Hysterectomy with BSO
in Bangkok, Thailand
Bilateral Salpingo-oophorectomy (BSO)
Hysterectomy and oophorectomy is a surgical procedure to reduce gender dysphoria. We offer four techniques as follows;
1. Laparoscopic technique:
Instead of making a large incision, the new only makes a few tiny incisions through which thin instruments pass through the abdomen. This new technique significantly reduces scaring, pain, healing time, blood loss, and duration of hospital stay when compared to the open procedure.
Picture 1 shows the scar of the laparoscopic hysterectomy technique.
2. Abdominal Hysterectomy with Bilateral Salpingo-oophorectomy (BSO) or Open Technique
A transverse incision is an abdominal wall, usually above the pubic bone, as close to the upper hairline of the individual's lower pelvis as possible, similar to the incision made for a cesarean section approximately 4-5cm long. This technique allows the surgeon the most exceptional access to the reproductive structures and performs for removal of the entire reproductive complex. Abdominal hysterectomy is the most common method. The recovery time for an open hysterectomy is 4–6 weeks.
Picture 2 shows the scar of an abdominal hysterectomy or open technique.
3. Subsequently the Vaginal or V technique:
Vaginal hysterectomy is performed entirely through the vaginal canal and has clear advantages over abdominal surgery such as fewer complications, shorter hospital stays, and quicker healing time. If this technique may complicate, surgical exploration will be required.
Risks and complications:
- Wound complication, such as infection, abscess, disruption
- Excessive bleeding.
- Bladder, ureter or bowel injury
- Temporary abdominal distention due to transiently decreased bowel movement
4. Natural Orifice Transluminal Endoscopic Surgery Hysterectomy with Bilateral Salpingo-oophorectomy (BSO) & Oophorectomy or NOTE technique
A new technique removes uterus and ovaries. Developed from total laparoscopic hysterectomy and transvaginal hysterectomy procedures, which provides more safety. The surgeon inserts a vaginal speculum into the vagina and inserts the shield into the vagina to protect the cervix. Then the surgical instrument is inserted into the vagina. After dissection, both uterus and ovaries removed from the vagina opening.
- No scar
- Less postoperative pain
- Shorter hospital stay and quick recovery of bowel function
- Shorter recovery and faster return to daily activities
- Less complication from bleeding during surgery or less chance of injury in the abdomen
Picture 3. Shows the scarless of a NOTES technique