time. Warning signs for a bladder infection include frequent or urgent need to
empty your bladder with little urine present, intense pain while voiding, or fever.


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9. Call the clinic if

ξ you have a temperature above 100.4 θ F for two readings taken 4 hours apart.
ξ you have nausea or vomiting that you cannot control.
ξ you have increasing redness, pus-like drainage, or your incision opens.
ξ you have pain that is not relieved by Tylenol , Advil , or the pain medicine you were
given when you went home.
ξ you have not had a bowel movement within 3 days after going home.
ξ you have a frequent or urgent need to empty your bladder combined with bladder pain
and fever.
ξ you have other symptoms you are unsure of.

Returning to Work

Often women are home from work for 4-6 weeks. You may want to take a longer leave of
absence. We will work with your employer to make sure that you get the time you need to get
better. If you need a form filled out for work absences, bring it with you.

Emotions

It is normal to feel down after a major surgery. Having to face a cancer diagnosis is very
stressful. It may cause you to think about life in a different way. Give yourself time to come to
terms with these feelings. Talk with friends and family about how you are feeling. Some women
also find it useful to talk with a counselor.

With a cancer diagnosis, you may face a lot of very strong emotions – anger, fear, sadness, and
feelings of isolation. It’s vital to deal with those feelings. Some things that other women have
found helpful in dealing with these emotions include:

1. Spend time with friends and family. Talk to them about how you’re feeling. Tell them what
they can do to help you. Ask what you can do to help them – this is hard on them too.
2. Make plans for the future. Making plans can be very positive and can give you hope for the
future.
3. Try to regain as much control over your life as you can.
4. Find ways to relax.
5. Avoid stress.
6. Find ways to have fun.
7. Become partners with your doctor.
8. Be with other people who have cancer. Many people with cancer say that the only people
who really know what it feels like are other people with cancer.
9. Don’t give up intimacy and affection.1

1. From Dollinger, Rosenbaum, & Cable (1991) Everyone’s Guide to Cancer Therapy: How Cancer is Diagnosed, Treated and Managed Day to
Day. G. Somerville House Books Limited: Toronto.


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Some women feel that they need more help than their friends, family or doctors and nurses can
provide. If you feel that you are having problems dealing with your feelings, you might want to
talk with a counselor or join a support group. Talk with your nurse about the many support
resources available.

Our support group for women with gynecologic cancers meets the second and fourth Tuesday of
each month, September through June, 1-2:30 p.m. For information call (608) 262-7515-.

We realize that this information can be overwhelming. Our goal is to give you the best care and
to answer all of your questions. We hope that this booklet has been a helpful start. We are on
hand to answer your questions as you make your way through this process.



































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Important Phone Numbers

If you have questions about your surgery or anything else, call. Our staff is here to help.

Admissions and Insurance Advisors (608) 263-8770
(financial counselors) E5/213

Admissions Office (608) 263-9172
(Insurance Verification)

Business Office (608) 263-4466

General Billing Office (608) 262-2221

General Information (608) 263-6400

Gynecologic Oncology Clinic
Daytime hours 8:00am to 5:00pm (608) 263-7010
After hours, weekends and holidays
(ask for gynecological resident on call)
If you live out of the area, call 1-800-323-8942

Housing Accommodations (608) 263-0315

Pastoral Care (608) 263-8574

Patient Information (608) 263-8590
(for room number and location)

Patient Relations Office (608) 263-8009

Pharmacy (608) 263-7025








Your health care team may have given you this information as part of your care. If so, please use it and call if
you have any questions. If this information was not given to you as part of your care, please check with your
doctor. This is not medical advice. This is not to be used for diagnosis or treatment of any medical condition.
Because each person’s health needs are different, you should talk with your doctor or others on your health care
team when using this information. If you have an emergency, please call 911. Copyright © 7/2016 University of
Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing.
HF#5954


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Important Resources for Women with Cervical Cancer

Cancer Connect 1-800-622-8922 or (608) 262-5223
Staffed by skilled oncology health educators and nurses, Cancer Connect offers
information on services available through the UW Comprehensive Cancer Center. This
includes information about clinical trials at the UW Comprehensive Cancer Center.

Cancer Information Service (CIS) 1-800 – 4 – CANCER
Specialists at the CIS can give callers information about the latest treatment for a
particular cancer, where clinical trials are taking place, and information about detection,
prevention, diagnosis, and support groups.

A View Beyond - Support Group for Women with Gynecologic Cancers
A support group for women with gynecologic cancers and the University of Wisconsin
Comprehensive Cancer center. Meets the second and fourth Tuesday of each month,
September through June, 1-2:30 p.m. (608) 262-8081

American Cancer Society
www3.cancer.org

National Cancer Institute
cancernet.nci.nih.gov

National Cervical Cancer Coalition
www.nccc-online.org




16
Glossary

Abdomen: The part of the body that contains the pancreas, stomach, intestines, liver, diaphragm,
and other organs.

