Operation gynecology

Our centre offers a wide range of gynaecological services to effectively treat and prevent diseases of the female reproductive system. Our experienced surgical team performs most of the procedures using endoscopic techniques which allow to reduce pain and shorten the recovery time.

Hysteroscopic procedures

Diagnostic hysteroscopy under local anaesthesia

Diagnostic hysteroscopy under local anaesthesia allows the examination of the cervical region and evaluation of the shape of the uterine cavity and the condition of the uterine mucosa. The examination allows to identify any abnormalities such as polyps or fibroids. Very often diagnostic hysteroscopy becomes surgical hysteroscopy, because the alarming lesion detected during the diagnostic procedure can usually be immediately removed and sent for histopathological examination. The type of anaesthesia to be used is determined by the doctor who qualifies the patient for the procedure. After diagnostic hysteroscopy performed under local anaesthesia, the patient rests in the aftercare room for a while and then returns home on the same day.

 

Diagnostic hysteroscopy under general anaesthesia

Diagnostic hysteroscopy under general anaesthesia allows the examination of the cervical region and evaluation of the shape of the uterine cavity and the condition of the uterine mucosa. The examination allows to identify any abnormalities such as polyps or fibroids. Very often diagnostic hysteroscopy becomes surgical hysteroscopy, because the alarming lesion detected during the diagnostic procedure can usually be immediately removed and sent for histopathological examination. The type of anaesthesia to be used is determined by the doctor who qualifies the patient for the procedure. If the surgery is to be performed under general anaesthesia the patient should fast prior to the procedure. After diagnostic hysteroscopy performed under general anaesthesia, the patient rests for a while in the aftercare room under the supervision of a physician and is then released home.

 

Operative hysteroscopy under general anaesthesia, removal of uterine lesions 

Operative hysteroscopy performed under general anaesthesia allows to remove uterine lesions, including polyps, fibroids, uterine septum or adhesions. Operative hysteroscopy is usually performed following diagnostic hysteroscopy during which some abnormalities were detected. The procedure is performed using a larger hysteroscope than the one used for diagnostics. If the surgery is to be performed under general anaesthesia the patient should fast prior to the procedure.

Laparoscopic surgical procedures

Laparoscopy is a modern and minimally invasive endoscopic method used in gynaecology to diagnose and perform procedures inside the abdominal cavity and pelvis of a woman. During the procedure a camera and surgical instruments are inserted through 1-2 cm incisions in the skin into the abdomen filled with gas (CO2), which allows the doctor to accurately assess the condition of organs and perform the necessary treatment.

 

In Klinika Galena we have a full set of innovative laparoscopic instruments. All procedures are performed under general anaesthesia administered by a critical care anaesthesiologist. The surgery is performed in a professionally equipped operating room, which ensures maximum comfort for the patient and enables reliable and safe performance of the procedure. We use endoscopic equipment of Karl Storz – a leading German manufacturer, and optics of the Japanese Olympus company. In addition, we use a laser, which, after connecting it to the video track, can be used for the operations performed inside the abdominal cavity which require maximum precision. We also use a modern ultrasound scanner manufactured by GE.

 

Our operating team consists of specialists in gynaecology and obstetrics, gynaecological oncology, as well as general and oncological surgery. The team also includes an anaesthesiologist, nurse anaesthetist, scrub nurse and departmental nurses. All members of our team have extensive experience and patient safety is their top priority. We participate in courses, congresses and residency trainings in order to constantly improve our qualifications and implement the most innovative surgery techniques. We maintain professional relations with the best operating gynaecology centres in Poland and abroad.

 

wnętrze Kliniki Galena

 

Laparoscopy in gynaecology – diagnostic and therapeutic role

Laparoscopy is used to diagnose and treat the causes of pain, to verify suspicious ultrasound images of the ovary or uterus. It can also be used to perform all classic gynaecological surgeries, such as:

  • removal of a part of or entire ovary, extirpation of the ovarian tumour
  • fallopian tube removal
  • removal of the body of the uterus or the entire uterus, extirpation of a uterine fibroid
  • removal of the foci of endometriosis
  • removal of adhesions
  • repair of the female genital prolapse

The tissues collected during the procedure are always sent for histopathological examination.

