Gynecological surgery

Hysteroscopy – gentle, minimally invasive surgical diagnostic, that allows to detect pathology of the uterine cavity, which often is not visible during US examination. With the help of the office hysteroscope, which is essentialy finer in diameter than the widely used hysteroscopes in hospitals elsewhere, doctor can precisely see the cause of infertility in the cervix. It is also possible to take a tissue sample for bacteriological, virological and histological examination and to eliminate minor defects in the cavity (for example, to remove polyps) during one procedure. Fine, elegant and low-traumatic method. After a few hours, the patient can return to an active life, which makes it possible to use this method for busy people.

Main benefits of hysteroscopy:

• clear vision of the pathology;
• fast recovery after the surgery.

Fertiloscopy – is a special diagnostic method which was designed for the fertility specialists to examine a patient undergoing fertility treatment. During fertiloscopy both, cervical canal with uterine cavity and abdominal cavity with the uterine tubes and ovaries are examined. The passage of the uterine tubes is also tested as a part of this procedure. This procedure is minimally invasive, very informative in terms of causes of infertility, leaves no scar is very easy-going for the patients as a woman is able to returns home approximately 2 hours after the surgery. Published papers show that fertiloscopy is fully equivalent to full laparoscopic investigation.

Indications for fertiloscopy:

• unexplained infertility;
• evaluation of endometriosis, checking of effectiviness of previous treatment;
• chronic pelvic pain;
• suspicion of pathology of fallopian tubes;
• danger of performing diagnostical laparoskopy;
• contradictions for intubation anesthesia.

Laparoscopy —  minimally invasive surgery, which helps to perform required surgical invasion in both an abdominal cavity and a pelvic cavity. During laparoscopy, you can both diagnose possible diseases and perform a gentle surgical treatment.

Main benefits of laparoscopy:

• fast recovery after the surgery;
• minimally invasive surgery;
• clear visualisation of the internal organs;
• almost invisible scars after surgery.

Laparotomy – surgical method, when access to the small pelvic organs is provided by one relatively long cut on the abdominal wall. Sometimes this method is also called an “open” operation. Using this approach, each next tissue layer after each cut is carefully redistributed, giving the surgeon an opportunity to operate comfortably. With the method of laparotomy is possible to perform operations of almost any difficulty and extent. Often this approach is used for oncological illnesses where it is not possible to fully predict the expected amount of work before surgery itself. This approach allows you to extend the cut if necessary, thus extending the field of operation and the amount of work. However, there are some drawbacks – this kind of cut heals up relatively long (up to 2 -4 weeks) and prevents a patient from returning to active life right after the surgery.

Main benefits of laparotomy:

• good and easy access to internal organs;
• relatively simple in technical performance;
• no need for complicated or special instruments.