26 Jun What happens during your first 24 hours after a robotic hysterectomy?
If you’ve just had—or are about to have—a robotic hysterectomy, it’s completely natural to feel uncertain about what the first day of recovery will look like. The good news is that this minimally invasive approach is designed to help you recover faster, with less pain and fewer complications than traditional surgery. But the first 24 hours are still crucial.
Let’s walk through what you can realistically expect after surgery, and how to make those first hours as smooth as possible.
How will I feel right after robotic hysterectomy?
You’ll wake up in the recovery area after the procedure, monitored closely by the medical team. It’s common to feel groggy or slightly nauseous due to the anaesthetic. You may also notice some abdominal cramping or pressure, and mild throat discomfort from the breathing tube which is removed before you wake up.
Some women may have a urinary catheter in place initially, as well as IV fluids for hydration and pain relief. Nurses will frequently check your blood pressure, oxygen levels, and surgical sites to ensure you’re recovering well.
If you’re going through this process under the care of Dr Kent Kuswanto, you can rest assured your recovery is being overseen by one of Melbourne’s leading gynaecologists in robotic surgery and his team of anaesthetists, peri-operative physicians and nurses.
How painful is the first 24 hours?
Most patients are pleasantly surprised by how manageable the pain is. Robotic surgery uses small incisions, and the precision of the miniaturized instruments minimises tissue trauma—both factors that help reduce discomfort.
That said, you might feel:
- A dull ache at the incision sites
- Cramping similar to period pain
- Shoulder pain caused by gas used to inflate your abdomen during surgery
Pain management typically includes a tailored combination of paracetamol, anti-inflammatory medication, and (if needed) mild opioids. With Dr Kuswanto’s approach to enhanced recovery, the goal is always effective relief with the lowest necessary medication.
For more insights on what recovery usually involves, you can read about the typical patient journey after surgery.
When can I eat and drink again?
Most women can sip water within a few hours of surgery. If you’re not feeling nauseous, you may be offered a light meal such as toast or soup. The key is to start slow and avoid anything rich or greasy.
Keeping hydrated is important—not just for your general wellbeing, but also to help your body process medications and avoid constipation, which is a common side effect after surgery and anaesthesia.
Will I need to get up and walk?
Yes—and it’s encouraged. Moving your body, even gently, helps reduce the risk of blood clots and boosts your recovery. Within a few hours of surgery, a nurse will usually help you sit up and dangle your legs off the bed. Later, you’ll be assisted to take a few steps to the bathroom or down the hallway.
If you’re feeling nervous, know that every little bit helps. Standing, walking, or even just changing position can help your lungs and circulation kick back into gear.
For more on how recovery is approached after surgery, visit the Before and After Surgery guide.
Is bleeding normal?
Light vaginal bleeding or spotting is entirely expected in the first 24 hours. It often looks like the end of a light period and may come with some brown or pink discharge.
Things to watch out for include:
- Bright red blood soaking through pads
- Large clots
- A sudden increase in bleeding
Your care team will monitor this closely in hospital, and you’ll be advised on when to seek help once you’re home. If something doesn’t feel right, don’t hesitate to contact Dr Kuswanto’s team.
Can I go home the same day?
Some patients do—especially when the procedure went smoothly, and they’re able to walk, urinate, eat, and manage pain on oral medications.
However, some women may need to stay overnight, particularly if:
- You’re experiencing nausea
- Pain isn’t well-controlled
- There’s a need for closer observation due to pre-existing conditions
Whether you go home the same day or stay overnight, rest assured you won’t be rushed out before you’re ready. Dr Kuswanto operates out of well-equipped hospitals in Epworth Freemasons East Melbourne and St Vincent’s Private Fitzroy, where patient comfort and safety are always prioritised.
What are warning signs I should watch for?
The first day is mostly about stabilisation and gentle recovery—but it’s also a time to stay alert to signs that something isn’t right. Call your care provider if you experience:
- Sudden or severe abdominal pain
- Difficulty breathing or chest pain
- Heavy bleeding or soaking through pads
- Swelling, redness or heat around incision sites
- Persistent nausea or vomiting
Dr Kuswanto’s patients are given clear post-op instructions, and there’s always someone to contact if you have concerns.
When is the follow-up appointment?
Follow-up is typically arranged within 1–2 weeks after your hysterectomy. This allows your gynaecologist to:
- Review your recovery progress
- Discuss your pathology results
- Check your incisions
- Address any questions about what’s next
Appointments are typically over the phone, but also available across multiple consulting locations for your convenience.
Summary: Your First 24 Hours in a Nutshell
- You’ll be closely monitored after waking up from anaesthesia
- Pain is usually mild and well-managed with medications
- Walking, even gently, is encouraged within the first 12 hours
- Light bleeding is normal; heavy bleeding should be reported
- Eating and drinking may resume gradually if you’re not nauseous
- Always watch for signs of complications, and reach out if unsure
If you’re considering a robotic hysterectomy—or already scheduled for one—having clear expectations can ease your mind and support your recovery.
Learn more about robotic surgery with Dr Kent Kuswanto or contact us here to book your consultation.