[Assessment of risk before major gynecologic operations using a personal risk check list]

Anaesthesia and operation risk is determined by many factors. State of physical health and main disease of the patient are predominant ones. In many countries attempts have been carried out to systematize the preoperative findings by a classification and to estimate the preoperative risk by objective parameters. The anaesthesia-checklist of Lutz, introduced in 1972, more and more finds a consent in different modifications and is widely used. After approval of specialists, of internal medicine, anaesthesiology and gynaecology an own checklist has been elaborated taking the pattern of principles from Lutz. The scheme considered patient selection, diagnostic possibilities and spectrum of operations in the women's hospital of Humboldt-University of Berlin/GDR. After having tested our checklist in a retrospective (n = 2290 patients) and a prospective study (n = 100 patients) its application in clinical practice can be recommended.