A hysterectomy is a surgical procedure that involves the removal of your uterus, and sometimes, the cervix. Laparoscopic hysterectomies are hysterectomies that are performed with minimal surgical invasion and typically require three small incisions in your abdomen. Since laparoscopic hysterectomies are less invasive than a regular hysterectomy, recovery from surgery does not take as long. However, the surgeon must cut through abdominal muscle in order to reach the cervix and uterus. By doing so, your abdominal muscles will atrophy and become weakened. After surgery, it may be necessary to rebuild strength in the abdominal muscles in order to return to normal daily activity. Always consult your physician before starting an exercise program.
Kegels
Kegel exercises are an effective way to build the muscles of the abdominals and the pelvic floor. Kegels can be performed whether you are sitting or standing. Begin by attempting to pull the muscles around the vaginal area up toward your stomach while tightening your abdominals by pulling your belly button into your spine. This motion is similar to attempting to stop the flow of urine. Tense your muscles for about 10 seconds at a time and repeat about 15 times.
Pelvic Tilt
Pelvic tilts will help rebuild muscle damaged during the surgical process. Lie on the floor, flat on your back, with your knees slightly bent. In this position, the natural curvature of your back will create a small space between your lower back and the floor. This space is usually wide enough to fit the palm of your hand. Next, flatten your back and press it into the floor so that you eliminate this space. Tighten your abdominal muscles and hold for five to 10 seconds. Repeat this motion for 10 to 12 repetitions.
Walking
Once your doctor has cleared you for higher impact exercise, you may begin walking. Walking will help your abdominal muscles build stabilization strength, which is essential for everyday activities. Begin by walking on a flat surface with no incline. Try to walk no faster than three to four miles per hour at first, and for no longer than 15 minutes. As you get stronger, you can increase the speed and distance that you walk, and you can add a slight incline.
Abdominal Stretch
After laparoscopic surgery, scar tissue will form on your abdominal muscles. Scar tissue can cause pain and hinder mobility. Stretching your abdominal muscles regularly can help to prevent scar tissue from causing pain by keeping the scar tissue fibers aligned with your muscle fibers. Lie on the floor with your back flat and your arms extended straight over your head with the back of your hands resting on the floor. Next, attempt to lift your chest away from your waist by reaching up with your arms. Hold this extended position for 25 to 30 seconds.
References
- "Human Anatomy And Physiology"; Elaine N. Marieb; 2003
- "Rehabilitation for the Postsurgical Orthopedic Patient"; Lisa Maxey and Jim Magnusson; 2001
