Gynaecological Endoscopy

Gynaecological 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.

Endoscopy is the direct observation of an organ or cavity by means of an endoscope inserted through natural orifices or small incisions. In this way, we obtain more accurate and reliable information than using other external exploratory techniques.

Gynaecological endoscopy as we know it is nowadays is possible thanks to important technical advances, along with the sophistication and the miniaturization of the equipment used. Modern anaesthetic medicine has also played an important part in 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.

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Diagnostic hysteroscopy is an incision-free procedure that helps visualise the interior of the uterine cavity or uterus. In order to do this, a hysteroscope, (a kind of miniscule telescope of only 4 millimetres in diametre) is inserted via the neck of the uterus.

It is not necessary to make an incision as a natural orifice, the neck of the uterus, is used. Normally it is carried out without anaesthetic; Occasionally local anaesthetic is used. This ambulatory procedure lasts between 20 and 30 minutes.

Operative hysteroscopy
When an endometrial polyp has to be removed, the operative hysteroscopy allows for its extraction by means of a technically simple intervention which is often carried out under local or regional anaesthetic.

This procedure requires the use of a surgical hysteroscope which allows for the introduction of the instruments necessary to carry out the intervention and resolve this and other endometrial or uterine problems (myomas).

Laparoscopy is a minimally invasive surgical technique which allows access to the abdominal cavity through a small incision without the belly without the need for a major operation.

This procedure is carried out under anaesthetic sedation, the recovery is fast and the patient can leave the clinic in 2 or 3 hours. It allows for the visualisation of the interior genital organs such as the uterus, the ovaries and the Fallopian tubes so that a diagnosis can be made when the patient has chronic pelvic pains, in cases of infertility, etc.

Vaginoplasty is a procedure to construct or repair a vagina. It treats various medical issues, including vaginal injury due to childbirth and pelvic floor disease complications. It’s also for creating a transgender vagina, which helps individuals achieve their preferred gender identity.

Who needs Laparoscopic Hysterectomy?

  • Fibroids.
  • Adenomyosis.
  • Abnormal uterine bleeding
  • Diagnostic laparoscopy
  • Laparoscopic removal of endometriosis
  • Laparoscopic Ovarian Cystectomy for Ovarian Cyst.
  • Laparoscopic removal of adhesions (scar tissue)
  • Laparoscopic removal of a tube and ovary
  • Laparoscopic uterine suspension
  • Hysteroscopic surgery (removal of polyps or fibroids from the inside of the uterus)
  • Endometrial ablation (for heavy periods)