hysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomyhysterosalpingooophorectomy