Anesthesia and basic principles for gynecologic malignancies [Ji̇nekoloji̇k mali̇gni̇telerde anestezi̇ ve temel i̇lkeler]

Gynecological malignancies are a vital health problem for women. many patients lose their lives because of these tumors. the treatment of gynecological malignancies requires combination of various disciplines. three basic treatment methods for these malignancies include surgery,chemotherapy and radiotherapy. surgery is the first basic treatment method for invasive gynecologic diseases. anesthesiologists have an important role in gynecologic surgery in terms of patient selection,management of perioperative anesthesia,and postoperative nursing. all patients should be examined before operation for the problems concerning surgery and anesthesia. their medical conditions should be analyzed in detail and the patient should be in her best condition preoperatively. the patients should be evaluated prior-to surgery via detailed history taking and physical examination together with laboratory tests and radiological studies. in elective surgery,risk factors are ages above 50,cardiovascular and pulmonary diseases,diabetes mellitus,renal dysfunction and hematological disorders or problems. with the help of correct preoperative evaluation,it is possible to reduce intraoperative and postoperative complications. general anesthesia is a very popular technique in these types of surgical interventions. epidural anesthesia can be securely applied with the general anesthesia. in terms of postoperative anesthesia,this ensures a better pain controlling than the parenteral opioids do.