Yesterday I had the pleasure of scrubbing in for a hysteroscopic polypectomy - I share some of my insights below:
In this video, we are traveling up the cervix into the uterine cavity through the use of a hysteroscope. Inside this cavity, we can see the innermost layer of the uterus - the endometrium. The main function of the endometrium is to prepare the mother for pregnancy & to help form the placenta in case of fertilization. The endometrial lining builds every month in preparation for possible fertilization & if fertilization does not occur, it sheds & menstrual bleeding occurs. In this video, we can see a large endometrial polyp protruding from the surface of the endometrium - these polyps are one of the most common causes of abnormal uterine bleeding in both premenopausal & postmenopausal women. They are hyperplastic overgrowths of endometrial glands & stroma that form a projection within the uterus. The great majority of these polyps are benign, but malignancy can occur in some women. The procedure involves a sharp curettage (scraping of tissue using a curette) within the endometrial canal in order to remove the polyp, known as a "polypectomy." You can see the polyp-free uterine cavity once the polyp is removed! Once the procedure was complete, the surgeon showed me important anatomical landmarks inside the uterus (which included the right & left fallopian tubes that can be seen at the end of this video). If you can recall, a few weeks ago I scrubbed in for my first C-section & I got my first look at a live uterus! This procedure was my first look INSIDE of a uterus so I guess you can say I am one step closer to understanding the uterus from inside & out during this OBGYN rotation! For our nerds, several molecular mechanisms have been proposed to play a role in the development of endometrial polyps; including monoclonal endometrial hyperplasia, over-expression of endometrial aromatase, & gene mutations. For more, click on the link in our bio & [SUBSCRIBE] to our YouTube channel.
Written by Student Doctor: @medspired ©05/25/2017 All Rights Reserved.
Video Credit: Vivek Singla on YouTube
TAG SOMEONE WHO LOVES SURGERY!