TREATMENTS OFFERED AT THE CLÍNICA
Our department offers cutting-edge, multidisciplinary individualised treatment, tailored to each patient’s needs.
Our patients benefit from a treatment plan in which gynaecologists and other specialists related to the disease work as a team in a rapid and coordinated manner.
Thanks to the organisation of the Clínica, we offer the advantages of rapid diagnosis and treatment. Typically, patients can start their medical, surgical or radiation treatment is just a few days.
With vaginal hysterectomy, the uterus is extracted through the vagina.
With this surgery, there is no incision in the abdomen due to the fact that the incision is within the vagina, and the healing time is shorter than for abdominal surgery. The recovery can also be less painful.
Vaginal hysterectomy causes fewer complications than other types of hysterectomy and is a very safe method for extracting the uterus. Additionally, hospital stays are shorter, and the ability to restart normal activities is achieved faster than with abdominal hysterectomy.
In most cases, benign and malignant tumours and uterine prolapses are operated on through the vaginal route.
Vaginal hysterectomy cannot always be performed. For example, women with adhesions from previous surgery or with a very large uterus might not be candidates for this type of surgery.
Increasingly, vaginal hysterectomy is conducted using laparoscopic guidance. This procedure performs a vaginal hysterectomy with the help of a laparoscope. For example, ovaries and fallopian tubes are extracted using a laparoscope. The uterus is then detached and extracted along with the remaining organs through the vagina.
The laparoscopic route is usually performed to remove lymph nodes in cases of cancer in the body or neck of the uterus.
More than 70% of gynaecological procedures can be performed by laparoscopy.
Laparoscopy enables the examination of the abdominal cavity and its contents, through an orifice and using an optical system coupled to a cold light source.
The procedure is performed through small orifices in the abdominal cavity. A minimal incision in a longitudinal fold of the navel enables the insertion of a microcamera-equipped endoscope, which provides a panoramic view of the pelvis and internal genitals on a monitor.
One or several punctures are also required over the pubic area to insert the surgical tools (clips, cauteries, microscissors, lasers, etc.).
Thus, one hand holds the optical equipment with the built-in video camera, and the other handles the instruments that enable the surgeon to perform the surgery.
The advantages of video-laparoscopy over conventional gynaecological surgery include the following: shorter hospitalisation, convalescence and recovery times; lower possibility of postoperative adhesions and infections; invisible scars and reduced postoperative pain; dissection and lysis of pelvic adhesions; endometrium implants; treatment for ovarian cysts; reconstructive surgery of fallopian tubes; treatment for subserosal uterine fibroids; treatment for ectopic pregnancies; adnexectomy, oophorectomy and salpingectomy; treatment for pelvic inflammatory disease; hysterectomy; lymphadenectomy; and treatment for urine incontinence and other pelvic floor dysfunctions.
Video-laparoscopy is performed with general anaesthesia and has a significantly lower rate of complications than conventional gynaecological surgery.
During the course of any endoscopic surgery, the real diagnostic picture can differ from that derived clinically or by other examinations. Other organs might be involved, which can hinder the technique using this pathway. It might be necessary in these cases to perform an abdominal incision to benefit the patient. This can occur in approximately 5% of all laparoscopic surgeries.
Reversing tubal ligation is the most successful option for returning fertility.
Between 10% and 15% of women who have undergone tubal ligation subsequently express the desire to reverse their sterilisation in order to have children. Tubal ligation is the most successful option.
The microsurgical technique used for reversing tubal ligation offers an average success rate for pregnancy of 55%, a rate that can exceed 70% in women younger than 35.
One of the most important selection criteria for conducting the reversal operation is the patient’s age. For women older than 40, the success rates for conceiving are much lower.