Laparoscopic procedures

Diagnosis, treatment and prevention / Gynecology

What are gynecological laparoscopic procedures

Laparoscopy is used in gynecology to make a diagnosis in the abdominal cavity, to improve the findings related to internal reproductive organs or to remove an affected organ. In specific terms, it is used for surgical procedures concerning an ovary or Fallopian tubes: Fallopian tube patency test, removal of a cyst or an ovary (in part or whole). The advantage of laparoscopic procedures over open surgeries using an abdominal incision is, in particular, a better overview of abdominal organs which provides for a better disease diagnosis.

Who should undergo the surgery

Laparoscopic procedures are indicated for diseases of internal pelvic organs, chronic pelvic pain, problems getting pregnant or carrying a baby to term or for unclear findings in the small pelvis. The findings that require surgical treatment comprise ovarian cysts, endometriosis, inflammatory changes on Fallopian tubes or extrauterine pregnancy. Pain in the small pelvis may be caused by adhesions following previous inflammatory diseases or surgical procedures.

Before the procedure

A laparoscopic procedure is always preceded by a comprehensive gynecological examination used as a basis for indicating the procedure. The gynecologist will explain the procedure and anesthesia to you and inform you about any risks related to the surgery. You may ask any questions, in particular, questions related to the procedure, your expectations and concerns, during the discussion.

When making a binding appointment, you will be provided with an information sheet on how to prepare for the surgery, including information on eating, drinking, smoking and taking or discontinuing some medicines. Complying with all the recommendations is necessary for the laparoscopic procedure to run smoothly and for event-free healing.

What does the treatment involve

The procedure is done in an OR under general anesthesia. The surgeon enters the abdominal cavity through a small incision in the navel used to introduce an optical device, as well as other small incision (1 cm) to introduce other surgical instruments. The surgeon monitors the procedure on a screen used to enlarge the image. This way, he/she can work with greater precision and spare the tissues unnecessary stress. Since skin incisions are very small, the client has significantly less pain after the procedure. Therefore, it is possible to initiate early rehabilitation and reduce the duration of sick leave. At the same time, the risk of post-operative complications is significantly reduced. Last but not least, the cosmetic effect of such procedures is also important.

For laparoscopic procedures, there is a possibility that an open surgery will be necessary after the evaluation of abdominal findings, if the patient is informed about it in advance. In some cases, the final finding in the abdominal cavity and its character can only be established by means of laparoscopy which can´t be used to deal with some findings or possible complications.

After the surgery

After a gynecological laparoscopic procedure, the patient is transferred to a recovery bed where she is monitored until fully stable. After laparoscopic surgeries, there is usually a small amount of gas remaining in the abdominal cavity which may cause pain in the shoulders and a feeling of flatulence. The overall time of hospitalization depends on the client´s health, concomitant diseases and surgical risks. The client is discharged to home care 3-4 days after surgery. The expected recovery period comprises 2-3 weeks.

I am interested in
Length of procedure: 30 - 60 minutes
Length of hospitalisation: 1 day
Price: 22.400 - 35.400 CZK
Example of price estimate

The price of gynecological laparoscopy depends on the scope of the procedure and the time spent in the clinic. The price comprises:

  • Full pre-operative assessment
  • General anesthesia - 1 hour
  • A package of post-op care
  • Post-op physiotherapy
  • The procedure proper
  • Post-op hospitalization for 1 day

The price of the procedures:

Separate prices of surgery without additional items:

Diagnostic laparoscopy 10.000 CZK
Cystectomy - removal of an ovarian cyst and a fallopian tube - unilateral 15.000 CZK
Adnexectomy - removal of an ovary and a fallopian tube - unilateral 17.000 CZK
Adnexectomy - removal of an ovary and a fallopian tube - bilateral 23.000 CZK
Sterilization - removal of the fallopian tubes 19.000 CZK
Adhesiolysis - dividing or breaking down adhesions in the small pelvis 22.000 CZK
Hydropertubation - removal of the fallopian tubes 18.000 CZK

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Preventive gynecology

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