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A 52-year-old female patient with a history of uterine fibroids and recurrent pelvic pain is admitted for a total abdominal hysterectomy with right-sided salpingo-oophorectomy. During the preoperative evaluation, the patient reported severe pain and heavy menstrual bleeding that significantly affected her quality of life. After discussing the surgical options and potential outcomes, the patient consented to the procedure. On the day of surgery, the patient is taken to the operating room and placed under general anesthesia. An abdominal incision is made to provide access to the pelvic cavity. The surgeon proceeds to remove the uterus completely, including the cervix, which constitutes the total abdominal hysterectomy. Additionally, the right fallopian tube and right ovary are excised, completing the right-sided salpingo-oophorectomy. The left ovary and fallopian tube are left intact. Hemostasis is achieved, and the incision is closed in layers. The patient is then taken to the recovery room in stable condition.
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