What can cause thrombophlebitis after a hysterectomy?

Thrombophlebitis, which is inflammation of a vein due to a thrombus, can indeed occur after a hysterectomy, and one of the primary factors contributing to its development is venous stasis. After surgery, patients experience reduced mobility, which can significantly impede blood flow in the legs and abdominal area. When blood flow slows down or becomes stagnant, it increases the risk of clot formation in the veins.

Venous stasis often occurs in the abdomen and pelvic regions following major surgical procedures like a hysterectomy, where surgical manipulation can further affect venous return. This is especially true if the patient is not mobilizing adequately after surgery, leading to blood pooling and increasing the risk of thrombophlebitis.

In contrast, while infection can occur after surgery, it primarily presents with signs of infection rather than as a direct cause of venous thrombus formation. Excessive exercise post-surgery is generally not a contributing factor, as patients are typically advised to start gradually and avoid overexertion. Hormonal therapies can increase clotting risks, but they are a more indirect factor compared to the mechanical influence of venous stasis after a significant surgical intervention.