 

Laparoscopy in infertility treatment

Laparoscopy is also used for assessing the structure of the uterus (assessment of congenital uterine defects) or fallopian tubes which is extremely helpful in establishing the causes of recurrent miscarriages, infertility or certain complications during pregnancy. It may also help us perform an accurate visual evaluation of tubal patency and also remove any irregularities, such as adhesions.

 

Laparoscopy in the treatment of endometriosis

Thanks to laparoscopy many patients can avoid extensive classical surgery, commonly performed in the treatment of endometriosis and requiring relatively long recovery. Modern laparoscopic optics allows the doctor to have a magnified view of the organs of the abdominal cavity and pelvis and precisely remove the foci of endometriosis. Electrical coagulation or laser vaporization increase precision of the surgery even further. In addition, the risk of formation of new adhesions after laparoscopy is significantly lower than in the case of classical surgery.

 

Cost of laparoscopy

In Klinika Galena we perform a wide range of laparoscopic surgeries. The final cost of the procedure depends on the scope, duration and tools used during the surgery. Therefore the approximate cost of the operation is estimated for every patient individually, during the consultation. The minimum cost of laparoscopy is PLN 3,500.

 

Preparation for the procedure

After obtaining a referral from your gynaecologist contact our reception staff by phone or in person to obtain the information about how to prepare for the procedure and to set a convenient date of admission. Before admission to our hospital you need to get necessary tests and examinations (it will be determined during your registration for the procedure).

 

Conversion to laparotomy

Before every surgery we try to obtain as much information as possible about the problem with which the patient reports to us. Based on history taking, physical examination, additional imaging tests and our experience, we are able to visualise the probable stages of the surgery during the patient’s qualification for the procedure. However, the final assessment of the problem is possible not earlier than at the time of the actual procedure, when we have a full insight into the abdominal cavity and pelvis. In some rare cases it may turn out that certain anatomical conditions do not allow the laparoscopic surgery to continue and it may be necessary to make a decision on conversion to laparotomy, i.e. a classic abdominal section. The safety of our patients is always our top priority.

 

What does a discharge from hospital look like?

On the day of the procedure anaesthesiological and gynaecological consultations are held. After the surgery our patients stay in comfortable rooms under constant supervision of a nurse and doctor. In the case of a non-complicated postoperataive course, the patient can be discharged on the following day. The patient receives a detailed discharge summary with the surgery protocol and a direct phone number of the doctor who performed the procedure. If any material has been collected for histopathological examination, the results will be available for collection within 2 weeks from the procedure. All histopathological examination results issued to our patients are verified by a gynaecologist or gynaecological oncologist.

Abdominal surgery (laparotomy)

Klinika Galena offers a wide range of abdominal surgeries, including: 

  •  hysterectomy – removal of the uterus,
  •  Salpingectomy, ovariectomy (removal of the lesions of appendages, ovaries or fallopian tubes)
  •  Removal of ovarian lesions (cysts, benign tumours)
  •  Myomectomy – removal of uterine fibroids
  •  Correction of genital prolapse (fixation of the uterus)

 

Abdominal surgery (laparotomy) is a classic procedure that involves opening the abdominal cavity by incising all abdominal walls. Depending on the scope of the procedure, the abdominal cavity can be opened by means of a longitudinal or transverse incision. In the case of gynaecological procedures, a transverse (suprapubic) incision is usually made.

Minor vaginal surgeries

Taking specimen from the vagina

Any alarming changes which appear in this area are an indication for taking specimen from the vagina for examination. After consultation with a doctor the patient is qualified for the procedure. The procedure of taking specimen is performed under local anaesthesia. The site from which the specimen has been taken may need to be secured with a suture which will dissolve after specified period of time. It is important for any vaginal inflammation to be treated before the procedure and for the procedure to be performed in the first stage of the menstrual cycle of a regularly menstruating woman. Taking a vaginal specimen is an outpatient procedure.

 

Vaginal septoplasty

The procedure of resecting the vaginal septum is performed when the septum completely obstructs the vaginal lumen or makes it too narrow. Defects of the vagina may make sexual intercourse difficult or even impossible. Vaginal septoplasty is also necessary if the septum blocks the outflow of menstrual blood. Another indication for the procedure is the assumption that longitudinal vaginal septum might cause complications during vaginal delivery. The procedure should be preceded with consultation with a specialist and with appropriate tests. Resection of vaginal septum is an outpatient procedure.

