When you arrive in the operating room, the circulating nurse will have you transfer to the operating room bed. Once you are situated on the new bed, the anesthesia provider (CRNA or anesthesiologist) will begin placing the EKG leads, pulse oximiter, and blood pressure cuff. You will have a safety strap placed across your thighs. If you are cold (many operating rooms will feel very cold) the nurse will be able to get you a warm blanket.
After all monitors are placed, the anesthsia provider will place an oxygen mask loosely over your mouth and nose. They will want you to take slow, deep breaths in order for you to get plenty of oxygen in your system. The anesthesia provider will then begin giving you medication through your I.V. to make you go to sleep. Once you are unconscious, the CRNA/anesthesiologist will insert a breathing tube, and the surgical staff will begin getting you ready for the procedure.
A foley catheter will be placed in your bladder. Your lower abdominal area near your pubis will be exposed (everything else will remain covered) and the circulating nurse will begin to "prep" this area with a germicidal solution (usually betadine or CHG). They will also prep your cervix with a betadine swab during the insertion of the foley catheter. After the area you will be having surgery is cleaned, the surgical team will begin placing the sterile drapes on you. These sterile drapes will cover your entire body except for the area where you will be having surgery. Once all of the sterile drapes have been placed and all equipment is hooked up and functioning properly, your surgery will begin.
The surgeon will start the procedure by making a Pfannenstiel (bikini line) incision. Once the incision is made and the uterus is exposed, the surgeon will begin separating the uterus from the ligaments that are attached to the uterus. After the ligaments have been separated, the cervix will then be excised from the vagina. Once the cervix has been separated from the vagina, the uterus and cervix (and ovaries and fallopian tubes if you are also having them removed) will be removed from the body. Any bleeding will be controlled with cautery, sutures, and/or hemostatic agents.
After the uterus and cervix has been removed, your surgeon will reconstruct the area of the vagina where the cervix had been excised. The surgeon will then close the abdominal wound with sutures and/or staples.
The scrub tech and/or circulating nurse will place a dressing over the incision site and the CRNA or anesthesiologist will begin waking you up. Once you are awake enough, the breathing tube will be removed and you will be transported to PACU (Post Anesthesia Care Unit).
Learn more about before, during, and after surgery. Stop by Kate J's site where you can find out all about your surgery expectations.
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