1. The tubes that extend from the outer edges of the uterus and assist in transporting the ova and sperm are called fallopian tubes.2. One of the longest terms used in medical terminology refers to the removal of the uterus, cervix, ovaries, and fallopian tubes. This term is total abdominal hysterectomy-bilateral salpingo- oophorectomy.3. The cessation of menstruation is called menopause.
•Fallopiantubes are two thin tubesthat connect the ovaries to theuterus.•Two cellular components offallopian tubes:1. Ciliated(yellow in adjacent image) responsible for movement/transportation of ova towards uterus from ovary.2. Secretory(orange in adjacent Scanning electron microscope image of image) provides moist, nutrient- fallopian tube components. filled environment for the ovum and has microvilli.
1. Infundibulum-”funnel” distal end including fimbriae-projections that engulf the ovary. Fimbriae are responsible for capturing ovum and pushing it into ampulla.2. Ampulla-longest and widest portion. Location of fertilization of ovum3. Isthmus-narrow part of tube that exits uterus, sperm reservoir4. Intramural/interstitial segment-uterine-tubal junction
•Surgicalremoval takesplace through abdominalcavity.•Two surgical components:1. TAH-Total abdominal hysterectomy. The removal of uterus and cervix.2. BSO-Bilateral salpingo- oophorectomy. The removal of fallopian tubes and ovaries.
• Removing these organs isdue to the possibility ordiagnosis of uterine cancer.• Risk for metastasesforming in the ovaries andtubes so they are removedas a precautionary measure.• Surgeon will also exploregeneral abdominal viscerafor evidence of canceroustissue. Biopsies may betaken.
• Hospital stay:3- 5 days• Recovery period: 3-4 weeks.• The removed organs areapproximately the size of handand are inferior to the smallintestines. Once surgery occurs,the intestines will drop down tofill the space.(image on left)• Loss of menstruation andovarian hormone production.• Premature menopause
•The cessation of menstrual periodsfor one continuous year in womendue to the lack of ovarian hormoneproduction-estrogen andprogesterone.•Surgicalmenopause is when medicaltreatment such as chemotherapy orovary removal results in depressedestrogen levels.•Awoman who goes throughmenopause is no longer able tobecome pregnant.
•Typicallyhappens to women betweenages of 45 and 65.•Symptoms include: • Hot flashes • Mood swings • Increased risk of osteoporosis • Insomnia • Elevated risk of urinary tract infection• Natural process that does notrequire treatment unless desired.• Preventative & Symptomatictreatments: • Hormone replacement therapy • Dietary changes/supplemental vitamins to provide calcium, &vitamin D for bone health. • Frequent exercise • Increased testing by gynecologist- e.g.Pap smears Signs & Symptoms of Menopause
A.D.A.M.http://www.adam.com/Medscape "Fallopian Tube Disorders," Tarek Bardawil, MD,MBAhttp://emedicine.medscape.com/article/275463-overviewPubMedHealthhttp://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001896/The North American Menopause Societyhttp://www.menopause.org/womenshealth.gov: A project of the US Dept. of HHS Office on WomensHealthhttp://www.womenshealth.gov/menopause/Atlas of Pelvic Surgeryhttp://www.atlasofpelvicsurgery.com/5Uterus/10TotalAbdominalHysterectomy/chap5sec10.htmlhttp://www.hamiltonhealthsciences.ca/documents/Patient%20Education/TotalAbdomHysterBilateralSalpingoPelvicNodeDissection-th.pdf