 

Cervical canal curettage

Curettage of the cervical canal is performed mainly for diagnostic purposes, when the patient reports abnormal bleeding, in the case of suspicion of pathological endometrial changes or infertility. During the procedure, a specimen of the mucous membrane of the cervical canal is collected and then sent for histopathological examination. Cervical canal curettage is performed under general anaesthesia. It is therefore necessary to consult a specialist and take appropriate tests. During the consultation, the patient will be informed about how to prepare for the procedure and about the recommendations to be followed during recovery.

 

Cervical and uterine curettage (diagnostic and therapeutic)

Curettage of the uterine cavity is performed mainly for diagnostic purposes, when the patient reports abnormal bleeding, in the case of suspicion of pathological endometrial changes or infertility. During the procedure a specimen of the mucous membrane of the uterus is collected and then sent for histopathological examination. When used for therapeutic purposes the procedure is performed to clean the uterus from the remains of tissue after miscarriage, childbirth, removal of dead foetus, after abortion or in the case of haemorrhages of unclear aetiology. Both the diagnostic and the therapeutic curettage procedure is performed under general anaesthesia. It is therefore necessary to consult a specialist and take appropriate tests. During the consultation, the patient will be informed about how to prepare for the procedure and about the recommendations to be followed during recovery.

 

Removal of cervical polyps

The procedure of cervical polyp removal should be preceded with consultation with a specialist and with appropriate tests. Symptoms of polyps include intermenstrual bleeding, bleeding after sexual intercourse, bleeding after menopause, problems with getting pregnant, pain in the underbelly during intercourse, recurrent infections and inflammation of intimate areas, increased mucus production. The recovery from cervical polyp removal takes approximately 4 weeks.

 

Plastic surgery of the clitorial hood

Plastic surgery of the clitorial hood consists in removing excess skin fold over the clitoris. The procedure is dedicated to the women who want to improve the appearance of their clitoris or who feel discomfort while wearing tight clothing, underwear or swimsuit. Another indication for the procedure is the inability to achieve clitoral orgasm, difficulties in achieving pleasure by stimulating the clitoris, mental discomfort and lack of self-confidence caused by the beauty defect. Plastic surgery of the clitorial hood has a positive influence on the appearance of women’s intimate areas and it results in increased sexual attractiveness, self-confidence and more intense pleasure during intercourse. The procedure should be preceded with consultation with a specialist, who will explain the whole procedure in detail and will issue recommendations for the recovery period.

 

Vulval biopsy

Indications for vulval biopsy include any alarming changes which occur in that area, wounds that will not heal and suspicion of neoplastic lesions. After consultation with a doctor the patient is qualified for the procedure. The procedure of taking specimen is performed under local anaesthesia. Usually the procedure performed in the vulvar area does not require stitches, but if necessary, special stitches are used, which dissolve after a certain period of time. The vulval biopsy an outpatient procedure, so that after a short rest the patient can return home.

 

Hymenotomy – opening of the hymen

The purpose of hymenotomy is to remove the hymen. If the hymen partially or completely obstructs the vagina, the patient may experience a number of distressing symptoms. A malformed hymen may prevent passage of the menstrual blood which results in lack of menstruation and accumulation of blood in the uterine cavity, which in turn causes clots, pain and pressure on the bladder. If hymenal openings are very small, the patient may experience pain during sexual intercourse which makes normal sexual activity impossible. The procedure should be preceded with consultation with a specialist and appropriate tests.

 

LEEP – loop electrosurgical excision procedure to remove abnormal tissue from the cervix

The loop electrosurgical excision procedure (LEEP) consists in removing the abnormal tissue from the vaginal portion of the cervix. Before the procedure a thorough diagnosis of the cervical canal is necessary. The doctor needs to precisely determine the location and size of the lesion to be removed. The procedure is performed mainly in young women who have not given birth yet or want to have more children. LEEP is a conservative procedure which minimises interference with anatomical structure of the cervix and does not have any adverse effect on the ability to get pregnant or to have a vaginal childbirth.

