Gynaecology.

This is a minimally invasive endoscopic method commonly used in gynaecology. It is used to directly image the cervical canal and uterine cavity, as well as the fallopian tube orifices. The hysteroscope, in the form of a small, narrow camera connected to a light source, is inserted through the vagina into the cervical canal and uterine cavity, which is then filled with a saline solution. This makes it possible to assess the shape of the uterine cavity together with the mucous membrane and to verify changes of an unclear nature on ultrasound examination. Wrocław Medical Center has one of the thinnest diagnostic hysteroscopes available on the market, 2.9 mm and 4 mm, which means that the procedure can be performed without anaesthesia or under local anaesthesia, after administering painkillers to the cervix. In addition, there is also the possibility of inserting biopsy forceps to take a specimen from a suspicious lesion. The biopsy specimen thus taken during the examination is passed on for examination to determine the nature of the lesion of concern.

Hysteroscopy is a safe diagnostic method of the reproductive organs and, after the procedure, the patient can return to normal functioning practically immediately, remembering only that until the spotting of the reproductive tract has subsided, we do not recommend bathing in hot water, intercourse or excessive physical exertion.

Operative hysteroscopy is a minimally invasive endoscopic method used to remove larger lesions within the uterine cavity such as polyps, myomas or uterine septum. Due to the larger size of the operative hysteroscope, the procedure is performed under short-term general anaesthesia under anaesthetic assistance. Due to the low invasiveness of the procedure, the stay in the clinic lasts about 3-4 hours and the return to normal function is very short. In the period after the procedure, we do not recommend hot water baths, intercourse or excessive physical exertion for a few days, usually until the discharge of genital spotting subsides.

Removal of the uterus is one of the most commonly performed gynaecological surgical procedures. Indications for hysterectomy, apart from malignant diseases of the reproductive organs, are uterine myomas, abnormal uterine bleeding, pelvic organ prolapse and endometriosis.

The female internal reproductive organ consists of the uterus, ovaries and fallopian tubes.

However, anatomically, the uterus can be divided into the body of the uterus and the cervix. We distinguish between the following types of removal of the uterus: total removal (body and cervix), partial removal (removal of the body of the uterus but leaving the cervix in place), removal of the uterus with fallopian tubes, and removal of the uterus with the ovaries and fallopian tubes (appendages).

The choice between the type of uterine removal depends on the indications for surgery.

Removal of the uterus can be performed from three surgical accesses: the classic so-called 'open', transvaginal or laparoscopic.

The procedure to remove the uterus is carried out under general endotracheal anaesthesia.

 In the case of laparoscopic and transvaginal surgery, the patient leaves the hospital on the first or second day after the procedure, while after classical surgery discharge home is possible on day 3 or 4.

Complete recovery after an abdominal hysterectomy takes about six to eight weeks, while it is much shorter after a vaginal or laparoscopic hysterectomy.

During this time, rest as much as possible and do not lift anything heavy, such as shopping bags, as the abdominal muscles and surrounding tissues need time to heal.

The electroconvulsive procedure is performed when pathological lesions of the cervix are found. For this procedure, a special thin wire loop is used through which an electric current is passed causing a thin layer of abnormal tissue. The removed portion of the cervix will be sent for a thorough histopathological examination assessing the microscopic limits of the excision.

The procedure is performed under short-term general anaesthesia and the stay in the clinic lasts about 3-4 hours. It is normal to experience minor uterine contractions and genital spotting for a few days. Vaginal irrigation, use of tampons and intercourse are not recommended for a period of four weeks, and you should remember to limit your physical activity, including lifting heavy objects.

The patient can take medication, but only that prescribed by the doctor, as Aspirin or other painkillers can exacerbate bleeding.

If worrying symptoms such as bleeding with clots, vaginal discharge with an unpleasant odour, fever or severe abdominal pain occur, contact the clinic or the doctor performing the procedure directly.