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Blood Clots, Blood Thinners, and Hysterectomy

From the Pre-Op Hysterectomy Articles List

Patient talks to doctor about blood clots and blood thinners before hysterectomy I'm worried about preventing blood clots post-op. Has anyone been taking anticoagulants when they had their surgery? How did it go?


Doctors usually tell patients with this condition to stop medications in preparation for surgery. Assuming you have a hematologist, s/he should be working closely with your surgeon to assure that you won't have a problem with blood clots during or after surgery.

Your doctor will probably address everything at your pre-op appointment, but if s/he doesn't mention it, don't be afraid to bring it up! Be sure and ask all your questions and persist in getting an explanation for anything that worries you.

There will probably be some lab work to check your PT/PTT/INR. You'll probably have them on a regular basis to check if your medication levels are effective without over/underdosing. If your levels are too high, there are quick ways to take care of this matter.

Once you check into the hospital, be sure and tell everyone (e.g. nurses, anesthesiologist) about your condition. You are your best healthcare advocate.

After surgery, some doctors give shots of Heparin while you are recovering in the hospital and put you back on your blood thinning medications at discharge from the hospital.

Additionally, you should get out of bed regularly to walk and move every few hours which helps to keep blood clots from forming.

Anesthesiologists have been known on occasion to refuse to do surgery if they are not comfortable with the pre-op management of blood thinning medications. Be sure to make everyone aware of your needs. Keep reminding them!

With proper preparations, your surgery can go smoothly!



This content was written by a member of HysterSisters.com as a non-medical professional based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

04-14-2000 - 10:16 PM


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