Friday, September 20, 2013
I've officially finished my OB/GYN rotation. My second shelf is over and done with and I'm currently in the Dulles United Club waiting for my flight to Beijing!
In contrast to the labor and delivery portion, I really enjoyed the gynecology half of the rotation. At BWMC, gyn was split into surgery and clinic. I spent most days in the OR, scrubbing in on hysterectomies (removing the uterus +/- ovaries and fallopian tubes), hysteroscopies (the most boring procedure ever - just sticking a long camera scope into the uterus and looking around to find any polyps - takes 10 minutes, tops), tubal ligations (tube tying), and myomectomies (removing fibroids from the uterus). One of the highlights was doing an open myomectomy. Below is all of the 31 fibroids, from pearl size to clementine size, we removed from a woman's uterus! Imagine that all of these firm balls, bening tumors really, infiltrating your uterus, making it grow as big as a pregnant uterus, hindering fertility, causing pain, and bleeding. Pretty unpleasant, but up to 80% of women will develop fibroids at some point in their life. This patient was actually young and still desired children, which is why we decided to do it open (vs. laparoscopic or robotic). We wanted to be more careful to preserve the healthy parts of the uterus, called the myometrium, so she could conceive in future. Digging out these fibroids was like shucking for oysters! After we were done, even the two surgeons remarked that they had never removed so many fibroids.