Last week I had a chance to observe a 2-in-1 surgery.
There was an elderly lady with colorectal cancer who needed to have a high anterior resection. In this surgery, the sigmoid colon and part of the descending colon are removed. The remaining descending colon is then anastomosed (re-attached) to the rectum.
This woman also had a large lesion in her uterus and would need to have a hysterectomy (removal of her uterus) as well. It was decided that both surgeries would be done laparoscopically (minimally invasive surgery done through a number of small incisions, also known as keyhole surgery) and at the same time.
After the colorectal team finished mobilizing (freeing) the colon, the gynaecology team took over and removed her uterus, fallopian tubes and ovaries. The colorectal team then came back and finished the surgery, taking out the part of her colon with cancer and reattaching the remaining parts.
The other medical student observing the surgery with me told me to expect the uterus to be really cute. So tiny with its little fallopian tubes and ovaries. I have to say, she was right! How amazing that such a tiny thing can carry babies for 9 months. This woman had had 6 children!
I asked permission to take this picture. You can see the uterus with the fallopian tubes and ovaries (white oval structures). And if you look closely, you can even see some cysts, with clear fluid in them.