Total Abdominal Hysterectomy and Bilateral Salpingo-Oopherectomy.
This is the removal of the uterus including the cervix as well as the tubes and ovaries using an incision in the abdomen. A hysterectomy is the surgical removal of the uterus . Hysterectomy may be total, as removing the body and cervix of the uterus or partial, also called supra-cervical.. Salpingo refers specifically to the fallopian tubes which connect the ovaries to the uterus. Oophorectomyis the surgical removal of an ovary or ovaries. Indications OF TAH-BSO • Hysterectomy is often performed on cancer paitients or to relieve severe pelvic pain from things like, endometriosis or adenomyosis.. • Hysterectomy is also used as a last resort for postpartum obstetrical haemorrhage or uterine fibroids that cause heavy or unusual bleeding and discomfort in some women. • Transsexuals undergoing sex reassignment surgery as part of a female-to-male (FTM) transition commonly have hysterectomies and oophorectomies to remove the primary sources of female hormone production. Risks & Side Effects OF TAH-BSO • Hysterectomy has been found to be associated with increased bladder function problems, such as incontinence • When the ovaries are also removed, estrogen levels will fall. • This removes the protective effects of estrogen on the cardiovascular and skeletal system. • A menopausal woman has a three times greater risk of developing cardiovascular disease such as atherosclerosis, peripheral artery disease or of having a heart attack when compared to premenopausal women • Studies have also found that the risk of developing osteoperosis may increase.