As we mentioned in other articles, endometriosis grow somewhere else other than the endometrium also reacts to hormonal signals of the monthly menstrual cycle, building up tissue, breaking it, and eliminating it through the menstrual period. Hysterectomy always is the last resource in treating endometriosis for woman who has exhausted all the treatments without success, or endometrial tissues has become cancerous, her doctor may suggest some kinds of hysterectomy. If the hysterectomy is decided and the gynecologist is chosen then pre operative evaluation is necessary to make sure that all requirements are address for a successful surgery.
in this article, we will discuss electrocardiogram and chest X Ray as pre operative evaluation before hysterectomy
1. Electrocardiogram
An electrocardiogram (ECG or EKG)is needed for women with endometriosis before hysterectomy. It is define as a record of the electric activities of the heart over the duration of 20- 30 minutes. With the selective of electrodes placed on different places of the heart, it can measure the activity of different parts of the heart muscles. In assisting to the blood test to measure the level of sodium, potassium, chloride and bicarbonate as we indicate in the electrolytes blood test. It also helps to measure the function of the heart muscles. It is the best way to measure and diagnose abnormal rhythms of the heart. For woman over 40 and has a past history of heart diseases, peripheral vascular disease or diabetes will need to have EKG done before hysterectomy can be performed.
2. Chest X ray (CXR)
Chest X ray is a projection radio graph, taken by a radio technician with a dose of radiation of about 0.06 mSv for an adult. A X ray is necessary for woman before hysterectomy, if she in the previous six has diagnosis with symptoms or acute lung injure, such as a period of most intense lung injury.
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