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Hysterectomy with Oophorectomy: All you need to know about the surgery

  • Posted on- Jul 15, 2016
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Hysterectomy is a surgical procedure characterized by the surgical removal of the uterus. Salpingo-Oophorectomy is a surgical procedure characterized by the surgical removal of the fallopian tube and ovary. Hysterectomy (Abdominal) with Salpingo-Oophorectomy procedure involves the uterus, cervix, fallopian tubes, ovaries, and vagina.

What are the reasons behind a hysterectomy (abdominal) with salpingo-oophorectomy?

A Hysterectomy is performed for the following reasons:

  • Removal of suspected cancerous tumour within the uterus
  • Fibroid tumour
  • Chronic and excessive bleeding (menorrhagia)
  • Uterine prolapse: A condition where uterus gradually slides out of the pelvis, through the vagina
  • Endometriosis
  • Adenomyosis: Thickening of the uterus
  • Chronic uterine infection
  • Severe pain associated with menopause

A Hysterectomy is also performed with the fallopian tubes and ovaries, for the following reasons:

How a hysterectomy (abdominal) with salpingo-oophorectomy is performed?

A Hysterectomy procedure can be performed in two ways: Abdominal Hysterectomy and Vaginal Hysterectomy. A general surgeon or an obstetrician-gynaecologist performs a hysterectomy (abdominal) with salpingo-oophorectomy procedure. The procedure may take anywhere between 1-3 hours depending upon the type of procedure performed.

Preparations needed for a hysterectomy (abdominal) with salpingo-oophorectomy

  • The physician may evaluate the individual’s medical history to gain a comprehensive knowledge of the overall health status of the patient including information related to the medications that are being currently taken
  • Some medications increase a person’s chances of bleeding and it may be recommended to discontinue them for a period of time, before the procedure is performed
  • Blood tests may be performed to determine, if there is a bleeding tendency or any other medical conditions that prevents the person from undergoing the procedure
  • Do inform the physician if you are allergic to any local anaesthetics, lidocaine, etc.
  • Avoid application of any cosmetics, deodorant, or topical medicines on the area, prior to the procedure
  • It is advisable to quit smoking and the use of any nicotine based products, for a while, before the surgery
  • Consumption of alcoholic drinks must also be avoided for a period of time, as instructed
  • The patient must avoid eating or drinking at least 8 hours prior to the surgical procedure, depending on when the procedure is arranged
  • For persons suffering from diabetes, it is important that the blood sugar stays within the normal range if not their diabetologist may have to control blood sugar by recommending insulin or a combination of oral medicines

Diagnostic lab tests needed before a hysterectomy (abdominal) with salpingo-oophorectomy

Prior to a hysterectomy (abdominal) with salpingo-oophorectomy procedure, the patient may need to undergo certain tests, such as:

Risks and complications during hysterectomy (abdominal) with salpingo-oophorectomy surgical procedure

The possible risks or complications that may arise during the surgery are:
  • Excessive bleeding
  • Infection of the surgical wound
  • Accidental injury to the neighbouring tissues (bowel, bladder, ureters, or vaginal wall
  • Anaesthetic complications

Risks and complications after hysterectomy (abdominal) with salpingo-oophorectomy surgical procedure

Post hysterectomy (abdominal) with salpingo-oophorectomy procedure, the following complications may arise:
  • Excessive bleeding
  • Infection in the surgical wound
  • Obstruction of the urinary system or bowel
  • Urinary incontinence
  • Vesico-vaginal fistula: An abnormal connection between the urinary bladder and the vagina
  • Vaginal prolapse
  • Chronic pain

Post-operative care needed after hysterectomy (abdominal) with salpingo-oophorectomy surgical procedure

At home, the following post-operative care is recommended, after a Hysterectomy (Abdominal) with Salpingo-Oophorectomy procedure:
  • Resume daily activities, as early as possible (under advice by the physician). This aids in a faster recovery
  • Use a heat pad or warm compress to relieve pain due to the incision
  • Individuals are advised to have to a clear liquid diet, immediately following surgery. The diet is gradually advanced to solid foods
  • Resume showering and keep the wound clean and dry. Gently wash the surgical wound with soap
  • It may be required to use sanitary napkins (for bleeding), for about a week or more
  • Complete the course of prescribed medication, as advised by your physician
  • Take supplemental female hormonal medications, under supervision of the physician
  • Resume driving only 2 weeks after the surgical procedure, or when advised by your physician
  • Avoid sex till complete healing has taken place (generally 6-8 weeks, or follow the physician’s advice)

Comments

user profile image
02-10-2017 05:12 AM

I was having cancerous tumour within the uterus and that was detected by the doctor at very right time. The doctor advised me to go through Hysterectomy and the post operational results are great.

user profile image
04-09-2017 04:11 PM

My wife was having fibroid tumor. Doctor suggested us to have Hysterectomy for her betterment. We went through the procedure and the outcome is unbelievable.

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