Tuesday, October 9, 2012

The Different Types of Hysterectomies

by Dr. Margaret Aranda

Removal of the uterus is called a hysterectomy.  There are various indications for a hysterectomy, and I'm going to outline the different types of hysterectomies.  In 2010, it was estimated that 600,000 women per year were getting a hysterectomy.  At this rate, 40% of all USA women over age 45 would be in Surgical Menopause. This is a relevant discussion that affects many women.

In a 2004 study by the Hysterectomy Education and Resource Services wherein a second opinion and counseling were sought before hysterectomy, 98% if the hysterectomies were determined to be unnecessary.

Today, a hysterectomy can be performed by one of three methods:  'open', 'laparoscopic', or 'vaginal'.  With the open hysterectomy, a large surgical incision is made in the lower abdomen and the surgeon can openly visualize the pelvic floor.  In the laparoscopic method, carbon dioxide gas is infused through the abdomen and small slits are cut instead of a large incision.  The uterus can be pulled out of the  vagina.  In a vaginal hysterectomy, the entire procedure is done through the vagina.

Additionally, there are three approaches to hysterectomy with respect to what structures are removed.  In the Total Hysterectomy, the uterus and cervix are removed.  In the Partial or Subtotal Hysterectomy, the upper cervix is not removed.  In the Radical Hysterectomy, usually performed for cancer, the following structures are removed: uterus, cervix, upper vagina, Fallopian tubes, ovaries, and surrounding adnexal tissue.

Removal of the ovaries is called an oophorectomy.  If both the ovaries, adnexae and both Fallopian tubes are removed, it is called a bilateral salpingo-oophorectomy, or BSO.  Therefore, if the uterus and a BSO occurs, it is called a total abdominal hysterectomy, bilateral salpingo-oophorectomy  (TAH-BSO).

Should you get your ovaries removed if you are having a hysterectomy anyway?
That's the next subject.  Many women have already undergone surgical menopause, and we direct our attention here in the next article.  You can read more here:
Surgical Menopause and Testosterone Therapy

There are many blogs to help with information and education about hysterectomies.  For example, you can visit The Hysterectomy Information Blogthe H Word, or Hysterectomy procedures and aftereffects.

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Dr. Margaret Aranda's Books:

No More Tears en Espanol
Face Book Page: Stepping from the Edge
Little Missy Two-Shoes Likes to go to School
From Menarche to Menopause: A Journey through Time

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Additional Free Articles by Dr. Margaret Aranda

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Full Disclosure: Margaret A. Ferrante, M.D.  is an Institute Physician with Cenegenics Medical Institute.  She receives no monetary compensation for hosting this website you are on, which is independent and not affiliated with Cenegenics. The information presented is for education and awareness.  Dr. Ferrante currently sees patients out of the Cenegenics office in Beverly Hills, CA. 
To book an appointment for a free Consultation, please email her at: mferrante@cenegenics.com

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