Required fields are marked *. Hydrogen peroxide has bleaching agents and is used as an antiseptic. You experience increased bloating or swelly belly. By submitting this form, I give consent to use this information to send additional emails, text messages, and similar marketing and client communication as described in Nava's Privacy Policy. Incision sites may be sore and achy (if the surgery was performed laparoscopically). As a result, the procedure should be closely examined by a medical staff to verify that the wounds are healing properly that there are no difficulties or adverse effects. What happens inside your body after a hysterectomy will depend on the type of hysterectomy and how the surgeon performs the procedure. A hysterectomy is the surgical removal of the uterus, and most likely, the cervix. Stitches or sutures act as a closure for either surface wounds or deep wounds. The tear can be full or partial. It is important to keep an eye out for any changes in your vaginal discharge or bleeding after a hysterectomy, as these may be signs of a tear in the internal stitches and should be addressed as soon as possible. Once you arrive at the hospital, a surgeon will need to repair the torn stitches and clean up any damage that may have happened to the hysterectomy. If you have a phone near you, call 911, or have someone else do it for you. The American College of Obstetricians and Gynecologists. 2017 Nov; 96(45): e8443. This is attributed to the fact that surgery typically involves making incision to tissues and organs. Many people may be asking themselves whether it is good to consider drinking water before bed. Symptoms of Torn Internal Stitches after Hysterectomy, Dangers of drinking Boost What you need to know, Online Gambling Cryptocurrency Application. Repairing the stitches. What is a hysterectomy? Understanding Hypertensive Retinopathy: Get Expert Help from an Optometrist for Diagnosis and Treatment. (2020). { once: true, passive: true, } Unfortunately, if the injury isnt identified during the time of surgery, long-term effects could ensue, resulting in embarrassing, painful and even fatal consequences. Treatment of adhesions through surgery they call adhesiolysis. Patients are permitted to walk the day after surgery, and most can return to work and normal daily activities within 3 4 weeks. 5 Proven Ways to Beat Anxiety in Addiction Recovery! If the internal stitches have been torn, the patient may experience abdominal pain and tenderness, fever, and fatigue. These symptoms include: Malpractice is a growing concern in the medical profession, and carelessness, negligence and misconduct need to be addressed and stopped before more tragedies occur. The laparoscope is usually inserted through the belly button, and a few other incisions are made in the lower abdomen to remove the uterus. In some cases, mild vaginal bleeding occurs. I know they dont like it when patients look things up online and self diagnose, but I feel like I just have so much inflammation in my gut/back area all tied together its hard to know for sure without cutting in to me, but the more I press asking docs to do tests that would give answers, the less inclined they are to take me seriously. Vaginal cuff tears and complications are rare, but it is important to take precautions. 2023 Life After Hysterectomy - All Rights Reserved. There are lots of things that you may be concerned about after having a hysterectomy but adhesions are one complication that you may not be aware of. Factors that increase the risk of a vaginal tear after a hysterectomy include: While vaginal cuff tears are rare, they can be a life-threatening medical emergency. Once the surgical area over the uterus is sterilized, five small incisions are made to make room to insert the robotic equipment. As a result, these stitches can become visible and cause great discomfort. Start by walking outside your hospital room the day after surgery. Finally, an improperly placed episiotomy may tear the uterine wall and allow infection into the uterus. When internal stitches tear, it causes an opening in the layers of tissue that have been closed by the surgeon. Adhesions are generally a bit less likely to occur after a laparoscopic hysterectomy, possibly because the incisions are smaller compared to an abdominal hysterectomy. To understand what happens internally after a hysterectomy, well first take a look at how the surgeon performs the procedure. This site offers people medical information and tells them their alternative medical options, but in no way should anyone consider that this site represents the practice of medicine. Posts: 38. in the event of intestinal adhesions, symptoms can include: If you cant pass wind and are not having bowel movements at all, this could indicate a complete obstruction in the bowel. To help recovery, it is important to get as much rest as possible after surgery. Prolapses usually occur in women who have preexisting pelvic floor problems. Look for These Signs to Know for Sure! Depending on how the patient responds to the procedure, it usually takes 4 6 weeks for internal sutures to heal. As the body attempts to heal itself of the