TAH + BSO + ADHESIOLYSIS ( OPEN / LAP)

Hysterectomy is a surgery to remove the uterus and cervix. “Abdominal” is the surgical technique that will be used. This means the surgery will be done through an incision in your abdomen. A bilateral salpingo-oophorectomy is surgery to remove both of your ovaries and fallopian tubes. The hysterectomy and bilateral salpingo-oophorectomy will both be done during one procedure. This surgery will remove the uterus, cervix, ovaries, and fallopian tubes. After a hysterectomy you will no longer have periods or be able to become pregnant.

Who Needs TAH + BSO + ADHESIOLYSIS (OPEN/LAP):

This procedure may be recommended for individuals who have:

Gynecological conditions: TAH + BSO + ADHESIOLYSIS is commonly performed for conditions such as uterine fibroids, endometriosis, ovarian cysts, pelvic inflammatory disease, or certain types of cancers affecting the reproductive organs.

Adhesions: Adhesions are bands of scar tissue that can form between organs or tissues in the abdomen. If these adhesions are causing pain, discomfort, or affecting organ function, adhesiolysis is performed to release them.

When to See a Specialist

You may need to see a specialist if you experience symptoms or have a medical condition that warrants evaluation and possible surgical intervention. Consult with a gynecologist or a healthcare provider specializing in reproductive health to discuss your symptoms, medical history, and treatment options.

Procedure

The specific steps involved in TAH + BSO + ADHESIOLYSIS depend on the approach (open or laparoscopic) and the individual’s condition. Here is a general overview:

Open TAH + BSO + ADHESIOLYSIS

Anesthesia: General anesthesia is administered to keep you asleep and comfortable during the procedure.

Incision: A large incision is made in the lower abdomen to access the reproductive organs and the surrounding area.

Removal of the uterus, fallopian tubes, and ovaries: The surgeon carefully detaches and removes the uterus, fallopian tubes, and ovaries, as indicated.

Adhesiolysis: Any adhesions present in the abdominal cavity are dissected and released to restore normal organ mobility and function.

Closure: The incisions are closed using sutures or staples.

Laparoscopic TAH + BSO + ADHESIOLYSIS

• Anesthesia: General anesthesia is administered to ensure you are asleep and comfortable throughout the procedure.

• Incisions: Several small incisions are made in the abdomen to insert a laparoscope (a thin, lighted instrument) and other surgical tools.

• Visualization and organ removal: The surgeon uses the laparoscope to visualize the reproductive organs and perform the necessary steps to remove the uterus, fallopian tubes, and ovaries.

• Adhesiolysis: Adhesions are carefully dissected and released using laparoscopic instruments to restore normal organ mobility and function.

• Closure: The small incisions are closed with sutures or adhesive strips.

Road to Recovery

• Recovery time varies depending on the extent of the surgery and individual healing capacity. It may take several weeks to return to normal activities.

• After the procedure, you may experience pain, discomfort, or bloating, which can be managed with prescribed pain medications.

• It is essential to follow your healthcare provider’s instructions regarding rest, incision care, physical activity, and any necessary follow-up appointments.

Risk Management

As with any surgical procedure, TAH + BSO + ADHESIOLYSIS carries certain risks, including bleeding, infection, damage to surrounding structures, anesthesia-related complications, and the formation of new adhesions. Your healthcare team will take necessary precautions to minimize these risks.

Benefits of TAH + BSO + ADHESIOLYSIS

• Resolution of gynecological conditions: TAH + BSO can effectively address conditions such as fibroids, endometriosis, or ovarian cysts that may be causing symptoms or impacting reproductive health.

• Relief from pain and discomfort: Removal of the uterus, fallopian tubes, and ovaries, along with adhesiolysis, can provide relief from pelvic pain and discomfort caused by gynecological conditions or adhesions.

• Prevention of future complications: TAH + BSO may be recommended to reduce the risk of certain gynecological cancers or prevent the recurrence of conditions that may pose health risks.

Frequently Asked Questions

1. Will TAH + BSO + ADHESIOLYSIS affect my fertility?

   TAH + BSO + ADHESIOLYSIS involves the removal of the uterus, fallopian tubes, and ovaries. This will result in infertility, as the reproductive organs responsible for conception and hormone production are removed. Discuss fertility preservation options with your healthcare provider before the procedure if fertility is a concern.

2. What is the recovery time for TAH + BSO + ADHESIOLYSIS?

   Recovery time can vary from person to person. It may take several weeks to return to normal activities, but it’s important to follow your healthcare provider’s postoperative instructions for proper healing and recovery.

3. Will TAH + BSO +ADHESIOLYSIS leave visible scars?

   The incisions made during TAH + BSO + ADHESIOLYSIS may result in scars. In open surgery, the incision is typically larger and may leave a more noticeable scar. In laparoscopic surgery, the incisions are smaller and often heal with less visible scarring. Your healthcare provider will discuss the expected incision sites and potential scarring with you before the procedure