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suspected malignancy needing oncology work-up"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical total hysterectomy for benign disease; often 1 night after laparoscopic/robotic, 2-3 nights after open abdominal."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking early; heavy lifting and strenuous exercise after surgeon clearance, usually about 6 weeks or more."},"final_result_months":{"min":1.5,"max":3,"unit":"months","qualifier":"Bleeding and bulk symptoms stop at surgery; full recovery and final result come about 6-12 weeks later."},"fly_home_after_days":{"min":7,"max":28,"unit":"days","qualifier":"Vaginal/laparoscopic/robotic: 1-2 weeks once walking comfortably; open abdominal: 3-4 weeks due to clot risk and 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abdominal route"],"pain":"Moderate postoperative pain, strongest in the first several days, managed with oral analgesics; typically less after laparoscopic/vaginal than open abdominal surgery. Shoulder pain may occur after laparoscopy.","preparation":["Gynecologic evaluation, imaging and cervical or endometrial assessment","Blood tests and anesthetic assessment","Discussion of ovary removal, fertility loss and menopause","Review of medications and allergies","Fasting before general anesthesia as instructed","Smoking cessation where possible","Arrange help at home during recovery","Bowel preparation only if surgeon requests","Antibiotic and thrombosis prophylaxis per protocol"],"recovery_timeline":[{"phase":"Hospital stay (day 0-3)","description":"Mobilization within hours, pain control, catheter removal, diet resumed.","restrictions":["No driving","Avoid lifting"]},{"phase":"Weeks 1-2","description":"Rest at home with gradual walking; vaginal spotting or discharge is common.","restrictions":["No lifting over a few kilograms","No driving while on opioids"]},{"phase":"Weeks 2-6","description":"Progressive return to daily activities and desk work; fatigue gradually fades.","restrictions":["No heavy lifting","No intercourse, tampons or baths until cleared"]},{"phase":"Weeks 6-12","description":"Surgeon clearance for intercourse and strenuous exercise; full recovery.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery to routine daily activities; shorter for minimally invasive approaches."},"result_longevity":"Permanent: the uterus is removed, so uterine bleeding, menstruation and pregnancy no longer occur.","revision_rate_pct":{"min":1,"max":3,"unit":"percent","qualifier":"Unplanned return to operating room within about 30-90 days after primary hysterectomy for benign disease."},"scars":"Laparoscopic/robotic: several small abdominal scars (about 0.5-1.5 cm); open: low transverse bikini-line scar; vaginal: no visible scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"hysterectomy","label":"Hysterectomy under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One surgical procedure; follow-up checks are not treatment stages."},"success":{"metric":"Patient-reported satisfaction (satisfied or very satisfied) with symptom relief after hysterectomy for benign disease","value":90,"unit":"percent","horizon":"1-2 years after surgery","evidence_status":"limited","population":"Adult women after hysterectomy for benign indications (fibroids, heavy bleeding, adenomyosis)."},"techniques":[{"name":"Total laparoscopic or robotic-assisted hysterectomy","suits_whom":"Most benign conditions with a uterus of manageable size.","recovery":"Typically 1 night stay and return to desk work in about 2-3 weeks."},{"name":"Vaginal hysterectomy","suits_whom":"Prolapse or smaller uterus with adequate vaginal access.","recovery":"Often 1 night stay; no abdominal incision; return to work about 2-4 weeks."},{"name":"Abdominal (open) hysterectomy","suits_whom":"Very large uterus or extensive adhesions.","recovery":"2-3 nights in hospital; return to work about 4-6 weeks."},{"name":"Supracervical (subtotal) hysterectomy","suits_whom":"Selected benign cases where the cervix is preserved.","recovery":"Similar to the chosen approach; cervical screening continues."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operative time for one uncomplicated hysterectomy for benign disease; varies by approach and uterine size."},"initial_assessment_documents":["Pelvic ultrasound report","Pelvic MRI report (if available)","Recent Pap smear or cervical screening result","Endometrial biopsy report (if available)","Recent blood count and hemoglobin","Previous abdominal or cesarean surgery records"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Stay 7-14 days after minimally invasive surgery, 3-4 weeks after open; includes first check. 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