fbpx

EndosCopY

Endoscopic surgery known as closed surgery is a method that enables the evaluation of organs inside the uterus or its interior without or with small incisions. Endoscopic surgery offers several advantages over open surgery. Patients feel little pain and can return home immediately after surgery. 

European Clinic with experience, technology and equipment, provides specialized medical assistance, successfully treating all types of gynecological pathologies, from simple ones to more complicated ones.

 LAPAROSCOPY

Laparoscopy is a mini-invasive surgical technique that is performed through small openings in the abdomen, through which certain instruments are placed that enable the view of organs, as well as accomplishing certain operations. The firsts to start the application of Laparoscopy as a method minimally invasive operatives are gynecologists.

The advantages of Laparoscopy are that the patient instead of having a large burial in the abdomen (whether incision along the abdomen – malignant diseases, from the lower abdomen to a few cm above the navel), has only a few holes, up to a maximum of 10 mm. This results in enhanced recovery.

Laparoscopy is in fact, a form of minimally invasive surgery where with so-called Laparoscope (a light stick and a small camera) it is possible to see the internal organs of the body (diagnostic laparoscopy) and perform a series of operations to which previously had to be the opening of the abdominal wall.

Laparoscopy has a wide range of applications. Thanks to the advantages it offers to patients and thanks to the practical use, this technique becomes a normal procedure for many indications in gynecological surgery. Thanks to laparoscopy we have a reduction of parietal trauma and stability of the immune force and all this reduces the risk of infectious complications and tumor cell dispersion.

Laparoscopy can be used for diagnosis, treatment or for both simultaneously. A laparoscopy can start as diagnostic and end up as therapeutic.

Through mini-instruments the doctor can perform a number of cases:

  • In the diagnosis and treatment of infertility
  • In the treatment of Endometriosis
  • In cases where the fallopian tubes are blocked and need to be reopened
  • In the treatment of uterine fibrosis
  • In the treatment of ovarian cyst
  • In cases of ectopic pregnancy (outside the uterus)
  • In infertility procedures (closing the fallopian tubes as a permanent form of birth control)
  • In hysterectomy procedures (removal of the uterus)
  • In the treatment of pelvic problems such as uterine prolapse, urinary incontinence, bladder prolapse, vaginal prolapse, chronic pain.

After the laparoscopy procedure, the recovery and healing time may vary depending on the type of intervention performed. Usually the time when you can return home varies from a few hours to 48 hours after the procedure. In any case, recovery after laparoscopy is much faster than in the case of an open surgery.

HYSTEROSCOPY

 

Hysteroscopy is an endoscopic procedure that allows your doctor to access the inside of the uterine space in order to diagnose (detect) or even treat a pathology of the uterus. This procedure is performed with the help of the Hysteroscope, a thin endoscope equipped with a built-in camera.

 

The image obtained from the hysteroscope camera is projected on a video screen, allowing the doctor to see the inside of the uterine cavity and images which allow the doctor to perform surgery, with the help of instruments that are installed in the hysteroscope, in cases when during this examination he notices certain anomalies.

 

The reasons why you may have a hysteroscopy are:

 

  • menstruation with increased bleeding
  • pelvic pain
  • recurrent abortions
  • difficulty getting pregnant
  • unusual vaginal bleeding

The most appropriate time to perform Hysteroscopy is one week after the menstrual cycle because in this period it gives the best view to the doctor to have access inside the uterus.

 

Hysteroscopy is used to diagnose submucosal fibromyoma, polyps, uterine abnormalities such as the uterine septum as well as to make interventions if necessary.

The most common reason for performing hysteroscopy is to determine the cause of the increased or irregular vaginal bleeding.
Your doctor may also use hysteroscopy to detect the cause of infertility or recurrent abortions.

 

Hysteroscopy can detect and sometimes treat immediately several types of disorders, most of which are benign in nature including:

 

  • Removal of endometrial polyps
  • Removal of submucosal and intracavitary fibroids
  • Correction of congenital anomalies of the uterus such as the uterine septum or small uterine cavity
  • Localization and removal of mechanical contraceptive
  • Removal of affiliations

The time of performing the Hysteroscopic procedure can be from 5 minutes to 1 hour. The length of the operation time depends on the procedure whether it is diagnostic or operative or whether laparoscopy is performed at the same time as an additional method of intervention but generally this method takes less time than any other operative method.

 

Hysteroscopy is considered a minor surgical intervention which usually does not require hospitalization but in special cases such as reactions to anesthesia it is recommended to stay overnight.Y

 

HYSTEROSCOPIC MORCELLATOR

Hysteroscopy is the current gold standard treatment for several types of intrauterine pathologies, including submucosal fibroids.

Removal of large submucosal fibroids is a challenge of the hysteroscopic operator. During the use of the resectoscope, fluids were used which during the operation with resectoscope through the sinuses created by the fibroids a considerable amount of fluid entered the bloodstream. Which has been allowed in limited quantities to enter the body therefore often expresses danger to the woman health.

Progressive improvement of hysteroscopic instruments and standardization of techniques allowed the possible and daily management of submucosal fibroids.

The hysteroscopic morcellator is an alternative procedure to the hysteroscopic resectoscope for the removal of polyps and endometrial fibroids.

 

It uses a mechanical approach to remove the tissue and at the same time can remove polyps or fibroids up to 5 cm in size. 

They have a continuous inlet and an outlet tract that catches the tissue in a box. They can also be used for gluing and removing retained conception products. The hysteroscopic prosthesis completely eliminates the need for electrosurgery, it is much easier and safer to procedure. 

During the intervention we have a very clean vision at the inlet and outlet of the fluid, it is regulated with a pump which cleans the visual field. With this method, the fibroids deeper in the uterine cavity can be removed.

 

The first intervention in Kosovo with the TruClear morcellator system (hysteroscopy) was successfully performed in the European Clinic!