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GYNECOLOGY
 
 
Vaginoplasty
Procedure description: Plastic surgery of external genitals and vagina with a scalpel. Skin and mucosae are sutured with absorbable material. The procedure is done to reconstruct the pelvic floor anatomy. It is a curative procedure, done under general or local anaesthesia according to the scale of the procedure and the patient’s wish.
 
Examination under anaesthesia
Procedure description: Used when gynaecological examination is impossible, complicated or excessively painful. After the patient is anaesthesied, the gynaecological examination is performed with the possibility to collect material for cultural examination or cytodiagnostics.
 
Interruption of pregnancy – miniinterruption
Procedure description: Interruption of pregnancy by an invasive method, when we get into the uterine cavity through the vagina and cervix and from there we pump out its contents – undesirable pregnancy – by means of vacuum extractor making negative pressure. It is necessary to enlarge the cervix by means of special instruments, depending on the size of pregnancy. Remaining parts of pregnancy are removed from the uterus with a sharp spoon - curette.
 
Hysteroscopy
Procedure description: Optical examination of the cervical canal and uterine cavity with an eventual removal of damaged or suspicious structure from the cervical canal or uterine cavity. Access to the cervix is through vagina. The procedure is done for the purpose of histological examination of the damaged part. At the same time it is a curative procedure – removal of the ill part. The procedure is performed under general intravenous or inhalation anaesthesia.
 
Cervical conization
Procedure description: Excision of an abnormal part of the cervix with a scalpel or electrical loop. After the procedure, the cervix is plastically treated with absorbable sutures, if necessary. Access to the cervix is through vagina. The procedure is done with the purpose of histological examination of the abnormal part of the cervix. A part of the surgical procedure is usually fractional curettage, i.e. collection of sample of cervical canal mucosa and uterine cavity mucosa for histological examination. At the same time, it is a treatment procedure – excision of the abnormal part of the cervix. The procedure is performed under general intravenous anaesthesia, or inhalation anaesthesia.
 
Missed Abortion – surgical revision of uterine cavity
Procedure description: Removal of a dead fetus from the uterus in an invasive – surgical way. We get into the uterine cavity through the vagina and cervix. From there, using negative pressure, or sharp spoon – curette, we remove the content of the uterine cavity. It is necessary to enlarge the cervix by means of special instruments, depending on the size of pregnancy. At the same time, it is a treatment procedure – removal of the abnormal part of cervix. The procedure is performed under general intravenous anaesthesia, or inhalation anaesthesia.
 
Surgery of Bartholin’s gland cyst
Procedure description: Removal, or discharge of the cyst originating from the so-called Bartholin’s gland lying on the external genitals next to the entrance to the vagina with a scalpel. After bleeding has been stopped, the wound is sutured by an absorbable suture. The procedure is performed with the purpose of treatment, eventually for the purpose of histological examination. It is done under general anaesthesia, or local anaesthesia according to the scope of the procedure and the patient’s wish.
 
Excision from the cervix and fractional curettage
Procedure description: Collection of a sample from the abnormal part of the cervix with a scalpel. After the procedure, the cervix is plastically modified by means of absorbable sutures, if necessary. Access to the cervix is through the vagina. The procedure is done with the purpose of histological examination of the damaged part of the cervix. Normally, a fractional curettage, i.e. collection of the sample of cervical canal mucosa and uterine cavity mucosa for histological examination forms a part of the surgical procedure. It is a diagnostic procedure. It is a removal of an abnormal part of the cervix as well. The procedure is performed under general intravenous anaesthesia, or inhalation anaesthesia. Simultaneously, cervix and uterine cavity mucosa is removed.
 
Vulval excision
Procedure description: Removal of an abnormal part of external genitals with a scalpel. After collection of a sample, the skin is sutured by an absorbable suture. The procedure is done with the purpose of histological examination of the damaged part. It is also a treatment procedure. It is done under general anaesthesia, or under local anaesthesia according to the scope of the procedure and the patient’s wish.
 
Urinary incontinence solution by means of a band
Procedure description: Insertion of a special band, which changes the topographic parametres of the placement of urinary tube into the original position, and provides for the continency after the operation. The band is inserted by an incision in the vaginal wall by means of a special metal guide on the internal area of walls. The vaginal incision is sutured by absorbable material, so there is no need to remove the sutures.
 
 
 
 
 
   
 

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