Abdominal / Vaginal Hysterectomy with BSO :
What you should know?

Abdominal / Vaginal Hysterectomy with BSO is a type of hysterectomy surgery performed to remove the uterus and cervix to treat health issues such as heavy periods, endometriosis, uterine fibroids and cancer.

Abdominal hysterectomy with BSO – bilateral salpingo-oophorectomy is a surgery performed to remove both ovaries and fallopian tubes through an incision in your abdomen. The hysterectomy with BSO will both be done during one surgery after which a woman will not be able to become pregnant and nor will have periods. This operation will remove uterus, cervix, ovaries and both fallopian tubes.

In vaginal hysterectomy with BSO, the uterus is removed through the vagina. Inserting a tool called a laparoscope, a thin tube with a light and tiny camera, the surgeons will remove the uterus from the vagina. Either giving general anaesthesia, local anaesthesia or spinal anaesthesia, where you will be numb from the waist down, the vaginal hysterectomy will be performed.

Why is this surgery performed?

An abdominal hysterectomy is recommended and performed to a woman whose womb is enlarged by fibroids or pelvic tumours and cannot be removed through the vagina. It is also recommended if the woman’s ovaries need to be removed. Whereas, the vaginal hysterectomy is recommended to a woman who has tumours in the uterus, heavy bleeding, endometriosis, chronic pelvic pain or cancerous cells on the cervix.

Vaginal hysterectomy over abdominal hysterectomy:

A vaginal hysterectomy is generally preferred over an abdominal hysterectomy as the first option when it comes to hysterectomy surgeries, as vaginal hysterectomy is less invasive, recovery time is low, involves a shorter stay in hospital and leaves less or no visible scar.

Risks involved in Abdominal / Vaginal Hysterectomy with BSO:

Vaginal hysterectomy generally has fewer/no complications. Whereas, the abdominal hysterectomy involves greater risks such as infection, bleeding, tissue/nerve damage, and blood clots.