Endometrial polyps exceeding 4 centimeters in length are exceedingly rare and are termed “giant polyps.” We describe two patients that presented to our hospital with giant endometrial polyps. Clinical implications and oncologic potential of giant endometrial polyps are discussed. Risk factors of oncologic transformation include advanced age, menopausal status, obesity, diabetes, arterial hypertension, use of tamoxifen, and size greater than 1.0 centimeter. A literature review of all documented cases of giant endometrial polyps is presented and management strategies for counseling and polypectomy are reviewed.

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INTRODUCTION: To determine the effect of fingernail polish on the rate of post-operative wound infection following Cesarean delivery. METHODS: This is a block-randomized trial where surgeons were assigned to wear or not wear nail polish for two week block-intervals. After each non-emergent Cesarean delivery nail characteristics were logged on a case-coded sheet. The primary outcome was wound site infection (superficial or deep) occurring within 6 weeks of cesarean delivery. A t-test and chi-squared or Fisher's exact were used with p < 0.05 considered significant. RESULTS: From August 1, 2017 - October 1, 2018, 632 cases met the inclusion criteria: 297 (47%) were randomized to the nail polish and 335 (53%) to the nail polish free arm. Mean age, 31.8 (15 - 52) vs. 31.7 years (16 - 47), p = 0.830 and gestational age at delivery, 38.6 (23.2 - 41.5) vs. 38.4 weeks (25.6 - 41.5), p = 0.125 were similar for the nail polish and nail polish free arms respectively. BMI was greater in the nail polish group, 29.3 (16.1 - 64.1) vs. 27.9 (16.5 - 49.4), p = 0.015, and more patients were obese 38.5% vs. 30.3%, p = 0.031. Other demographics including race and insurance status were similar. The rate of wound infection was lower in the nail polish group, although this difference was not significant (1.7% vs. 3.9%, p = 0.077). CONCLUSION: The rate of postoperative wound infection is not affected by the use of fingernail polish.

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