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.
KeywordsGynecologic Surgery Selective Estrogen Receptor Modulator Bowel Dysfunction Vaginal Cancer Urinary Tract Injury
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