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Total abdominal hysterectomy with bilateral salpingo-oophorectomy.


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Total abdominal hysterectomy with bilateral salpingo-oophorectomy. from Grazielle Alexandra Balura

Published in: Health & Medicine, Business

Total abdominal hysterectomy with bilateral salpingo-oophorectomy.

  1. 1. TAHBSO Total Abdominal Hysterectomy And Bilateral Salpingo- Oophorectomy
  2. 2. TAHBSO <ul><li>surgical procedure involving the removal of the uterus, both ovaries, and the fallopian tubes through an incision in the abdomen. The lymph nodes in the pelvis may also be removed. This is a treatment for endometrial cancer and uterine sarcoma </li></ul><ul><li>an operation to remove the womb. TAH stands for total abdominal hysterectomy. BSO stands for bilateral salpingo-oophorectomy, which means removing both ovaries and fallopian tubes as well.  </li></ul>
  3. 3. Oophorectomy and salpingo-oophorectomy (removal of the ovaries and/or Fallopian tubes) <ul><li>Oophorectomy is the surgical removal of the ovary(s), while salpingo-oophorectomy is the removal of the ovary and its adjacent Fallopian tube. These two procedures are performed for ovarian cancer, removal of suspicious ovarian tumors, or Fallopian tube cancer (which is very rare). They may also be performed due to complications of infection, or in combination with hysterectomy for cancer. Occasionally, women with inherited types of cancer of the ovary or breast will have an oophorectomy as preventive (prophylactic) surgery in order to reduce the risk of future cancer of the ovary or breast. </li></ul>
  4. 4. Hysterectomy Performed <ul><li>In the past the most common hysterectomy was done by an incision (cut) through the abdomen (abdominal hysterectomy). Now most surgeries can utilize laparoscopic assisted or vaginal hysterectomies (performed through the vagina rather than through the abdomen) for quicker and easier recovery. The hospital stay generally tends to be longer with an abdominal hysterectomy than with a vaginal hysterectomy, and hospital charges tend to be higher. The procedures seem to take comparable lengths of time (about two hours), unless the uterus is of a very large size, in which case a vaginal hysterectomy may take longer </li></ul>
  5. 5. procedure
  6. 12. Diagnostic procedure <ul><li>before any type of hysterectomy, women should have the following tests in order to select the optimal procedure: </li></ul><ul><li>Complete pelvic exam including manually examining the ovaries and uterus. </li></ul><ul><li>Up-to-date Pap smear . </li></ul><ul><li>Pelvic ultrasound may be appropriate, depending on what the physician </li></ul><ul><li>A decision regarding whether finds on the above. or not to remove the ovaries at the time of hysterectomy. </li></ul><ul><li>A complete blood count and an attempt to correct anemia if possible </li></ul>
  7. 13. Complications of hysterectomy <ul><li>Complications of a hysterectomy include infection, pain, and bleeding in the surgical area. An abdominal hysterectomy has a higher rate of post-operative infection and pain than does a vaginal hysterectomy. </li></ul><ul><li>Hemorrhage  — Excessive bleeding (hemorrhage) occurs in a small number of cases and may require a return to the operating room to identify and stop the bleeding. </li></ul>
  8. 14. <ul><li>Infection  — Low-grade fever is common after hysterectomy, is not always caused by infection, and usually resolves without treatment. However, a high or persistent fever may signal an infection. Serious infection occurs in less than ten percent of women, and can usually be treated with intravenous antibiotics. Much less commonly, patients require another surgical procedure. </li></ul><ul><li>Constipation —  constipation occurs in most women following hysterectomy, and can usually be controlled with a regimen of stool softeners, dietary fiber, and laxatives. </li></ul>
  9. 15. <ul><li>Urinary retention  — urinary retention, or the inability to pass urine, can occur after abdominal hysterectomy. It is more common in women who have vaginal hysterectomy. Urine can be drained using a catheter until retention resolves, usually within 24 to 48 hours. </li></ul><ul><li>Blood clots  — pelvic surgery increases the risk of developing blood clots in the large veins of the leg or lung. The risk is increased for approximately six weeks after surgery. Medications may be given to some women to </li></ul>
  10. 16. <ul><li>prevent blood clots. In addition, women taking oral contraceptives or hormone replacement should ideally discontinue them one month prior to surgery since they can further increase the risk of blood clots. Women who are sexually active and premenopausal should use alternative methods of birth control (e.g. condoms) to prevent pregnancy before surgery. </li></ul><ul><li>Damage to adjacent organs  — the urinary bladder, ureters (small tubes leading from the kidneys to the bladder), and large and small </li></ul>
  11. 17. <ul><li>intestines are located in the lower abdomen and pelvis and can be injured during hysterectomy. Injury occurs in less than one percent of all women undergoing hysterectomy, and can usually be detected and corrected at the time of surgery. If detected after surgery, another operation may be needed. </li></ul><ul><li>Early menopause  — women who have undergone hysterectomy may experience menopause earlier than the average age of menopause (age 51). This may be due to an interruption in blood flow to the ovaries as a </li></ul>
  12. 18. <ul><li>result of removing the uterus. </li></ul>