by Tamer Seckin, MDEndometriosis Excision Surgeon / Seckin Endometriosis Center (SEC)
Endometriosis Specialist
Our endometriosis specialists work with patients to understand symptoms, diagnosis, and treatment options for endometriosis.
Introduction
If you need to visit the Emergency Room, please make sure to go to Lenox Hill Hospital 100 East 77th Street. This is very important as our team can only work out of this hospital, without exception.
Activity
Do not drive for at least 3 days after surgery.
Start walking around as soon as you get home. You may use stairs, but move slowly.
Wear loose, non-binding clothes.
You may shower the day after surgery. It is okay to use soap and water on your abdomen, but do not wash or scrub your incisions. After showering, gently blot incisions dry with a towel.
No douching, tampon application, tub baths, swimming, or sexual intercourse for 6 weeks after surgery.
Do not lift more than 10 pounds or engage in abdominal exercise of any sort for 6 weeks after surgery.
Diet
Stay on a clear liquid diet until you are able to pass gas. Hot liquids are especially beneficial
Avoid spicy foods the first 3 days after surgery
Avoid leafy vegetables, and fiber-heavy foods such as kale and beans
Eat simple, light meals
Hot tea is helpful for mobilizing the bowels and reducing gas pain
Incision Care
Remove the clear bandage and gauze from your belly-button 48 hours after your surgery. The other incisions will be covered by small strips of tape (“steri-strips”). The steri-strips will fall off on their own within 7 days, or they will be removed at your post-op visit in the office. If they have not fallen off after seven days, you can remove them yourself.
Keep your incisions clean and dry. If you prefer to, you may clean your belly button with hydrogen peroxide twice per day, but it is not necessary.
Do not apply any ointments or creams to your incisions.
There is no need to cover your incisions with band-aids.
Pain Medication
Toradol: 50 mg (instructions on the bottle)
OR
Advil (ibuprofen, Motrin): 600 mg every 6 hours around-the-clock for 5 days
DO NOTtake Toradol and Advil. Use one or the other
PLUS
Tylenol 1,000 mg every 6 hours around-the-clock for 5 days
Alternate Advil with Tylenol, so you will be taking some kind of pain medication every 3 hours
PLUS
Pyridium 200 mg (for bladder and UTI prevention)
Bowel Regime
The bowels can become “sleepy” after surgery, but it is very important that you do not become constipated.
Walking and moving around is the best way to get rid of gas pain and “wake up” the bowels.
Take Gas-X (simethicone) every 8 hours to help with gas pain.
Take a stool softener such as Colace 100mg (docusate sodium) twice per day.
Take a mild stimulant such as Senna 17.2 mg one to two times per day until you have regular bowel movements.
If you still have not had a bowel movement after 2-3 days of taking Colace and Senna, take 1 generous tablespoon of Miralax (polyethylene glycol 3350) daily.
If you still have not had a bowel movement after trying all three medications, you may need to give yourself a Fleet Enema. This can be bought over-the-counter at any drugstore. Follow the instructions on the bottle.
Pregnancy
The best time to achieve pregnancy is immediately after endometriosis excision surgery
If you do not wish to become pregnant, you may be put on a low-dose oral contraceptive pill or a Mirena IUD, depending on your surgical findings
Normal Post-Surgical Symptoms
The following are post-surgical symptoms that are normal and can arise within the first few days of surgery. If any of these complaints last longer than specified below, please contact us.
Light vaginal bleeding
It is normal to have some spotting or light vaginal bleeding (generally nothing heavier than a period) for up to 2-3 weeks after surgery
Heavy bleeding (soaking through a pad every 30-60 minutes) is not normal and you should call the office to speak with Dr. Seckin or Dr. Goldstein
Abdominal tenderness, usually lasting 1-3 days after surgery.
Lack of bowel movement should last no more than 72 hours after surgery. If it lasts longer than 72 hours please contact us.
For post supracervical hysterectomy (uterus removed, cervix retained) procedures it is not uncommon to experience some spotting/light bleeding around the time of your period.
You should contact us if:
You experience severe pain or abnormal symptoms
You develop vaginal bleeding heavier than a menstrual period, persistent nausea, fever, vomiting, or increasing pain not relieved by your medication
Your temperature is greater than 100.4F
You have any additional questions or concerns
In case of a medical emergency, please call 911
If you are experiencing severe pain of any kind, please call the office at (212) 988-1444 and we will put you into contact with Dr. Seckin or Dr. Goldstein
Ready for a Consultation?
Our endometriosis specialists are dedicated to providing patients with expert care. Whether you have been diagnosed or are looking to find a doctor, they are ready to help.
Our office is located on 872 Fifth Avenue New York, NY 10065.
You may call us at (646) 960-3080 or have your case reviewed by clicking here.
There aren’t enough stars for Seckin Endometriosis. They deserve 100/ 5. I want to make sure every woman right now who is looking for help, who is looking for a doctor and is scared and confused knows this is where you need to be. It doesn’t matter if you have to come from the other side of the United States or from the other side of the world, I can guarantee it will be worth it. Every member of their…
I’ve seen many obgyns over the years explaining my monthly symptoms during my period...but eventually it became a daily struggle with these pain. It feels like a poke here and there near my right pelvic region. I was given birth control pills for the past ten years but honestly, it didn’t help at all. I was in bed whenever I had my period. I was previously sent to GI doctors for possible appendicitis but it was ruled out from imagings…
Dr.Seckin is so much more than a surgeon. His passion for helping endometriosis sufferers and determination to improve the quality of life in all of his patients is undeniable. I remember when my gynecologist first told me I needed a laparoscopy. Her exact words were "I can do the surgery, but if you were MY daughter- I'd send you to him." From the first day I met him he took the time to explain endometriosis to me since I knew…
I was there for hysterectomy but then I found out that I also had endometriosis.My both surgeries went excellent and I feel great!.I am so thankful to Dr.Seckin and all his team for making my journey smooth!
I am a physician who suffered from deep infiltrative endometriosis. I needed laparoscopic surgery, so I went to see my former gynaecologist and he performed the procedure (a surgery which he supposedly does hundreds of times a year) last November. I had severe pain again when I had my period in January and was advised to go on taking a low hormone dose anticoncipient pill. My symptoms came back quickly and got worse in a few months’ time. I went…
After years of excessively painful periods, a serious loss of quality of life, and a series of uninformed and uninterested doctors, Dr. Seckin and Dr. Goldstein turned my life around. I was told I woke up from my surgery almost a year ago with a smile on my face, and I haven't stopped since. Before I heard of Dr. Seckin, I was experiencing almost daily terrible pain to the point where I had difficulty walking, inability to eat, inexplicable weight…
Dr Seckin and his team gave me back my life! Tomorrow will be 1 month since my surgery and I feel great. Dr. Seckin, Dr Liu, and Dr Goldstein are not only beyond words talented and amazing Doctors, but they are also genuinely wonderful and caring people. I cannot say enough great things about Holly, Asiye and Kim as well. They were all caring, kind, patient, and took the time to listen to me and explain anything I needed to…