surgery rotation: week two
Hey all! I meant to post this yesterday, but family things got in the way.
This week I’ve been on gynaecology. I was supposed to be more involved in the surgery side but, despite the almost 12 hour days on the ward and in classes/ lectures, I saw only a single OR procedure, and spoke to only a handful of surgical emergency patients. That being said, this week has been an eye-opener. The mornings of taking histories, clerking patients, and having all the bloods given to me to do (albeit sometimes very poorly…) were fast-paced, and I didn’t anticipate how much I’d enjoy the variety and, in all honestly, spending a week interacting solely with female patients. However, I now feel rather desensitised to talking pragmatically about contraception, intercourse, pregnancy, and childbirth, which I know has terrified some of my friends… don’t ask me about my day if you don’t want to hear, haha!
It was the first time I’ve actually scrubbed in to assist with surgery, as opposed to standing precariously on steps overlooking the procedure, or bothering the anaesthetist for mid-op teaching. I managed to miss the WHO and operation preparation, in searching unsuccessfully for scrubs, but I’d worked with the surgeon earlier in the week, and he was super keen to teach and to get me involved, which really made the learning experience. The scrub nurses were unimaginably tolerant when it came to my poor knowledge of how to properly scrub in; the med school sent us videos on theatre etiquette at the beginning of the year, but honestly everything just went out of the window in the moment! The actual operation was a laparoscopic salpingectomy; key-hole surgery under general anaesthetic, to remove a single Fallopian tube. In this case, this procedure was for surgical management of an ectopic pregnancy, but it may also be used to treat other Fallopian tube pathologies, such as blockages, infections, and cancer. Despite the worries of numerous patients I spoke to, unilateral salpingectomy is thought have little, if no, effect on fertility if the remaining Fallopian tube and attached ovary are healthy and functional.
What have you been doing, this week? :)