E Hysterectomy: Vaginal or total abdominal
Hysterectomy is commonly performed to treat uncontrolled uterine bleeding, dysmenorrhea, uterine myoma, gynecologic cancer, adhesions, endometriosis, and pelvic relaxation syndrome. Frequently, laparoscopy is used; for ovarian cancer prophylaxis, a bilateral salpingo-oophorectomy may be performed as well.
2. Preoperative assessment
b) Patient preparation

(3) Preoperative medications: Anxiolytics are given as indicated; consider prophylaxis for postoperative nausea and vomiting.

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