Hysterectomy - Preoperative work up
Preoperative work up involes a through clinical evaluation, relevant lab tests and the precautions to be followed before surgery.
Preoperative evaluation includes the following:
A complete history and physical examination to rule out any co-morbid conditions such as diabetes mellitus, hypertension, cardiac disease or asthma.
Use of medications such as use of aspirin, oral hypoglycemics, heparin, or warfarin should be documented
Biopsy of the endometrium, which is the inner lining of the uterus is essential to rule out cancer or pre-cancer of the uterus. This procedure is called endometrial sampling.
PAP smears to rule out cervical cancer maybe necessary in some cases..
Ultrasonography to study the pelvic anatomy ans assess the size of the uterus.
CBC count (complete blood count), blood type and cross match.
ECG and chest radiograph to assess the cardiac and respiratory systems.
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