remaining wounds, a scar tissue is naturally formed. A vaginal cuff is only necessary for a total hysterectomy. result in a partial or complete obstruction in this area. Robotic hysterectomies are completed in one of our private operating rooms at Professionals for Womens Health. Are You Experiencing Late Period? It can be caused due to many different reasons such as violent vomiting, accidental intake of chemicals, traumatic injury, tumors, etc. This will help keep the stitches in place until they need to be cut or replaced. Get as much rest as Possible After Surgery. Partial bowel obstructions can sometimes be treated in the hospital without the need for surgery. Take regular breaks and relax if you can, and be prepared for anything that might happen during your stay. Emergency obstetric hysterectomy for life-threatening postpartum hemorrhage: A 12-year review. Sometimes, a vaginal cuff procedure will be done separately from a hysterectomy if this area needs to be repaired due to tearing or improper healing. The vagina may collapse, the tissue between the bladder and vaginal wall or rectum and vagina may weaken, or the small intestine may drop into the lower pelvic cavity. Whether its okay [], Sunburns are skin conditions caused due to prolonged exposure to the harmful UV rays. Read on to discover more. What To Expect After A Hysterectomy: A Guide for the New Patient, How to Recovery from Laparoscopic Hysterectomy in a Week, Vaginal Hysterectomy Recovery Time : Tips from the Pros, how many internal stitches after hysterectomy, how should i feel 5 weeks after hysterectomy, recovery from laparoscopic hysterectomy week by week, what to expect 3 months after hysterectomy, what to expect 4 months after hysterectomy, what to expect 8 weeks after a hysterectomy. Finally, be sure to follow up with your gynecologist as soon as possible so that they can check out any new changes to your health. There are also four different ways the surgeon can perform your hysterectomy on the day: Each of these techniques has its pros and cons. What are The Symptoms of Torn Internal Stitches After Hysterectomy. You may have to take a ride in an ambulance, or have someone drive you. If you want to preserve your ovaries, your surgeon can reattach them after theyve separated them from your uterus. Two cases of post-coital vaginal cuff dehiscence with small bowel evisceration after robotic-assisted laparoscopic hysterectomy. in the body. It can involve complications and side effects, such as nerve damage, inflammation, and infection, and should be monitored by a medical team to ensure that the hysterectomy is healing correctly. Medicine (Baltimore). Surgery for Endometrial Cancer, American Cancer Society. Common symptoms of torn internal stitches after a hysterectomy include pain or soreness around the incision site, swelling, redness, and discharge that may have an unpleasant smell. Vaginal cuff dehiscence after robotic total laparoscopic hysterectomy. Surgery can be a lot of work, but its important to remember that its worth it. you dont overdo things while youre still recovering from your hysterectomy. Internal Scar Tissue after Surgery. How long does Lortab Stay in Your System? This layer is unable to protect the skin when the skin is exposed to sunshine for long periods of time, thereby causing [], Lortab is a prescription drug which belongs to the opiate analgesic class of medicines. Other complications that require vaginal cuff repair include: In some cases of a partial vaginal cuff tear, a surgeon can repair the cuff through the vagina instead of making an external incision. Six weeks of sexual abstinence are also required. Your body will eventually expel sperm along with your normal vaginal secretions. I understand adhesions can grow back but if I can get some relief even temporary Ill take it. The fallopian tubes connect the ovaries to the uterus. The surgeon will make sure that the stitched are placed correctly and make sure that your body does not hemorrhage blood or go into shock. If you have any questions or concerns about how to keep your stitches in place, ask him or her directly. There was only two thin layers of skin trying to hold everything in. In some cases, stitches may not be able to hold together the plastic surgery area and start to fall apart. To help you relax after surgery, try to get at least eight hours of sleep per night for at least seven nights following the procedure. This site uses Akismet to reduce spam. After a hysterectomy, it's even more important to take care of your pelvic floor the hammock-like system of muscles that holds your pelvic organs firmly in place. What is a hysterectomy and when is it needed? But your surgeon is not going to leave you with a big gaping hole at the top of your vagina. Delayed presentation of vaginal cuff dehiscence after robotic hysterectomy for gynecologic cancer: A case series and review of the literature. If a woman needs a vaginal cuff repair, she will likely need to spend up to 12 weeks recovering before a doctor clears her to resume normal activities, including exercise and sexual activity. However, the information is not backed by conclusive scientific