A mesh is not typically used in an abdominal hysterectomy with bilateral salpingo-oophorectomy (BSO). This procedure primarily involves the removal of the uterus, cervix, and both ovaries and fallopian tubes, often performed for reasons such as fibroids, endometriosis, or cancer. While mesh may be used in pelvic organ prolapse surgeries, its use in hysterectomies is generally not standard practice. Always consult with a healthcare provider for specific surgical details and options.