Is Routine Preoperative Lab Testing Useful Prior to Urogynecologic Surgery?
BACKGROUND AND PURPOSE:
Current preop guidelines (American Surgical Association) advise as follows
Routine hemoglobin/hematocrit and chemistry testing before surgery is not recommended | Should be reserved for certain preexisting conditions
However, approximately 90% of women undergoing benign gyn surgery undergo ≥1 such routine tests
Geynisman-Tan et al. (Female Pelvic Medicine & Reconstructive Surgery, 2020) sought to determine how often routine preoperative laboratory testing prior to urogynecologic surgery yielded useful meaningful results
Retrospective cohort study (2014 to 2017)
All reconstructive pelvic surgery cases
Major cases: Vaginal or laparoscopic apical prolapse repair with/without hysterectomy | Laparotomy | Fistula repair
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Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
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presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
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