| Preoperative evaluation of the gynecologic patient: considerations for improved outcomes. | |
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MedLine Citation:
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PMID: 18448753 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The preoperative evaluation serves several purposes for the gynecologist. Patients with previously undiagnosed, or incompletely managed, medical concerns are identified and appropriate treatment initiated. In women with known medical concerns, the surgeon can anticipate problems and plan for appropriate postoperative care. In certain cases, the preoperative evaluation identifies medical conditions that are unstable enough to adversely affect the postoperative outcome, and appropriate referral for medical management can be made. One of the most important aspects of the evaluation is the identification of women at high risk for cardiovascular complications. A stepwise approach is useful to identify those women who may proceed to surgery and those who need further testing. Much of the preoperative evaluation of the woman with pulmonary disease can be done during the history and physical examination without additional testing. Deep venous thrombosis is a significant concern in gynecologic surgery; appropriate identification of the woman at risk is important, with initiation of prophylaxis occurring shortly after the surgery concludes. Many women undergoing gynecologic surgery have diabetes. Careful management of diabetes in the perioperative period has become more germane, with evidence of improved outcomes as tight control is achieved. Much of the preoperative evaluation falls easily into the purview of the gynecologist, with advice presented as to when medical consultation should be considered. |
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Authors:
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Bruce E Johnson; Joann Porter |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 111 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-05-01 Completed Date: 2008-06-12 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 1183-94 Citation Subset: AIM; IM |
Affiliation:
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Division of General Internal Medicine, Brody School of Medicine at East Carolina University, Greenville, North Carolina 27858, USA. johnsonbru@ecu.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adrenergic beta-Antagonists
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therapeutic use Adult Comorbidity Coronary Artery Disease / epidemiology Diabetes Mellitus / drug therapy, epidemiology Diagnostic Tests, Routine Electrocardiography Female Genital Diseases, Female / epidemiology*, surgery* Humans Hypoglycemic Agents / administration & dosage Insulin / administration & dosage Insulin Infusion Systems Medical History Taking Postoperative Complications / prevention & control Preoperative Care* Respiratory Function Tests Risk Assessment Treatment Outcome Venous Thrombosis / prevention & control |
| Chemical | |
Reg. No./Substance:
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0/Adrenergic beta-Antagonists; 0/Hypoglycemic Agents; 11061-68-0/Insulin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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