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PREOPERATIVE AND POSTOPERATIVE MANAGEMENT IN GYNECOLOGY

GEORGE H. GARDNER, M.D.
Arch Surg. 1940;40(6):1164-1175. doi:10.1001/archsurg.1940.04080050127011.
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This contribution deals only with essentials in the care of women subjected to gynecologic operations; it would not be practical to include every complication encountered before and after such operations.

PREOPERATIVE PROBLEMS 

History.  —A carefully elicited history is essential. If physicians listen attentively to a patient's story, they may be saved embarrassment; intelligent women literally direct the examiner to the site of their troubles. Symptoms of systemic diseases may be unearthed; these may prove of greater importance than the gynecologic problems.If operations on the lower part of the abdomen or on the genitalia have been done previously, one should obtain a report not only of the indications for and the findings at those operations but of the procedures performed, the pathologic diagnosis of tissues removed, the character of the convalescence and the benefits which followed.

Examination.  —Every patient should be subjected to a complete physical examination to establish the

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