Hysterectomy / Surgical Removal Of Uterus

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.