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Female reproductive anatomy and the tah-bso procedure,[object Object],Jeff Buttram,[object Object],Presentation 10,[object Object],BIO 120 - Medical Terminology,[object Object]
TOTAL ABDOMINAL HYSTERECTOMY-BILATERAL SALPINGO-OOPHORECTOMYTAH-BSO,[object Object], the removal of entire uterus including the cervix as well as fallopian tubes and ovaries using an incision in the abdomen.,[object Object], 2 parts of the anatomy discussed in this presentation that are removed during this procedure are the fallopian tubes and theendometrium.,[object Object]
fallopian tubes,[object Object]
FALLOPIAN TUBES,[object Object], transport eggs (ova) from the ovary to the uterus.,[object Object], lined with cilated epithelia (hair-like structures) to assist in movement of eggs. ,[object Object], bilateral - occur on both left and right side of uterus.,[object Object], also known as oviducts, uterine tubes, or salpinges.,[object Object]
fallopian tubes,[object Object]
fallopian tubes,[object Object], allow ova or eggs to travel to a place in the tubes (via the cilia) during ovulation that allow sperm to "fertilize" the egg.,[object Object], once the egg is fertilized the egg becomes an embryo.,[object Object], the cilia guide the embryo to the uterus where it is implanted into the wall of the uterus.,[object Object], process can take anywhere from a few hours to a few days.,[object Object]
endometrium,[object Object]
endometrium,[object Object], inner lining of uterus with a rich blood supply.,[object Object], hormonal changes approximately every 28 days leads to menstruation.,[object Object], menstruation is the loss of blood and tissue as endometrium is shed by the uterus.,[object Object], shedding of tissue does not take place during pregnancy or after menopause.,[object Object]
endometrium,[object Object]
endometrial pathologies,[object Object], endometriosis - the growth of endometrial tissue outside of the uterus.,[object Object], adenomyosis - growth of endometrium into muscle layer of uterus (myometrium).,[object Object], endometrial cancer - most common form of cancer in female genital tract.,[object Object], Asherman's syndrome - basal layer of endometrium is damaged by a surgical instrument or infection. Can lead to sclerosis (hardening) of the uterine wall in the form of adhesions .,[object Object]
endometrial pathologies,[object Object],* Patient with endometriosis displaying growths in ovarian wall.,[object Object],* Asherman's syndrome creates adhesions on uterine wall in a band-like formation.,[object Object]
total aBdominal hysterectomy-bilateral salpingo-oophorectomy (TAH-BSO),[object Object]
TAH-BSO,[object Object], removal of the entire uterus, cervix, both ovaries, and both fallopian tubes.,[object Object]
TAH-BSO COMPONENTS,[object Object],Total Abdominal Hysterectomy-Bilateral Salpingo-Oopherectomy,[object Object], hysterectomy - surgical removal of the uterus.A total hysterectomy refers to removal of both the uterine body and the cervix.,[object Object], salpingo - refers to the fallopian tubes which connect the ovaries to the uterus. Bilateral refers to the removal of both the left and right fallopian tube.,[object Object], oophorectomy - surgical removal of the ovaries.,[object Object]
* AREA  REMOVED DURING TOTAL ABDOMINAL HYSTERECTOMY-BILATERAL SALPINGO-OOPHERECTOMY,[object Object]
WHO GETS A TAH-BSO?,[object Object], those with cancer of the female reproductive tract or those with severe pelvic pain from pathologies such as endometriosis or adendomyosis.,[object Object], those with severe postpartum obstetrical (pertaining to branch of medicine treating women during pregnancy and childbirth) hemorrhage  * this is a last resort.,[object Object], transexuals undergoing female-to-male (FTM) sexual reassigment as means to halt female hormone production.,[object Object]
* Post-op specimen following tah-bso procedure. the right ovary (on left of picture) has been replaced by an aggressive tumor.,[object Object]
risks associated with tah-bso,[object Object], loss of bladder function (incontinence).,[object Object], estrogen levels drop once ovaries are removed.,[object Object], loss of estrogen removes natural protective mechanisms it provides for the cardiovascular and skeletal system.,[object Object], increased risk for cardiovascular diseases such as artheroscelerosis (due to estrogen loss). ,[object Object], increased risk for osteoporosis.,[object Object]

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