Gynecology № 1

The main area of activity of the gynecology department:

1. 1. Endovideosurgery (Gynecologic laparoscopy). This is a modern minimally invasive method of surgical treatment, when punctures up to 10-12 mm are made, into which the surgeon's instruments as well as the optics connected to the video camera are inserted allowing to see everything on the screen instead of a large skin incision.

2. 2. Vaginal surgery. Surgical intervention is performed from the vagina; there are no incisions or punctures on the abdomen. 

Surgical interventions that are carried out by this method: 

• in case of the Uterine or vaginal walls prolapse (native tissue repair or mesh-based surgery);     both organ-preserving and radical (with uterus removal if medically required),

• correction of stress urinary incontinence (using synthetic tape),

• surgical treatment of genitourinary fistulas, as well as removal of external genitalia tumors: vaginal cysts, cysts of Bartholin glands, labioplasty, etc.

In addition, in some cases, if the patient does not suffer from pelvic organs descent but has some kind of uterine pathology requiring its removal, it is also possible to use vaginal route.

1. 3. Surgical treatment using traditional method (laparotomy). In case of impossible using of the minimally invasive techniques which are mentioned above, surgical treatment is performed using the traditional method (laparotomy). Mini-laparotomy (when a small horizontal incision is made above the womb and wound is closed with a cosmetic suture) is preferrable (if possible).

2. 4. Minor surgical interventions for treatment of gynecological diseases. Moreover, in our clinic, gynecologists perform minor surgical interventions both outpatient and inpatient (if case is suspected increased surgical complexity or the patient has a severe comorbidity):

• Hysteroscopy: examination of the cervical canal and uterine cavity in order to diagnose uterine endometriosis, endometrial pathology, suppression of uterine bleeding, removal of intrauterine contraceptives (if it is not possible to remove them outpatient).

• Hystero-resectoscopy: similar technique that allows, in addition to examination, to remove various tumors (polyps of the cervix and endometrium, submucous myomas, synechia (intrauterine adhesions), uterine septum) under visual control with special tools.

1. 5. The ginecological surgery department performs surgical correction of congenital anomalies of the reproductive tract. In order to determine the need for the surgery, its volume and route, a preliminary consultation with a gynecologist is required.