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Today, this is a surgery that is done laparoscopically (through 1 centimeter incisions in your abdomen) and typically takes less than one hour in skilled hands. For women who are BRCA positive, the fallopian tubes are removed with the ovaries because they can develop the same cancer as the ovaries. The uterus does not need to be removed, so the surgery is not called a hysterectomy but a bilateral salpingoophorectomy (or BSO).
Vaginal hysterectomy is a procedure in which the uterus is surgically removed through the vagina. One or both ovaries and fallopian tubes may be removed during the procedure as well; removal of both ovaries and fallopian tubes is called bilateral salpingo-oophorectomy (BSO) (figure 1).tudies have shown that vaginal hysterectomy has fewer complications, requires a shorter hospital stay, and allows a faster recovery compared to removal of the uterus through an abdominal incision (abdominal hysterectomy).