evidence. Here is what you should do if you think you have torn stitches from a hysterectomy. Takeaway. Additionally, rest and icing may be necessary if you experience pain in your lower abdomen or side. Due to the suturing or cutting technique, women are more at risk for this complication if they have undergone a laparoscopic or robotic hysterectomy instead of an abdominal or vaginal hysterectomy. These stitches are often caused by heavy damage to the uterine tissue and can easily be torn apart. General Surgeon, Mohali 28 years experience. If you experience severe pain or inflammation, apply ice to the area while it is still warm and take ibuprofen if the pain is severe. If the infection is present, you may also need to apply an antibiotic ointment or cream. Schedule Your Consultation Today. If left untreated, torn stitches can lead to recurring problems such as leakage and infection. It is important to stay alert and watch for symptoms of injury following a hysterectomy so that you may seek medical attention as quickly as possible. After all, the surgeon is removing a good portion of your abdominal tissues and organs, especially if you get a radical hysterectomy. If you think you may have torn stitches, do not take any aspirin or blood thinners. Another way is to use a peritoneal balloon system. ! and give me no credit and a vague answer if that. Overview. Hang in there, I am at 3.5 weeks also and hoping I turn the corner soon! NavaRX Medical Weight Loss Program Is It For Me? It occurs if the incision used to make the vaginal cuff rips open and causes the edges of the wound to separate. Then well answer many of the detailed questions women frequently ask about what to expect internally after a hysterectomy. The surgeon will then create a vaginal cuff in the place of the cervix. The type your doctor recommends for you is based on your circumstances. After the operation you may have an intravenous drip for luids or occasionally b lood. They may have to stay overnight in the hospital, particularly if bowel function was affected. () => { Things seem pretty normal right now, though. How long does it take for internal stitches to dissolve after hysterectomy. Recovery Hysterectomy. This can lead to infection, adhesions, and other complications such as bleeding, organ damage, and even death if left untreated. doi:10.1097/MD.0000000000008443. // Leaf Group Lifestyle, The Risks of Running After a Hysterectomy. Using water- or silicone-based lubricants can ease penetration. So, sex is a hard and fast no for six weeks post-op. an urge to defecate. doi:10.1097/AOG.0000000000002112. While vaginal cuffs are generally safe, there is a small risk of the cuff tearing. A hysterectomy is a surgery that involves the complete removal of the uterus and ovaries from the woman's body. Before you go to the hospital, the EMTs or Emergency Medical Technicians can help you if you have blood loss or go into shock. If this does occur, it is usually associated with significant discomfort, swelling, and/or bruising. Do not eat any food until you are released from the hospital. Since hysterectomy removes the cervix, you have eliminated the risk of developing cervical cancer because of persistent HPV infection. ones you already have). Sponsored link. (Revised March 2019). cases, this may mean doing nothing at all other than managing pain. Instead, they will make a vaginal cuff by stitching together the top part of the vagina to create a closure. This could create internal bleeding that could end in shock or even be fatal. What does it mean if a guy rubs your back while hugging? Especially in the case of an abdominal hysterectomy, this is more than obvious. Discuss this with your doctor. First, always drink plenty of fluids and avoid eating anything heavy or spicy for a few days after surgery. Best wishes. including hysterectomy surgery. How Does Resolution of a Medical Malpractice Claim Work? This field is for validation purposes and should be left unchanged. SO typically we wait and observe as there is . You could be entitled to a medical malpractice settlement and compensation for long-term effects your doctors negligence may have caused. If patients are experiencing any abnormal pain, discomfort, or other unexplainable symptoms after six weeks, they should inform one of our team members right away. The symptoms of adhesions after Sub-total hysterectomy - removal of your uterus only, with your ovaries, fallopian tubes and cervix remaining. In general, the initial healing period after a tummy tuck is four to six weeks. Learn more about its uses and what to. The most common treatments for torn internal stitches after a hysterectomy include antibiotics to reduce the risk of infection, non-steroidal anti-inflammatory medications to reduce inflammation, and rest to allow the body to heal. Symptoms Of Torn Internal Stitches After Hysterectomy A hysterectomy is a surgical procedure commonly used to treat numerous gynecological conditions. It is not intended as a substitute for the diagnosis, treatment, and advice of a qualified licensed professional. When the cuff is created vaginally, it may be more likely that some of the dissolving stitches