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Chapter-02 Preoperative Preparations, Postoperative Care and Indications

BOOK TITLE: Manual of Vaginal Hysterectomy

Author
1. Galvankar Preeti D
2. Gujarathi Nirmal N
ISBN
9789352703685
DOI
10.5005/jp/books/18027_3
Edition
1/e
Publishing Year
2018
Pages
5
Author Affiliations
1. Dr Balabhai Nanavati Hospital, Mumbai, Maharashtra, India
2. Nanavati Super Speciality Hospital, Mumbai, Maharashtra, India
Chapter keywords
Vaginal hysterectomy, preoperative preparation, postoperative care, indication, contraindication, relative contraindication, absolute contraindication

Abstract

This chapter describes the preoperative preparations, postoperative care and indications for vaginal hysterectomy. More than 30 million surgeries are performed every year, world over and out of those one million patients suffer a postoperative complication. A gynecologist assumes responsibility for assessing a patient’s clinical status to identify modifiable risk factors and prevent perioperative morbidity. Preoperative preparation is important for detects comorbidities that require further evaluation and optimization to prevent further complications and allows improved use of resources. Most of the postsurgical problems can be avoided by proper preoperative risk assessment and preventive strategies. Indications for vaginal hysterectomy are uterovaginal prolapse and abnormal uterine bleeding. Contraindications for vaginal hysterectomy are benign adnexal pathology, broad ligament fibroid, and inaccessible cervix.

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