Presentation10

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Presentation10

  1. 1. Female reproductive anatomy and the tah-bso procedure<br />Jeff Buttram<br />Presentation 10<br />BIO 120 - Medical Terminology<br />
  2. 2. TOTAL ABDOMINAL HYSTERECTOMY-BILATERAL SALPINGO-OOPHORECTOMYTAH-BSO<br /> the removal of entire uterus including the cervix as well as fallopian tubes and ovaries using an incision in the abdomen.<br /> 2 parts of the anatomy discussed in this presentation that are removed during this procedure are the fallopian tubes and theendometrium.<br />
  3. 3. fallopian tubes<br />
  4. 4. FALLOPIAN TUBES<br /> transport eggs (ova) from the ovary to the uterus.<br /> lined with cilated epithelia (hair-like structures) to assist in movement of eggs. <br /> bilateral - occur on both left and right side of uterus.<br /> also known as oviducts, uterine tubes, or salpinges.<br />
  5. 5. fallopian tubes<br />
  6. 6. fallopian tubes<br /> allow ova or eggs to travel to a place in the tubes (via the cilia) during ovulation that allow sperm to "fertilize" the egg.<br /> once the egg is fertilized the egg becomes an embryo.<br /> the cilia guide the embryo to the uterus where it is implanted into the wall of the uterus.<br /> process can take anywhere from a few hours to a few days.<br />
  7. 7. endometrium<br />
  8. 8. endometrium<br /> inner lining of uterus with a rich blood supply.<br /> hormonal changes approximately every 28 days leads to menstruation.<br /> menstruation is the loss of blood and tissue as endometrium is shed by the uterus.<br /> shedding of tissue does not take place during pregnancy or after menopause.<br />
  9. 9. endometrium<br />
  10. 10. endometrial pathologies<br /> endometriosis - the growth of endometrial tissue outside of the uterus.<br /> adenomyosis - growth of endometrium into muscle layer of uterus (myometrium).<br /> endometrial cancer - most common form of cancer in female genital tract.<br /> Asherman's syndrome - basal layer of endometrium is damaged by a surgical instrument or infection. Can lead to sclerosis (hardening) of the uterine wall in the form of adhesions .<br />
  11. 11. endometrial pathologies<br />* Patient with endometriosis displaying growths in ovarian wall.<br />* Asherman's syndrome creates adhesions on uterine wall in a band-like formation.<br />
  12. 12. total aBdominal hysterectomy-bilateral salpingo-oophorectomy (TAH-BSO)<br />
  13. 13. TAH-BSO<br /> removal of the entire uterus, cervix, both ovaries, and both fallopian tubes.<br />
  14. 14. TAH-BSO COMPONENTS<br />Total Abdominal Hysterectomy-Bilateral Salpingo-Oopherectomy<br /> hysterectomy - surgical removal of the uterus.A total hysterectomy refers to removal of both the uterine body and the cervix.<br /> salpingo - refers to the fallopian tubes which connect the ovaries to the uterus. Bilateral refers to the removal of both the left and right fallopian tube.<br /> oophorectomy - surgical removal of the ovaries.<br />
  15. 15. * AREA  REMOVED DURING TOTAL ABDOMINAL HYSTERECTOMY-BILATERAL SALPINGO-OOPHERECTOMY<br />
  16. 16. WHO GETS A TAH-BSO?<br /> those with cancer of the female reproductive tract or those with severe pelvic pain from pathologies such as endometriosis or adendomyosis.<br /> those with severe postpartum obstetrical (pertaining to branch of medicine treating women during pregnancy and childbirth) hemorrhage * this is a last resort.<br /> transexuals undergoing female-to-male (FTM) sexual reassigment as means to halt female hormone production.<br />
  17. 17. * Post-op specimen following tah-bso procedure. the right ovary (on left of picture) has been replaced by an aggressive tumor.<br />
  18. 18. risks associated with tah-bso<br /> loss of bladder function (incontinence).<br /> estrogen levels drop once ovaries are removed.<br /> loss of estrogen removes natural protective mechanisms it provides for the cardiovascular and skeletal system.<br /> increased risk for cardiovascular diseases such as artheroscelerosis (due to estrogen loss). <br /> increased risk for osteoporosis.<br />

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