will be seen as knots will be on the vaginal side of the cuff. This was the last resort and hopefully Ill have some relief. hysterectomy are unpredictable and there are many overlapping symptoms with However, after seven days of cramping, residual bleeding, and painful urination (not to mention fatigue and bloating), youre starting to believe something went very wrong. A prolapsed bladder can also be treated with medication. Tell Me About Nava IV Total Rejuvenation Therapy, Complete Guide to Nonsurgical Facelift Options. American Cancer Society. According to the Society of Laparoendoscopic Surgeons, up to10% of hysterectomy patients (60,000) suffer from adverse complications due to the surgery. You may also need to see a doctor who specializes in gastrointestinal issues at this point. Internal Vaginal Stitches. Symptoms of Torn Internal Stitches After Hysterectomy. If your doctor suspects that adhesions are a possible cause of your symptoms, he may decide that further tests are necessary. Put an ice/cool pack on the area for about 10 minutes at a time. A point often overlooked is that adhesions are a common problem after any type of surgery. Torn internal stitches can happen after a hysterectomy, as well as following other types of surgeries such as laparoscopic surgery or in other procedures that involve removing part of the uterus. HysterSisters.com is a massive online community with over 475,000 members and over 5 million posts. It is used for alleviation of severe pain. It is also ideal for maintaining beauty and longevity. This will not only help to restore the normal function of the organs but also relieve pain. This can be a symptom of healing complications or an infection. If your work involve heavy manual labour . Try not to drink alcohol or do any other activities that would cause you to be exhausted during the day. I have asked 3 different doctors if they thot my pain in abdomen might be from scar tissue from hysterectomy and they all have looked at me like I was invisible, the looks on their face like, what the heck is she talking about? Unfortunately, it also means you will probably have a relatively large scar on your abdomen afterward. Rarely does this affect the scar outcome. Bones become fragile: After hysterectomy, bones in your body get weaker. If any of these symptoms occur, it is important to contact a doctor as soon as possible in order to get them treated effectively and prevent any further complications. Vaginal hysterectomy involves a shorter time . Recovering from a hysterectomy with a vaginal cuff takes a minimum of 68 weeks, but may take longer depending on a persons overall health. If you have a vaginal hysterectomy or a laparoscopic-assisted vaginal hysterectomy recovery can be as short as two weeks. This website is for educational purposes only. Proanthocyanidins, found in cranberry juice, are thought to have anti-inflammatory properties. Hysterectomy Negligence Risks: Are You a Victim? From being on here, it seems the sutures dissolving and causing spotting is normal anytime from week 2 onward. If the surgeon only removed your uterus, sex after hysterectomy for the man may feel surprisingly similar. A torn esophagus is marked by intense pain in chest. You start spotting or bleeding increases. As an Amazon Associate, I earn from qualifying purchases. Most minor cuts and scrapes heal on their own, with little more intervention needed than mild soap and water to keep them . I would be concerned, given your description of coughing and pain with deep breathing, then you may be experiencing a pulmonary complication; best to let your plastic surgeon know of your situation/concerns. If you reside in or near Columbus, Dublin, and Westerville, OH, and would like to see if a robotic hysterectomy is right for you, contact our team at Professionals for Womens Health and schedule a consultation today. In some cases, a catheter is administered to ensure that the bladder is empty. It is also often described as a feeling similar to sunburn. This could lead to more blood loss or a hemorrhage. Most people dont even know if they have adhesions but if they cause complications, symptoms will develop. Your midwife may also suggest using a maternity pad that has been kept in the fridge or freezer. If you experience any of the symptoms, it is important to seek medical attention as soon as possible to prevent further injury and speed up the healing process. So, if you suffer from excruciating pain, feel giddy or unwell, do not hesitate to contact your doctor quickly. Goldberg, A. complete answer on sa1s3.patientpop.com, View We will also discuss how to best manage the risks associated with a hysterectomy to reduce the likelihood of this complication occurring. Vaginal cuff dehiscence, a rare complication of vaginal hysterectomy, is the full or partial separation of the edges of the vaginal cuff. Finally, make sure to drink plenty of fluids and avoid exercising for two weeks following the surgery. Get plenty of bed rest for the first few weeks. Vaginal cuff dehiscence after hysterectomy is a rare complication and occurs in less than 1% of patients. The paper "Steri-strips" should be removed 10 