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Indications OF TAH-BSO
Hysterectomy is often performed on cancer patients or to relieve severe pelvic pain from things
like, endometriosis or adenomyosis..
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Additional info:
Endometriosis (from endo, "inside", and metra, "womb") is a medical condition in
women in which endometrial like cells appear and flourish in areas outside the uterine cavity.
The uterine cavity is lined by endometrial cells, which are under the influence of female
hormones. These endometrial-like cells in areas outside the uterus (endometriosis) are influenced
by hormonal changes and respond similarly as do those cells found inside the uterus. Symptoms
often worsen in time with the menstrual cycle.
Adenomyosis is a medical condition characterized by the presence of
ectopic endometrial tissue (the inner lining of the uterus) within themyometrium (the thick,
muscular layer of the uterus); the term adenomyosis is derived from the
terms adeno- (meaning gland), myo- (meaningmuscle), and -osis (meaning condition).
The condition is typically found in women between the ages of 35 and 50. Patients with
adenomyosis can have painful and/or profuse menses (dysmenorrhea & menorrhagia,
respectively).
Adenomyosis may involve the uterus focally, creating an adenomyoma. With diffuse
involvement, the uterus becomes bulky and heavier.
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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.
DIAGNOSTIC PROCEDURE
Before any type of hysterectomy, women should have the ff tests in order to select the optimal
procedure
• Complete pelvic exam including manually examining the ovaries and uterus.
• Up-to-date Pap smear.
• Pelvic ultrasound maybe appropriate (depends on the physician)
• A complete blood count and an attempt to correct the anemia if possible
COMPLICATIONS OF HYSTERECTOMY
• Hemorrhage (requires a return to operating room to identify & stop the excessive
bleeding)
• Infection (Serious infection occurs in less than 10% and usually be treated with IV
antibiotics)
• Constipation ( usually can be controlled by laxatives, dietary fibers and stool softeners)
• Urinary retention (urine can be drained using catheter until retention resolves, usually
within 24 to 48 hours)
• Blood clots (pelvic surgery increases the risk of developing blood clots in the large veins
of the leg or lung. The risk increased approximately 6wks after the surgery.)
• Damage to adjacent organs (urinary bladder, ureters, & large and small intestines are
located in lower abdomen and pelvis and may can be injured during the procedure.)
• Early menopause (women undergone this procedure may experience menopause earlier
than average menopausal period [age 51] )
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