PRE-OPERATIVE CARE IN GYNAECOLOGICAL SURGERY– The patient is normally conceded 48 hours before medical procedure so as to guarantee that she has great rest. Medical caretaker can help her right now by building up an affinity with her all together that she can confide in her enough to pose inquiries which shift individual in nature which will likewise be strong postoperatively. A quiet and deliberate air is significant in building up the certainty of the patient and her better half or relatives. Assent for activity from family members is taken. A total general and neighborhood assessment is done and organize pre sedative test.
Assessment and examinations include:
- Midstream example of pee if urinary contamination is suspected.
- High vaginal swab if vaginal release is available to treat with suitable anti-microbials
- Hb level
- Blood gathering if transfusion is to be given
- Chest X-Ray
- Crucial signs like temperature, beat, breath.
Dynamic and detached activities both for preoperative and postoperative period are instructed to the patient independently with the goal that she can do after activity and forestall further difficulty and tone of debilitated pelvic floor muscles can be improved. Smoking is disheartened if hack is available. Inward breath might be useful in extricating the discharges.
See Also : Scope in Nursing Profession
PRE-OPERATIVE CARE IN GYNAECOLOGICAL SURGERY
PREOPERATIVE EXAMINATION : Preoperative assessment should assist a gynecologic specialist with preparing his patients for activity. By and large it includes a physical test, different tests, chance stratification and adjustment of hazard factors. The specialist would thus be able to lessen any postponements in the planning stage, to improve patient’s security, to perceive and treat complex clinical issues, and to diminish expenses and medical procedure undoings.
Diet: Satisfactory hydration preoperatively is helpful in forestalling postoperative stun. Satisfactory eating regimen enhanced by nutrient C helps in tissue recuperating post operatively. Ladies having vaginal activities ought to be low remaining eating regimen to have void entrail during medical procedure.
Cleanliness and Shaving : Shower is given day by day with disinfectant or cleanser, exceptional consideration is taken to clean neighborhood. Pubic hair is evacuated by shaving or stomach shave might be done as exhorted. Vaginal douche is performed on occasion might be encouraged to forestall contamination. Arrangement of vagina by painting with sterile moisturizer.
- Pre medicine as exhorted.
- With holding nourishment if general anaesthetia
- Change to working outfit.
- Expel false teeth
- Expel adornments
- All subtleties to be recorded in patient’s sheet
- Patient’s distinguishing proof to be checked and composed as wrist mark or composed on skin.
- All reports of examinations and X-Rays to go with the patient to activity theater.