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.
Is hysterectomy done in esi hospital?