Gynaecological Laparoscopy

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Laparoscopy is a minimally invasive technique performed under general anaesthesia, with intubation, using a laparoscope inserted through the abdominal wall.

Available appointments for laparoscopy are usually within 4-8 weeks. Procedures are not performed during menstruation cycle, however spotting is not a problem. Optimal timing can be achieved with single-phase hormonal contraception without omission or gestagen preparation.

HOW TO START TREATMENT WITH US?

1. First contact our clinic by email, phone or arrange a video conference.
2. Email the required documentation.
3. We will suggest an operation and discuss the date options.
4. You will travel to the Czech Republic for your surgery.

Contact the coordinator here »

Once you are under general anaesthesia, the abdominal cavity is filled with gas (CO2). Subsequently, a laparoscope (an optical device allowing the small pelvis and abdominal cavity to be overlooked) is inserted through the abdominal wall. Laparoscopy is one of the so-called minimally invasive techniques that are preferred today. The postoperative course is significantly better tolerated and the recovery time is also significantly shorter. The whole surgical procedure takes about 20 - 60 minutes.

You will be treated by one of the following doctors:

Marcel Štelcl, MD, Ph.D.

specialist in gynecological endoscopy and IVF practice since 2001

Leopold Rotter, MD, Ph.D.

chief physician and professional guarantor of the clinic practice since 1999, expert colposcopy licence

Lucie Hloušková, MD

doctor specializing in gynecology, obstetrics practice since 2011

Laparoscopy is always provided at our workplace Surgal Clinic. Click for photogallery here »

According to the range of performance and difficulty, we distinguish between surgical and diagnostic laparoscopy.

DIAGNOSTIC LAPAROSCOPY

Diagnostic laparoscopy is performed to simply inspect the organs of the small pelvis (uterus, ovaries, fallopian tubes). It is performed to detect findings in the abdominal cavity (adhesions, cysts, developmental defects of the uterus, chronic pain, etc.).

OPERATIONAL LAPAROSCOPY

It allows the removal of findings discovered during diagnostic laparoscopy or detected by ultrasound. If laparoscopic surgery is planned (e.g. in case of operation on the ovary, removal of the cyst, disruption of adhesions), it is necessary to make another 2-3 small skin incisions to introduce other surgical instruments into the abdominal cavity.

TYPES OF LAPAROSCOPIC PROCEDURES:

laparoscopic adnexectomy = removal of one or both ovaries
laparoscopic cystectomy, cyst extirpation = removal of the cyst from the ovary (the ovary remains)
laparoscopic sterilization = irreversible interruption / removal of the fallopian tubes and prevention of fertility, it is not possible to conceive spontaneously after the procedure. The ovary and its hormonal function are preserved, including menstruation.
laparoscopic adhesionolysis = loosening, disruption of adhesions in the abdominal cavity
laparoscopic salpingectomy = removal of one or both fallopian tubes (e.g. in ectopic pregnancy)

WHEN IS LAPAROSCOPY PERFORMED?

If an ovarian cyst or ovarian pathology is found
In the diagnosis and treatment of fibroids
When examining an abnormal ultrasound finding
For chronic lower abdominal pain

In case of infertility – tests of patency of the fallopian tubes
In ectopic pregnancy
When checking after procedures on the uterus
For laparoscopic sterilisation - i.e. permanent prevention of conception

How to plan your trip?

By plane:

Day 1:
Arrival to Brno – Tuřany airport. From there you can take a taxi or a public bus number E76 that will take you straight to central Brno, to the Main Train Station in 18 minutes (please find here more information about transportation in Brno). You can spend your day in Brno as you wish, click here for some tips on what to do.

Day 2:
In the morning, you will come to our clinic Gynmeda at Lidická Street, 63a. Here you will meet your coordinator and your doctor. In case you don´t bring the preoperative examinations from your country, these will be done too (please inform your coordinator beforehand and she will arrange it).

Day 3:
You will meet with your coordinator at the Surgal Clinic at Drobného street 38-40. She will explain you everything necessary and after that, the operation under general anaesthesia will be performed. It takes usually 15-90 minutes, depeding on the nature of the procedure. You will spend the night at the clinic (included in the price).

Day 4:
In the morning, your doctor will come and release you. After laparoscopic operations, expect more pain (than, for example, after hysteroscopy). However, we recommend staying an extra 1-2 days at a hotel.

By car:

Day 1:
In the morning, you will come to our clinic Gynmeda at Lidická Street, 63a. Here you will meet your coordinator and your doctor. In case you don´t bring the preoperative examinations from your country, these will be done too (please inform your coordinator beforehand and she will arrange it).

Day 2:
You will meet with your coordinator at the Surgal Clinic at Drobného street 38-40. She will explain you everything necessary and after that, the operation under general anaesthesia will be performed. It usually takes 15-90 minutes, depeding on the nature of the procedure. You will spend the night at the clinic (included in the price).

Day 3:
In the morning, your doctor will come and release you. After laparoscopic operations, expect more pain (than, for example, after hysteroscopy). We recommend staying an extra 1-2 days at a hotel.

PREPARATION BEFORE LAPAROSCOPY

Start dietary preparation for laparoscopy two days before the surgery. Drink about 2-3 liters of fluids a day. The second day before the procedure, consume a rather mushy, easily digestible diet. The day before the procedure, have your last meal at noon - pure broth is preferable. You can drink until midnight. Then do not eat or drink anything. Also, don't smoke. By following these guidelines, you can avoid complications during and after the procedure.

WHAT TO EXPECT AFTER LAPAROSCOPY?

Patients usually feel mild pain or pressure in the lower abdomen, which subsides within a few days. A "popping" sensation when touched in the supraclavicular fossa is also typical. This is caused by gas that is absorbed from the abdominal cavity during the operation. Nausea may occur but usually subsides within a few hours.

Although complications after laparoscopy are rare, you should contact your doctor in case of excessive bleeding or if you experience symptoms of infection, such as convulsions, fever, chills, and so on, after discharge. But always contact our clinic first so that we can advise you on how to deal with the situation.

INSTRUCTIONS AFTER LAPAROSCOPY

After the procedure, disinfect the surgical wounds twice a day and inject low molecular weight heparin subcutaneously (into the skin fold on the abdomen) every 24 hours for at least 5 days after surgery. Please follow a strict resting regime for the first 5 days after surgery. Your stitches will be removed during a check-up 7-10 days after the procedure. We recommend taking it easy for 2 weeks after the procedure. Avoid physical exertion such as heavy lifting, sexual intercourse, or sports activities. It's also advisable to only take showers and avoid bathing.

Do you have more questions?

Do you have more questions? You can look at FAQ or contact our coordinator who will be happy to help you.
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