Treatments
gynaecological

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.

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.

Surgical cervical conization is performed when pathological cervical lesions are found. To remove the lesions on the cervix, the surgeon uses a surgical scalpel to cut out a large cone-shaped piece of the cervix. During the procedure, circumstances may arise for surgical sutures to be placed on the cervix to prevent bleeding.

The removed cervical fragment 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.

Laparoscopy, also known as 'keyhole surgery', is a type of endoscopic surgery that allows medical procedures to be performed within the abdominal cavity
and pelvis through small incisions in the shells of the anterior abdominal wall.

Laparoscopic optics are inserted through a 10mm incision in the umbilical region, which is connected to an external light source so that the inside of the abdominal cavity is illuminated. The image is transmitted to a camera connected to the distal part of the optics through the lens of the laparoscope and is presented on a monitor screen. The next step is to blow carbon dioxide into the peritoneal cavity to create a pneumothorax, which creates a visual-horizontal space for safe movement within the abdominal cavity. Working trocars (5-10mm tubes) are then inserted through which surgical instruments are inserted. Compared to classic open surgery, minimally invasive procedures are characterised by fewer perioperative complications, less need for painkillers, reduced blood loss, a much better cosmetic result as well as a shorter hospitalisation time.

Aspiration emptying of the uterine cavity by means of a sterile, plastic, blunt-ended tip, which is atraumatic, i.e. does not 'cripple' the uterus, does not cause adhesions and therefore does not adversely affect the regeneration process.

The aspiration kit procedure is performed under brief general anaesthesia or what is known as a 'cervical block' - it is therefore associated with a maximum stay of a few hours in the facility.