Observing OB/GYN surg.

[fugazism]

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I'm premed and was recently invited to observe ob/gyn surg.

I couldnt really tell one from the other,
Which sounds more exciting?
1) Laparoscopic Left Salpingo oophorectomy vs Left ovarian cystectomy
2) Hysteroscopy D&C with resection of mass and endometrial ablation
3) Laparoscopic with laser cautery and cystoscopy with hydrodistention
4) Laparoscopic bilateral salpingo oophorectomy possible laparotomy

thanks

 

[azzarah]

I'm premed and was recently invited to observe ob/gyn surg.

I couldnt really tell one from the other,
Which sounds more exciting?
1) Laparoscopic Left Salpingo oophorectomy vs Left ovarian cystectomy
2) Hysteroscopy D&C with resection of mass and endometrial ablation
3) Laparoscopic with laser cautery and cystoscopy with hydrodistention
4) Laparoscopic bilateral salpingo oophorectomy possible laparotomy

thanks

I would personally go with 4 since there is an opportunity to possibly see both a laparoscopic surgery and a laparotomy.

 

[pikachu]

Translations of the cases:

1) camera guided resection (usually through 3 small incisions) of the left ovary and fallopian tube or maybe just taking a cyst off the ovary
2) inserting the camera into the uterus via the vagina, scraping tissue off the uterine walls, and removing a mass from the uterus
3) first part not complete, second part is inserting a camera into the bladder through the urethra and squirting some water in there - probably not very exciting
4) camera guided removal of both ovaries and fallopian tubes, possibly doing a wider incision and opening up the abdominal cavity (depending on what they see with the camera)

#4 is probably the best case. I would certainly recommend going to a laparoscopic case (even though they take longer) because the field will be up on TV monitors in the operating room, so you can get a good view of what's going on. In an open case you might not be able to get close enough to the table to see the procedure very well. Lots of Ob-Gyn surgeons (especially Gyn oncology which it sounds like you will be seeing) operate with 2 assistants and a scrub tech, meaning that the table is crowded with participants in the operation and an observer won't get to see much. I spent 2 weeks in a Gyn oncology operating room and didn't see much besides the back of the surgeon's head for the greater part of it unless I was scrubbed on a case.

 

[Blade28]

I agree, go with #4.

Why is the standard gyn surgery missing from your list? The good ol' TAH-BSO? Weird.