TAHBSO

TAHBSO
(TOTAL ABDOMINAL HYSTERECTOMY WITH BILATERAL SALPHINGO-

OOPHORECTOMY)
Arcalas, Kyle Audrie A.

What is a
01 TAHBSO?
is a surgical procedure in which the health care provider
removes the uterus including the cervix and the ovaries
including the fallopian tubes.
The scar may be horizontal or vertical, depending on the
reason the procedure is performed, and the size of the
area being treated. It is performed to treat cancer of the
ovary(s) and uterus, endometriosis, and large uterine
fibroids.
TAHBSO may also be done in some unusual cases of very
severe pelvic pain, after a very thorough evaluation to
identify the cause of the pain, and only after several
attempts at non-surgical treatments.
• Clearly a woman cannot bear children herself after
this procedure, so it is not performed on women
of childbearing age unless there is a serious
condition, such as cancer.
• TAHBSO allows the whole abdomen and pelvis to
be examined, which is an advantage in women
with cancer or investigating growths of unclear
cause.
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.
INSTRUMENTS
• Schroeder tenaculum forceps
• Curved Heaney forceps (single toothed with horizontal
serration)
• Curved Mayo uterine scissors
• Straight Heaney-Ballantine Hysterectomy forceps (double
toothed with vertical serrations)
• Long angled #3 knife handle
• Kelly forceps
• Tonsil forceps
• Jorgenson scissors
• Foerster sponge forceps
• Self retaining retractor - Turner Warrick
Surgical Procedure
Preparation and Positioning
The patient is in supine; arms may be extended
on arm boards.
Procedure
1. A Pfannenstiel or the bikini incision is employed.
2. The peritoneal cavity is entered and a self retaining
retractor place.
3. The patient is placed in Trendelenburg position, and the
intestines are protected with warm moist (saline)
laparotomy pads.
4. The round ligaments of the uterus are ligated, divided.
5. Sutured and tagged with a hemostat.
6. After identifying the ureters, the broad ligaments are
Incised, and the bladder is reflected from the anterior
aspect of the cervix.
Procedure
7. The infundibulopelvic ligaments are

ligated and divided.
8. The uterosacral ligaments are ligated and
divided.
9.The ligaments are likewise divided. The
vagina is incised circumferentially and the
uterine specimen removed.
NURSING
RESPONSIBILIT
IES
• Preoperatively
Interprets and upholds policies and
procedures as determined by administrative
body.
Identify knowledge and skills of peri-
operative nursing.
Identifies nursing care problems through
pre-operative visit and assist in the
solutions.
Intra-operatively
Ensures quality of care through proper use of instruments, equipments
and supplies.
Observes proper positioning of the patient and maintaining the dignity
of the individual As well, thus, providing maximum safety and comfort.
Identifies, prepares and send specimen obtained during operation for
examination.
Assess patient’s stability and should know to report to the attending
physician/s.
Carries out doctor’s post-operative order diligently.
Observes, checks and record patient assessment and refer when
necessary.
Administers post-operative care.
Submits sundry report and account for the supplies and equipment
used.
Responsible for the upkeep, Maintenance and care of equipment and
instrument.
Informs appropriate personnel when supplies are needed or equipment
and instruments are out of order.
Post- Operatively
Responsible for all the safekeeping of patient’s personal belongings endorse
by OR nurse.
Responsible for endorsing such items to patient’s relatives or floor nurse.
Diligently carries out doctor’s orders as soon as possible.
Check and record vital signs-blood pressure, pulse rate, O2 saturation,
respiratory rate, temperature, color and condition of skin, if can move
extremities every 15 minutes (or as often as possible or as indicated by the
patient’s condition) on the Nurse’s Post Anesthesia Record.
Observes and records neuro vital signs for neurological cases on the
Neurological Vital Signs Form provided by the unit.
Observes keenly the patient’s who might undergo post-operative
complications like bleeding, shock, respiratory distress, thyroid storm and
cardiac arrest.
Notifies the anesthesiologist/ AMD immediately for any unusual symptoms
manifested by the patient.

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TAHBSO

(TOTAL ABDOMINAL HYSTERECTOMY WITH BILATERAL SALPHINGO-

Arcalas, Kyle Audrie A.

7. The infundibulopelvic ligaments are

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