Gynae Procedures

Gynaecological Procedures

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previewGynaecological endoscopy is a surgical discipline which uses optical instruments specially designed to help diagnose the most frequent female disorders and pathologies such as some infertility problems, small vaginal hemorrhages or endometrial polyps among others. Gynaecological endoscopy employs hysteroscopy and laparoscopy for these purposes.

Gynaecological endoscopy as we know it is nowadays possible thanks to important technical advances, along with the sophistication and the miniaturization of the equipment used. Modern anaesthetic medicine has also been important for the development of surgical procedures. This medicine is extremely effective, wears off quickly and its side effects have been reduced so that it can be used effectively in ambulatory surgery. Among other advances this made possible the so called minimally invasive surgery which owes its name to the fact that very small incisions are made and the intervention is ambulatory.

Our doctors are skilled in a broad range of gynaecological surgery, and are able to perform the following operations:

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Hysteroscopy:

  • Diagnostic hysteroscopy for irregular periods/endometrial sampling
  • Removal of endometrial polyps and submucosal fibroids
    • Standard resection and Myosure
  • Endometrial ablation for management of heavy menstrual bleeding
    • Cavaterm ablation
    • Theramachoice ablation
    • Novasure ablation
    • Dilation and curettage

Cystoscopy

Treatment of cervical abnormalities:

  • Cervical cautery
  • Lletz
  • Cone biopsy – including cold knife cone

Hysterectomy:

  • Total abdominal hysterectomy and sub-total abdominal hysterectomy
  • Vaginal hysterectomy
  • Total laparoscopic hysterectomy (TLH)
  • Laparoscopic assisted vaginal hysterectomy (LAVH)

Laparoscopic (keyhole) surgery:

  • Hysterectomy (TLH)
  • Excision/ablation of endometriosis
  • Treatment of adhesions
  • Removal of ovarian cysts
  • Removal of ovaries
  • Treatment of ectopic pregnancy
  • Testing for fallopian tube patency and function
  • Surgical occlusion/ligation of fallopian tubes

Pelvic Floor Surgery:

  • Prolapse repair – native tissue and mesh
    • Anterior compartment and posterior compartment
    • Apical prolapse and fixation including uterosacral or sacrospinous fixation
  • Suburethral slings for incontinence
    • Mini slings
    • Retropubic slings
    • Transobturator slings
  • Fenton’s procedure

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