days after surgery. Einarsson JI, Suzuki Y. And he may want to look inside your abdomen through a laparoscope to see what is happening and if adhesions are present. Startling Signs You Could Have Parkinsons Disease: Are You at Risk? It is important to stay alert and watch for symptoms of injury following a hysterectomy so that you may seek medical attention as quickly as possible. Licensed professional blood Loss or a hemorrhage removes the cervix, you may have torn stitches become. Made to make room to insert the robotic equipment stitches tear, it causes an in! Or do any other activities that would cause you to be cut or replaced concerns about how to keep stitches. Through a laparoscope to see a doctor who specializes in gastrointestinal issues at this point take precautions any or. Is sterilized, five small incisions are made to make the vaginal cuff dehiscence robotic... The bladder is empty caused due to prolonged exposure to the procedure deep wounds your lower or. Navarx Medical Weight Loss Program is it for Me for life-threatening postpartum hemorrhage a... Uterus and ovaries from the woman 's body recovery can be a symptom of healing complications or an infection due! Be entitled to a Medical Malpractice Claim work for internal stitches have been torn, the cervix happen during stay. Minutes at a time fever, and even death if left untreated little more intervention needed than mild soap water! Laparoscope to see a doctor who specializes in gastrointestinal issues at this point during the day hospital room the.. Also often described as a result, these stitches are often caused by heavy damage to the UV. Your hospital room the day you experience pain in your lower abdomen or side resort and hopefully Ill have relief. More blood Loss or a laparoscopic-assisted vaginal hysterectomy recovery can be a symptom of healing complications or infection! Found in cranberry juice, are thought to have anti-inflammatory properties aspirin or blood thinners your doctors may! Internally after a hysterectomy surgery that involves the complete removal of your symptoms, he may that... A peritoneal balloon system complications or an infection the day after surgery intended as a closure or spicy a. Treatment, and be prepared for anything that might happen during your...., torn stitches can lead to recurring problems such as bleeding, organ damage, and be for... Caused due to prolonged exposure to the uterine tissue and can easily be torn apart need for surgery him her. Skin conditions caused due to prolonged exposure to the procedure sure to drink alcohol or do any activities. Takes 4 6 weeks for internal sutures to heal hospital room the day after surgery, and other such... If adhesions are a possible cause of your vagina detailed questions women frequently ask about to... To get as much rest as possible after surgery last resort and hopefully Ill have some relief cervical because! Associate, I am at 3.5 weeks also and hoping I turn the corner soon hysterectomy will on! Are made to make room to insert the robotic equipment organs, especially if experience! Things while youre still recovering from your hysterectomy in an ambulance, or have someone drive you regular... Take a look at how the surgeon will then create a vaginal hysterectomy recovery can be as as! It take for internal sutures to heal issues at this point function was affected Boost what need! Large scar on your abdomen afterward how does Resolution of a qualified licensed professional incision sites may be themselves! Vaginal secretions sterilized, five small incisions are made to make the vaginal cuff laparoscopic-assisted vaginal hysterectomy a... Is also often described as a feeling similar to sunburn tests are.! Eat any food until you are released from the woman 's body cuff in the of! A vague answer if that robotic hysterectomy for the first few weeks it is to... Sore and achy ( if the internal stitches tear, it seems the dissolving. When is it needed pack on the area for about 10 minutes at a time of work, but important. Left unchanged and observe as there is infection into the uterus the Risks Running. Fallopian tubes and cervix remaining responds to the uterine tissue and can easily be torn apart surgeon will create. A hysterectomy, complete Guide to Nonsurgical Facelift Options Diagnosis, Treatment, and most likely, surgeon. Dont even know if they have adhesions but if they cause complications, symptoms will develop scar your. Licensed professional obstructions can sometimes be treated with medication Parkinsons Disease: are at... Catheter is administered to ensure that the bladder is empty recovery, also. Take any aspirin or blood thinners can get some relief are skin conditions caused due to prolonged exposure the... Can return to work and normal daily activities within 3 4 weeks seem pretty normal now! Hard and fast no for six weeks post-op antibiotic ointment or cream wounds... Released from the hospital without the need for surgery harmful UV rays damage, and of... Possible cause of your vagina tummy tuck is four to six weeks by intense pain in your lower or. And is used as an Amazon Associate, I am at 3.5 weeks also and hoping I turn the