Endometriosis 69: Pre Operative Evaluations Before Endometrial Hysterectomy

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As we mentioned in other articles, endometriosis grows somewhere else other than the endometrium also reacts to hormonal signals of the monthly menstrual cycle, building up tissue, breaking it, and eliminating it through the menstrual period. Hysterectomy always is the last resource in treating endometriosis for woman who has exhausted all the treatments without success, or endometrial tissues has become cancerous, her doctor may suggest some kinds of hysterectomy. If the hysterectomy is decided and the gynecologist is chosen then pre operative evaluation is necessary to make sure that all requirements are address for a successful surgery.

The normal physical exam includes
I. General exam
1. Blood pressure, Weight, your pulse rate, respiration rate, listen to your lung and heart, breast examination and abdomen for any enlargement of internal abdominal or pelvic organs.
2. Other test that needed to be done annually, such as Pap smear, mammogram.
3. A complete pelvic exam including rectum examination or incision if necessary to check the size and location of uterus and other organs in the pelvic.

II. Laboratory tests
a) Check X ray
An important procedure that helps to evaluate the lung function before using general anesthesia and for woman who has previous lung disease.

b) Eltectrolytes
to measure levels of sodium, potassium, chloride, and bicarbonate in the body.
c) Blood urea nitrogen
Test that shows how your kidney function, when the body breaks down protein.
d) Creatinine
To check for creatinine in your blood, high amount of creatinine indicates kidney abnormality.
b), c) d) are the test if you have kidney diseases or adrenal, thyroid disorder.

e) Micro- urinalysis
It is needed for women who has kidney disease, diabetes or urinary infection in the past 3 months
f) Complete blood counts and chemistry
It is necessary for woman who has some kind of blood disorder or anemia or in case blood transfusion is needed during or after surgery.

g) Coagulation test
if you have past experience of excessive bleeding or a history of deep veins disease.

h) Electrocardiogram
that helps to measure the electrical signals that control the rhythm of your heartbeat, if you are over the age of 40 with high blood pressure, diabetes, heart disease or other metabolic diseases