What’s involved with pre-op testing before a fibroid procedure?

I sense that some of you get a little nervous about pre-op testing so here’s some information. I’ll start with a quote from Lab Tests Online that provides a guide on test preparation:

One of the most important factors in determining the accuracy and reliability of your lab test is you, the patient. After all, it is a sample from your body (blood, urine, or some other specimen) on which the test will be performed. Therefore, it is essential that you do the following to ensure that the results will be useful:

1. Follow instructions, if there are any, to prepare for the specific test you are having performed;
2. Alert the person collecting your sample if you have deviated from the instructions and how;
3. Inform your health care provider of any medications (including herbal remedies) you might currently be taking or foods you have eaten within the day prior to the test.

Other behaviors may also alter some test results, such as excessive exercise, dehydration, excessive eating, or recent sexual activity.

I found a good list of pre-op tests on Lab Tests Online UK. These follow UK standards but I’m sure other places have similar guidelines:

The tests that you have done before your operation will be determined by your age, your general health, any illnesses you have or any medication you are on, and the type of operation you are going to have. The range of preoperative tests recommended by the National Institute for Clinical Excellence (NICE) includes:

  1. Full blood count (FBC)
    Measure of haemoglobin and the number of other types of cells in the blood. This will be carried out if it is supected that you may have anaemia.
  2. Blood clotting tests
    Carried out to check if your blood clots normally and how long it takes to clot.
  3. Blood gases
    Measures the amount of oxygen and carbon dioxide in the blood, as well as its acidity.
  4. Blood glucose
    Used to tell if you have diabetes before undergoing any major surgery.
  5. Urine dipstick test
    Used to detect certain substances in the urine that may indicate disease, for example glucose in the urine may indicate diabetes. It can also give an indication of how well the kidneys are working, and detect urinary tract infections.
  6. Kidney function tests
    A variety of tests on both blood and urine samples to determine how well your kidneys are working, and will usually be checked before any major operation.
  7. Sickle cell test
    Sickle cell anaemia is an inherited disease that affects the ability of haemoglobin in your red blood cells to carry oxygen. If you have sickle cell anaemia or sickle cell trait then having a general anaesthetic may cause problems, therefore if you are of an ethnic origin considered to be at risk of sickle cell disease you should have this test before you have an operation.
  8. Pregnancy test
    If there is any chance you may be pregnant then this test should be performed before an operation, as anaesthesia and surgery may harm your unborn baby.
  9. Lung function tests
    Used to check how efficiently you breathe and will be carried out before surgery if you have any type of lung disease, e.g. asthma or bronchitis.
  10. Chest X-ray
    A chest X-ray may be taken before your operation if you are an older person (over 60) with lung or heart disease and you are undergoing major surgery.
  11. Electrocardiogram (ECG)
    Used to detect problems with the heart such as an abnormal heart rhythm. It may be carried out before your operation if you are an older person (over 60) with chest pain or a history of heart disease and you are undergoing major surgery.

Let’s hear about your pre-op testing.


Related Posts:
How are you preparing for your fibroid treatment?
What should I carry with me to the hospital before my fibroid surgery?


9 Responses to “What’s involved with pre-op testing before a fibroid procedure?”

  1. fibroid free Says:

    sums it up pretty good.

    a few more things would be… they take your weight and I met with the Anestheiologist who asked mostly questions and took the blood oxygen rate

  2. Katy Says:

    I had a full iron panel with ferritin test done. (done by simple blood collection) Ferritin is the iron reserves. Most of your iron is used for hemoglobin (to carry oxygen to the tissues) Extras are saved in the form of Ferritin.. Little more accurate to know the status of your iron. Sometimes, your Hemoglobin levels arent VERY low, but your iron reserves are completely depleted.

    Had several Trans-Vaginal ultrasounds. (yucka) Think magic wand with a condom on it .. used to locate fibroids and measure size.

  3. fibroid free Says:

    oh yeah the trans-vaginal ultasound….Ah I called it the DILDO CAM LOL

    Thought of something else…endometrial biopsy is often done as well

  4. Sassyjonz - ATL Says:

    If you want to give blood for your surgery, how far in advance do you need to do it and how often to give enough?

  5. Amy Says:

    Sassyjonz – ATL– you might try asking this question on the post myomectomy thread since no one’s answered… but one thing to consider if you don’t have time for that, is to see if there is a friend or relative who would be willing to give some blood for you.

    I needed a transfusion and hated the idea of getting a stranger’s blood… my daughter donated, and then I needed one more bag of someone else’s but it was nice to know at least half of it was my daughter’s!

    Generally, I think you have to give far enough in advance to build up your own supply again, I’m just not sure how long that is…

    What I didn’t know, is that generally, a friend or relative can’t just give you blood on the spot… (I guess they like to test it and all) so I waited about 5 days to have my daughter’s processed…

    So arrange this in advance with whoever your donor is going to be. It won’t be an issue of “will you donate if they decide I need it at the time”, but they may be able to direct the blood to someone else if you don’t use it…though I’m not sure.

    Hope that helps, at least it’s another option.

  6. Greyhound Mom Says:

    I hope this is the right place to post this, but does anyone have advice or heads-ups for immediate pre-op stuff like bowel preps, taking antibiotics, liquid diets? My Dr has recommended a bowel prep, but no antibiotics, and only liquids after 10am the day before. Also, does it matter when you schedule your operation? What if you have your period during your myomoectomy? Is that an issue? I am having a robotic laparoscopic, and Im going to ask my Dr, but was wondering if anyone here could give some insight? Thanks in advance! Good Luck to everyone!

  7. Mocha Says:

    Greyhound Mom: Forgive me, but aren’t you a fellow Chicago girl? I seem to remember you from the “How to find a fibroid doctor” thread. Did you find a good doctor that you are comfortable with? Good luck and best wishes.

  8. Greyhound Mom Says:

    Hi Mocha!
    Yes, I am a Chicago girl! Forgive me for going off topic, but yes, I found a great Dr. and am going in for Lap Myo tomorrow at 6am! But this time tomorrow I’ll be fibroid FREE!! I’ll be sure to post updates and such! Wish me luck!

  9. koi fish designs Says:

    Wow. I really enjoyed reading this article I m very impressed with your work. One thing I can say is that this blog is one of the best Ive read till date.. Keep up the good workk.

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