Major Gynecologic Surgeries

Total abdominal hysterectomy


Total Abdominal Hysterectomy is a surgical procedure to remove the uterus and cervix through an incision in the lower abdomen.


  • Gynecologic cancer
  • Fibroids
  • Endometriosis
  • Uterine prolapse
  • Abnormal vaginal bleeding
  • Chronic pelvic pain


Total vaginal hysterectomy


Vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina


  • Fibroids
  • Endometriosis
  • Gynecologic cancer
  • Uterine prolapse.
  • Abnormal vaginal bleeding.
  • Chronic pelvic pain.


Total laparoscopic hysterectomy


Is the removal of the uterus and cervix through four small (1/2’- 1’) abdominal

incisions. Removal of the ovaries and tubes depends on the patient.


  • Fibroids
  • Endometriosis
  • Infection in the ovaries or tubes
  • Pelvic pain
  • Overgrowth of tissue in the lining of the uterus
  • Abnormal vaginal bleeding




Oophorectomy (is a surgical procedure to remove one or both of your ovaries.


  • A tubo-ovarian abscess
  • Ovarian cancer
  • Endometriosis
  • Noncancerous (benign) ovarian tumors or cysts
  • Reducing the risk of ovarian cancer or breast cancer in women at increased risk
  • Ovarian torsion — the twisting of an ovary


Salpingo oophorectomy


Salpingo-oophorectomy is the removal of the fallopian tube (salpingectomy) and ovary (oophorectomy).


  • Elective: Removal of normal appearing ovaries and tubes at the time of a concurrent surgery, commonly a hysterectomyfor benign disease, to decrease the risk of development of ovarian pathology, and decrease the need for future procedures
  • Malignancy: Ovarian cancer, uterine cancer, or metastases to ovaries from a distant primary malignancy (gastrointestinal, breast, lung carcinoma)
  • Risk reducing: Removal of ovaries and tubes in women genetically susceptible to ovarian cancer
  • Benign adnexal mass
  • Adnexal torsion
  • Tubo ovarian abscess
  • Ectopic pregnancy


Ovarian cystectomy


Ovarian cystectomy is performed in those benign conditions of the ovary in which a cyst can be removed and when it is desirable to leave a functional ovary in place.


  • Definitive diagnostic confirmation of an ovarian cyst
  • Removal of symptomatic cysts, and exclusion of ovarian cancer.
  • Cyst size larger than 7.6 cm, cysts that do not resolve after 2-3 mo of close observation, bilateral lesions, and ultrasound imaging findings that deviate from a simple functional cyst.




Salpingectomy refers to the surgical removal of a Fallopian tube


  • Infected tube
  • Ectopic pregnancy
  • Sterilization