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by Carieann K Sommers

Published in: Health & Medicine
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  1. 1. Gynecology The Study of the Female Reproductive System
  2. 2. “Gynecology” • from the Greek, gynaikos gyno- pertaining to woman • -logy, meaning study of • Thus, gynecology literally is the “study of women” • modern gynecology focuses on disorders of the female reproductive organs
  3. 3. What is gynecology? • The medical specialty concerned with the – External genitalia female reproductive • Vulva organs – Labia majora, labia minora, and clitoris – Internal genitalia • Uterus • Ovaries • Fallopian tubes • Vagina – Extends to the external surface of the body
  4. 4. Some history… • The historic taboo associated with the examination of female genitalia has inhibited the science of gynecology • This 1822 drawing by Jacques-Pierre Maygnier shows a "compromise" procedure, in which the physician is kneeling before the woman but cannot see her genitalia • Modern gynecology has shed most of these inhibitions…but there is still a lot to learn!
  5. 5. It’s all Greek to me… • Dated from 1800 BCE, The Kahun Gynaecological Papyrus is the oldest known medical text reporting gynecological concerns, such as fertility, pregnancy, contraception etc. – Each section deals with a specific problem and contains diagnosis and treatment, but, no prognosis is suggested – treatments are non surgical, suggesting applying medicines to the affected body part or swallowing them – The womb is at times seen as the source of complaints manifesting themselves in other body parts • According to the Suda, the ancient Greek physician Soranus of Ephesus practiced gynecology in Alexandria and Rome – treatise Gynaikeia • J. Marion Sims is considered the father of American • gynecology – Learned to repair vesicovaginal fistulas – Used experimental procedures on slaves Sim’s speculum
  6. 6. Focus on the fallopian tube • The falloian tube transports the ovum from the ovaries to the uterus – Finger like projections called fimbriae expand from the tubes – Fimbriae catch and guide the ovum from the ovaries after ovulation – Small hair-like projections called cilia on the cells of the fallopian tube lining propel the ovum through the tube to the uterus – Fertilization, where the sperm meets the egg, usually occurs in the upper half of the fallopian tube
  7. 7. What’s in a name? • Also referred to as uterine tubes or oviducts • Named fallopian for Gabriele Falloppio – 16th-century Italian physician and surgeon who was an expert in anatomy, physiology and pharmacology – Considered an early expert on syphilis, one of the great surgeons of the age, and often seen as a hero of anatomy – "Observationes anatomicae", a work of great originality, contributed to the understanding of: • centers of ossification • detailed account of muscles • the vascular system and the kidneys – Falloppio’s description of the uterine tubes were sufficiently accurate and thus, bear his name
  8. 8. fallopian tube fertilization
  9. 9. Supercalafragilistic expialadocious • Total abdominal hysterectomy-bilateral salpingo- oophorectomy…the longest term in medical history! • Refers to the removal of the uterus, cervix, ovaries, and fallopian tubes • Procedure is used when cancer is present in the uterus and has spread to other organs or tissues in the reproductive system
  10. 10. TAH/BSO • Procedure includes 3 surgeries: – TAH: Total abdominal hysterectomy • removal of uterus and cervix – BSO: Bilateral salpingo-oophorectomy • Removal of fallopian tubes and ovaries – Pelvic node dissection • removal of lymph nodes in pelvis
  11. 11. Check out this book on the procedure, recovery and other resources:
  12. 12. resources cited • • Fremgen, Bonnie F. & Frucht, Suzanne S. Medical Terminology: A Living Language: 3e. New Jersey: Pearson Education. 2005 • • • •