Perioperative management - Anesthesia examination, Pap smear, LEEP conization, cystoscopy, hysteroscopy, fractional curettage, rectoscopy

  1. Medical History

    • Gynecological history (cycle history, bleeding disorders, postmenopausal bleeding)
    • Family history (cancers in the family, especially gynecological malignancies)
    • Previous gynecological procedures and findings (e.g., abnormal PAP smears, HPV status, biopsies)
    • General medical history (cardiovascular, pulmonary, metabolic diseases)
    • Medication history (anticoagulants, antidiabetics, immunosuppressants)
    • Allergies and intolerances
    • Nicotine, alcohol, and drug use
  2. Clinical Examination

    • General status (vital signs, cardiovascular system, pulmonary examination)
    • Gynecological examination (speculum setting, bimanual examination, colposcopy)
    • Transvaginal sonography (endometrial thickness, myometrium, ovaries)
    • Palpation of lymph nodes (inguinal, supraclavicular)
    • Rectovaginal examination in case of suspected infiltration
  3. Preoperative Diagnostics

    Laboratory:

    • Complete blood count
    • Coagulation (INR, PTT)
    • Liver and kidney function tests (Creatinine, Urea, ALT, AST, GGT, Bilirubin)
    • Tumor markers (if indicated, e.g., CA-125, SCC, CEA)

    Imaging:

    • MRI pelvis for unclear findings
    • CT abdomen/thorax if tumor is suspected

    ECG for patients at risk

Preoperative Preparation

Preoperative InformationInformation about the surgical goal, procedure, risks (e.g., bleeding, infe

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