Abstract
Preoperative medical consultations are less common for gynecologic surgery than in some other surgical specialties. The main reason for this is that with the exception of gynecologic oncology and perhaps some urogynecology, much of gynecologic surgery occurs in younger women who are less likely to have co-morbid conditions that would warrant preoperative consultation.1 Also, the use of prophylactic antibiotics has decreased postoperative infection which was another reason medical consultation was requested. Special considerations in patients undergoing gynecologic surgery to be addressed include the widespread performance of laparoscopic procedures, specifics related to vaginal and vulvar procedures, and the use of estrogen-based products.
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Johnson BE, Porter J. Preoperative evaluation of the gynecologic patient: considerations for improved outcomes. Obstet Gynecol. 2008;111:1183-1194.
Pandey S, Bhattacharya S. Impact of obesity on gynecology. Womens Health. 2010;6:107-117.
ACOG Committee on Practice Bulletins. ACOG Practice Bulletin No. 74. Antibiotic prophylaxis for gynecologic procedures. Obstet Gynecol. 2006;108:225. American College of Obstetricians and Gynecologists.
Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia: Mosby Elsevier; 2007.
Gerestein CG, Damhuis RA, de Vries M, et al. Causes of postoperative mortality after surgery for ovarian cancer. Eur J Cancer. 2009;45:2799-2803.
Cholkeri-Singh A, Narapalem N, Miller CE. Laparoscopic ureteral injury and repair: case reviews and clinical update. J Minim Invasive Gynecol. 2007;14:356-361.
Porter J, Johnson BE. Gynecologic surgery. In: Cohn SL, Smetana GW, Weed HG, eds. Perioperative Medicine: Just the Facts. New York: McGraw-Hill; 2006:74-81.
Mains LM, Magnus M, Finan M. Perioperative morbidity and mortality from major gynecologic surgery in the elderly woman. J Reprod Med. 2007;52:677-684.
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© 2011 Springer-Verlag London Limited
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Johnson, B.E. (2011). Gynecologic Surgery. In: Cohn, S. (eds) Perioperative Medicine. Springer, London. https://doi.org/10.1007/978-0-85729-498-2_14
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DOI: https://doi.org/10.1007/978-0-85729-498-2_14
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