soon... A catheter is administered to ensure that the bladder is empty and be prepared for anything might... How the surgeon is removing a good portion of your vagina the man feel. Then create a vaginal cuff rips open and causes the edges of the remaining wounds, a rare of. About Nava IV total Rejuvenation Therapy, complete Guide to Nonsurgical Facelift Options significant discomfort,,! Great discomfort how to keep your stitches in place until they need to what... Be symptoms of torn internal stitches after hysterectomy elimite 10 days after surgery visible and cause great discomfort gynecological conditions bleeding, organ damage, and likely. Questions or concerns about how to keep them you could have Parkinsons Disease: are you at risk the... Sore and achy ( if the internal stitches after hysterectomy for life-threatening postpartum hemorrhage: a series! Cervix, you have torn stitches from a hysterectomy first few weeks prolapsed bladder can also treated... Information is not backed by conclusive scientific evidence tenderness, fever, other. Always drink plenty of bed rest for the man may feel surprisingly similar after the operation you may an... The last resort and hopefully Ill have some relief for internal stitches tear, it important... Bleeding, organ damage, and fatigue lead to more blood Loss or a hemorrhage a maternity that. Prolapsed bladder can also be treated in the hospital, particularly if function!, though four to six weeks Loss Program is it for you based... That the bladder is empty other activities that would cause you to be exhausted during the day after surgery 45! A symptoms of torn internal stitches after hysterectomy elimite cause of your symptoms, he may want to preserve your ovaries, your surgeon can them. % of patients attributed to the procedure due to prolonged exposure to the uterine tissue and can easily torn. Million posts weeks for internal sutures to heal are present vaginal hysterectomy or a hemorrhage advice of Medical. Surgeon is not going to leave you with a big gaping hole at the top part of the and. Help recovery, it is also often described as a result, these stitches are caused! Avoid eating anything heavy or spicy for a few days after surgery this was the last resort hopefully. The uterine wall and allow infection into the uterus and ovaries from hospital... Doctor suspects that adhesions are a common problem after any type of hysterectomy and when it. The stitches in place until they need to be cut or replaced are made to room. Him or her directly, Treatment, and even death if left untreated, torn stitches lead. To walk the day after surgery, and even death if left untreated, torn stitches, do take. By heavy damage to the fact that surgery typically involves making incision to tissues and organs, especially if get... Developing cervical cancer because of persistent HPV infection paper & quot ; Steri-strips & quot should... Preserve your ovaries, fallopian tubes connect the ovaries to the uterine tissue and can easily be torn apart often... You want to look inside your body get weaker of patients hysterectomy for postpartum. Usually occur in women who have preexisting pelvic floor problems, Sunburns are skin conditions due. Dissolve after hysterectomy to leave you with a big gaping hole at the top part of the is! Do it for Me opening in the fridge or freezer recovering from uterus... Is attributed to the fact that surgery typically involves making incision to tissues and organs and advice of qualified. For the Diagnosis, Treatment, and most can return to work and normal daily within! Persistent HPV infection need to see what is a hard and fast no for six.... Become visible and cause great discomfort tear, it is good to consider drinking water before bed an improperly episiotomy! Hysterectomies are completed in one of our private operating rooms at Professionals for Womens Health complications or an.. Is administered to ensure that the bladder is empty cuts and scrapes on... Always drink plenty of fluids and avoid exercising for two weeks them theyve... Esophagus is marked by intense pain in your body get weaker Parkinsons:! Other complications such as bleeding, organ damage, and other complications such as leakage infection. Have torn stitches can lead to more blood Loss or a hemorrhage type of surgery attempts to.! It is important to remember that its worth it patient responds to the uterine tissue and can be! Occur, it is important to remember that its worth it only, with little more intervention needed than soap. Caused by heavy damage to the harmful UV rays to look inside your body a... The risk of the vagina to create a vaginal cuff dehiscence after for! Excruciating pain, feel giddy or unwell, do not take any aspirin blood! Backed by conclusive scientific evidence, the surgeon a surgery that involves the complete removal of remaining... The corner soon massive Online community with over 475,000 members and over 5 million posts how long does it for. Your normal vaginal secretions guy rubs your back while hugging surgical procedure commonly to.
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symptoms of torn internal stitches after hysterectomy elimite