 

Intrauterine device insertion/removal under general anaesthesia

Klinika Galena offers insertion or removal of an intrauterine device under general anaesthesia. An intrauterine device is an effective and long-lasting method of contraception and it is also used as a form of hormonal therapy in the case of excessive uterine bleeding. The procedure needs to be preceded with medical consultation and necessary tests. On the date of the procedure the patient should be fasted. The intrauterine device is placed inside the uterine cavity by means of a special inserter, and after that the doctor performs an ultrasound scan to check correct positioning of the device. After short general anaesthesia the patient rests in the aftercare room for a while and returns home on the same day.

Medium vaginal surgeries

Conization of the cervix

Conization of the cervix is a procedure which allows the removal of abnormal, cancerous tissues. Indications for the procedure include abnormal result of cytological examination, abnormal result of histopathological examination of the previously taken specimen, dysplasia of squamous epithelium. During cervical conization a sample of tissue is excised from the cervix so that it can be sent for further diagnosis. Cervical conization is therefore used for both diagnostic and therapeutic purposes. The procedure is performed under local or general anaesthesia. The type of anaesthesia to be induced is determined during consultation with the doctor.

 

Plastic surgery of the front or back wall of the vagina

Vaginal plastic surgery is performed in connection with abnormalities in the functioning of the structure which supports internal reproductive organs and holds them in proper position. The procedure is recommended in the case of a descent or prolapse of pelvic organs. Another indication is excessive relaxation of the tissues surrounding the vagina which causes significant deterioration of both woman and man’s satisfaction form sexual activity. In the case of a congenital absence of the vagina a plastic surgery can be performed to create a functional vagina that will allow sexual activity. The procedure needs to be preceded with medical consultation and necessary tests.

 

Plastic surgery of the crotch, narrowing of the vulval vestibule/vaginal opening

Plastic surgery of the crotch and narrowing of the vaginal opening is intended mainly for the women after vaginal childbirths. The procedure allows to remodel the intimate areas and reduce loosening of the vagina. Plastic surgery of the crotch restores woman’s sexual attractiveness, self-confidence and increases both partners’ pleasure from sex. The procedure needs to be preceded with medical consultation and necessary tests. The doctor will explain the whole procedure in detail and will issue recommendations for the recovery period.

 

Hymen reconstruction surgery

From a medical point of view the hymen does not play any significant role in a woman’s body. However, it has great symbolic, religious, cultural and social significance. In many cultures the hymen is a synonym of innocence, purity, and sometimes it is even a required proof of virginity before marriage. The hymen reconstruction surgery consists in creating rugae, tightening the mucosa and stitching its fragments together. The purpose of the entire procedure is to create a noticeable resistance during the first sexual intercourse with a partner as well as delicate bleeding. During consultation the doctor will explain the whole procedure in detail and will issue recommendations for the recovery period.

Major vaginal surgeries

Plastic surgery of the (front and back) walls of the vagina

Vaginal plastic surgery is performed to reduce abnormalities in the functioning of the structure which supports women’s genital organs and holds them in proper position. The procedure is recommended in the case of a descent or prolapse of pelvic organs. Another indication is excessive relaxation of the tissues surrounding the vagina which causes significant deterioration of both woman and man’s satisfaction form sexual activity. In the case of a congenital absence of the vagina a plastic surgery can be performed to create a functional vagina that will allow sexual activity. The procedure needs to be preceded with medical consultation and necessary tests.

 

Sacrospinous fixation of the uterus to the sacrospinous ligament though the vagina (Richardson’s procedure), without plastic surgery

Klinika Galena offers the procedure of attaching the uterus to the sacrospinous ligament though the vagina. The procedure is indicated in the case of a diagnosed descent of the small pelvis organs. Descent of a reproductive organ is defined as a change in the position of the uterus and vagina with or without lowering of the lower urinary tract, intestine and rectum. Richardson’s technique is a laparoscopic method recommended especially for young women who plan to become pregnant. The procedure needs to be preceded with medical consultation and necessary tests. The doctor will explain the whole procedure in detail and will issue recommendations for the recovery period.

