Carrier A precautions, must be carefully observed with all surgical procedures. Chronic A CIRRHOSIS Clarification: Liver function and clotting might be altered. Liver function should be Mild (compensated) A evaluated. Severe (decompensated) S LIVER TUMORS Clarification: Liver function and clotting might be altered. Liver function should be Benign evaluated. focal nodular hyperplasia A hepatocellular adenoma C Malignant (hepatoma) C ANEMIAS THALASSAEMIA C SICKLE CELL DISEASE* C IRON-DEFICIENCY ANAEMIA Clarification: The underlying disease should be identified. Both preoperative haemoglobin D Hb <7 g/dl (Hb) level and operative blood loss are C Hb to <10 g/dl ≥7 important factors in women with anaemia. If peripheral perfusion is inadequate, this may decrease wound healing. CONDITION CATEGORYa CLARIFICATIONS/EVIDENCE * additional comments A = accept, this table C = caution, D = S = special OTHER CONDITIONS RELEVANT ONLY FOR FEMALE SURGICAL STERILIZATION LOCAL INFECTION* D Clarification: There is an increased risk of postoperative infection. S COAGULATION DISORDERS* RESPIRATORY DISEASES Clarification: The procedure should be delayed until the condition is corrected. There Acute (bronchitis, D are increases in anaesthesia-related and other pneumonia) perioperative risks.
Carrier Chronic A A precautions, must be carefully observed with all surgical procedures. CIRRHOSIS Mild (compensated) Severe (decompensated) A S Clarification: Liver function and clotting might be altered. Liver function should be evaluated. LIVER TUMORS Benign focal nodular hyperplasia hepatocellular adenoma Malignant (hepatoma) A C C Clarification: Liver function and clotting might be altered. Liver function should be evaluated. ANEMIAS THALASSAEMIA C SICKLE CELL DISEASE* C IRON-DEFICIENCY ANAEMIA Hb <7 g/dl Hb ≥7 to <10 g/dl D C Clarification: The underlying disease should be identified. Both preoperative haemoglobin (Hb) level and operative blood loss are important factors in women with anaemia. If peripheral perfusion is inadequate, this may decrease wound healing. CONDITION * additional comments this table CATEGORYa A = accept, C = caution, D = S = special CLARIFICATIONS/EVIDENCE OTHER CONDITIONS RELEVANT ONLY FOR FEMALE SURGICAL STERILIZATION LOCAL INFECTION* D Clarification: There is an increased risk of postoperative infection. COAGULATION DISORDERS* S RESPIRATORY DISEASES Acute (bronchitis, pneumonia) D Clarification: The procedure should be delayed until the condition is corrected. There are increases in anaesthesia-related and other perioperative risks.
trp-en-tubal-ligation-handout3.docx