Anesthesia: A medicine that causes loss of sensation and consciousness.

Anesthesiologist: A doctor or nurse who has special training in delivering anesthesia.

Ascites: An abnormal buildup of fluid in the abdomen.

Benign: Not cancerous; does not invade nearby tissue or spread to other parts of the body.

Biopsy: The removal of a sample of tissue that is looked at under a microscope to check for cancer
cells.

Bowel: The intestine.

Cancer Staging: The tests and exams needed to stage, or describe, the cancer by learning such
things as its size, its exact location, and whether it has spread.

Cervix: Lower, narrow part of the uterus.

Diaphragm: The muscle that separates the chest from the abdomen.

Fallopian Tube: A tube leading to the uterus. Eggs released from the ovaries travel through the
fallopian tubes to the uterus.

Gynecologic oncologist: A doctor with special training to treat women with cancer of the female
reproductive organs.

Hysterectomy: An operation to remove the uterus and cervix.

Incentive Spirometer: A device to help a patient breathe deeply.

Informed Consent: A legal document in which you give the doctor permission to perform surgery
and state that you have discussed the risks and benefits of the surgery with the doctor and you
understand them.

Laparoscopy: An operation in the abdomen done through small incisions with a small scope.

Laparotomy: An operation to open the abdomen.

Living Will: A legal document clearly stating the patient’s wishes for end of life care.


17

Lymph Nodes: Small, bean-shaped glands located throughout the body that filter out and destroy
bacteria and that can collect cancer cells.

Oophorectomy: The removal of one or both ovaries.

Malignant: Cancerous; can invade nearby tissues or spread to other parts of the body.

Menopause: The time in a woman’s life when the ovaries stop producing estrogen and the
woman stops having periods. When both ovaries are removed surgically, a woman goes into
early menopause.

Metastasis: The spread of cancer from one part of the body to another.

Opioid medicine: A class of drugs used to manage moderate to severe pain.

Ovarian Transposition: A procedure to move an ovary out of a radiation field to preserve the
function of the ovary.

Ovary: A female reproductive organ that produces eggs and female hormones.

Pathologist: A doctor who identifies diseases by studying cells and tissues under a microscope.

Patient-Controlled Anesthesia (PCA): A machine that allows the patient to press a button and
deliver a prescribed dose of a painkiller through her IV line.

Pelvis: The lower part of the abdomen located between the hip bones. Organs in the female
pelvis include the uterus, vagina, ovaries, fallopian tubes, bladder, and rectum.

Power of Attorney for Healthcare: A legal document that states the patient’s wishes about
healthcare and names a person to see that these desires are carried out if the patient is unable to
speak for herself.

Radiation Therapy: The use of high energy X-rays to destroy cancer cells.

Salpingo-oophorectomy: Removal of the fallopian tubes and ovaries.

Suprapubic catheter: A tube placed through the skin above the pubic bone into the bladder to
drain urine from the bladder.

Tissue: A group or layer of cells that performs a specific function.

Tumor Debulking: Surgically removing as much tumor as possible.

Uterus: The female reproductive organ where the unborn child develops until birth.



18
Notes



19
Your Surgery Checklist

Review the day before surgery.

Your surgery is scheduled on ___________________________________.

The Day Before Surgery

 1. A nurse will call you by 2:00 p.m. on the day before surgery (on Friday for a Monday
surgery). The nurse will let you know when to arrive and the time of your surgery.
If you do not hear from us, call:
_____ Outpatient Surgery Center (OSC) at 608-263-8804
_____ First Day Surgery Unit (FDS) at 608-265-8857
If you are long distance, call 1-800-323-8942 and ask for the OSC or the FDS unit.

 2. Follow the instructions given by the nurse about when to stop eating and drinking. If
for some reason you did not get instructions, stop eating and drinking at midnight.
This includes water.

 3. You must have someone drive you home from the hospital. If you take a bus or a
cab, you will need a friend or family member to go along with you.

 4. Plan to have a responsible adult stay with you the first night home from the hospital.
You may not stay alone.

 5. Leave all rings and other jewelry at home. Only bring enough money to pay for
prescriptions or other needs. D not bring extra clothing.

 6. Other instructions i.e. bowel prep________________________________________
___________________________________________________________________

The Morning of Surgery

 1. Take these medicines the morning of surgery. Take pills with a sip of water.
__________________________ _________________________
__________________________ _________________________
__________________________ _________________________
__________________________ _________________________

 2. If you are having abdominal or pelvic (including GYN) surgery or if you used the
GoLYTELY® bowel prep, you may be asked to give a urine sample when you arrive.

 3. ___________________________________________________________________