 

Sacrospinous ligament fixation to correct prolapse of the vagina (Richter’s procedure, SSLF) without plastic surgery

Klinika Galena offers the procedure of attaching the uterus to the sacrospinous ligament. The procedure is indicated in the case of a diagnosed descent of the small pelvis organs. Descent of a reproductive organ is defined as a change in the position of the uterus and vagina with or without lowering of the lower urinary tract, intestine and rectum. Richter’s procedure is performed in case of a descent of the top of the vagina, cervix and uterus. The procedure needs to be preceded with medical consultation and necessary tests. The doctor will explain the whole procedure in detail and will issue recommendations for the recovery period.

 

Vaginal hysterectomy (removal of the uterus through the vagina)

Klinika Galena offers the procedure of removing the uterus through the vagina. Indications for the procedure include uterine fibroids, abnormal uterine bleeding, early stage of cervical cancer in postmenopausal women, early stage of endometrial cancer. The material obtained during the procedure is sent for histopathological examination. The procedure needs to be preceded with medical consultation and necessary tests. The doctor will explain the whole procedure in detail and will issue recommendations for the recovery period.

Pricing

Hysteroscopic procedures

Diagnostic hysteroscopy under local anaesthesia – 1,500 pln
Diagnostic hysteroscopy under general anaesthesia – 2,000 pln
Operative hysteroscopy under general anaesthesia, removal of uterine lesion – from 2,500 pln to 3,500 pln

Laparoscopic surgical procedures

Diagnostic laparoscopy in infertility diagnosis – from  3,500 pln to 4,500pln
Diagnostic laparoscopy with removal (if necessary) of a single, minor lesion of the ovary or fallopian tube or removal of an adhesion – 4,500 pln
Operative laparoscop – from 5,000 pln to 7,500pln
Plastic surgery of the fallopian tubes, restoration of patency after the Laparoscopic Tubal Ligation Reversal procedure – 8,000 pln

Abdominal surgery – laparotomy

from 6000 pln to 8000 pln

Minor vaginal surgeries

Vaginal biopsies – 1,000 pln to 2,500 pln
Vaginal septoplasty – 1,000 pln to 2,500 pln
Cervical canal curettage – 1,000 pln to 2,500 pln
Cervical and uterine curettage (diagnostic and therapeutic) – 1,000 pln to 2,500 pln
Intrauterine device insertion/removal under general anaesthesia – 1,000 pln to 2,500 pln
Hymenotomy – opening of the hymen – 1,000 pln to 2,500 pln
Plastic surgery of the clitorial hood – 1,000 pln to 2,500 pln
Removal of cervical polyps – 1,000 pln to 2,500 pln
Vulva biopsy – 1,000 pln to 2,500 pln
LEEP – loop electrosurgical excision procedure to remove abnormal tissue from the cervix – 1,000 pln to 2,500 pln

Medium vaginal surgeries

Conisation of the cervix – 2,000 pln to 4,000 pln
Plastic surgery of the front or back wall of the vagin – from 2,000 pln to 4,000 pln
Plastic surgery of the crotch, narrowing of the vulval vestibule/vaginal opening – from 2,000 pln to 4,000 pln
Hymen reconstruction surgery – from 2,000 pln to 4,000 pln

Major vaginal surgeries

Plastic surgery of the (front and back) walls of the vagina – 4,000 pln to 6,500 pln
Sacrospinous fixation of the uterus to the sacrospinous ligament though the vagina (Richardson’s procedure), without plastic surgery – from 4,000 pln to 6,500 pln
Sacrospinous ligament fixation to correct prolapse of the vagina (Richter’s procedure, SSLF) without plastic surgery – 4,000 pln to 6,500 pln
Vaginal hysterectomy (removal of the uterus through the vagina) – 4,000 pln to 6,500 pln

Contact us

+48 33 816 11 00

Ask for consultation

+48 33 816 11 00
+48 33 816 04 43
rejestracja@klinikagalena.pl

 

Opening hours

Monday: 8:00 a.m. – 7:00 p.m.
Tuesday: 8:00 a.m. – 7:00 p.m.
Wednesday: 8:00 a.m. – 7:00 p.m.
Thursday: 8:00 a.m. – 7:00 p.m.
Friday: 8:00 a.m. – 7:00 p.m.
Saturday: closed
Sunday: closed




    +48 33 816 11 00
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