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Gynecologic laparoscopy is a procedure in which a surgeon uses a laparoscope (a long, thin tube with a high-resolution camera and a high-intensity light at its end) to see inside your lower abdomen. The camera on the laparoscope sends images to a video monitor. This means that the surgeon will be able to see your ovaries, fallopian tube, and uterus (womb) in real-time, without open surgery. They will also be able to see other parts of the body, such as the bowel and bladder.
Gynecologic laparoscopy can be used to determine what’s causing your symptoms, as well as treating various conditions. It can be done to:
Diagnose and treat endometriosis (endometrial tissue ablation)
Diagnose and remove an ovarian cyst
Diagnose pelvic abscess or pus
Diagnose pelvic inflammatory disease
Diagnose and treat fibroids
Diagnose and treat an ectopic pregnancy (a condition in which a fertilized egg starts to develop outside of your womb)
Remove scar tissue (scars can develop after infections, such as pelvic inflammatory disease or endometriosis)
Perform tubal ligation or sterilization (cutting or closing your fallopian tubes to permanently prevent pregnancy)
Remove your ovaries (oophorectomy) or womb (hysterectomy)
Diagnose cancer or investigate whether cancer has spread.
During a gynecologic laparoscopy, the surgeon may take a small sample of tissue (biopsy). This sample can be sent to a laboratory for testing to see whether the cells in the sample are cancerous or not cancerous.
Gynecologic laparoscopy is usually performed under general anesthesia. Once your surgeon gives you the anesthetic, a small tube called a catheter will be used to collect your urine. Then, your surgeon will use a small needle to fill your abdomen with carbon dioxide gas. The gas is needed to reduce the risk of injury by keeping your abdominal wall away from your organs.
A small cut in your abdomen near the belly button will be made to insert the laparoscope, which conveys images to a monitor screen. The images give your surgeon a clear, real-time view of your organs. What happens after depends on why gynecologic laparoscopy is performed.
For diagnosis purposes, your surgeon might take a look and try to find any abnormality.
For treatment purposes, your surgeon will make other incisions to insert tiny surgical instruments. Then, the treatment is performed using the laparoscope as a guide.
When the procedure is over, your surgeon will remove all instruments and close the incisions with stitches.
If you are having a gynecologic laparoscopy to diagnose a condition, you should be able to leave the hospital on the same day. If you have the procedure to treat a condition, you may need to stay in the hospital overnight. In general, it is recommended that you stay in Heidelberg for 5 to 7 days following your gynecologic laparoscopy as you need to let your body recover first and attend follow-up checkups.
Recovery time for gynecologic laparoscopy varies, depending on what procedure was performed. You may need to rest for a week. After diagnostic gynecologic laparoscopy, you may be able to resume all normal activities in one or two weeks. However, if the procedure is done to treat a condition, it may take 4 weeks or more until you can return to normal activities.
Your medical team will give you instructions on how to care for yourself at home before you are discharged from the hospital. In general, you need to keep the following instructions in mind:
Your doctor may prescribe pain medication to ease your discomfort or antibiotics to prevent an infection. Make sure to take the medications as prescribed.
Rest and get enough sleep to help you recover. However, try to walk every day to boost blood flow.
Drink plenty of fluids.
If your doctor allows you, you may shower within one or two days following the surgery. However, don’t take a bath until your doctor says it’s okay.
Always attend the scheduled follow-up checkups.
Gynecologic laparoscopy is a safe procedure. It is a highly successful procedure that allows your surgeon to easily diagnose any problems and treat various conditions without having to open your lower abdomen. However, there are still some side effects and risks you need to be aware of. These include bleeding from your vagina, pain in your abdomen, nausea, tiredness, and shoulder pain, development of a blood clot, infection, and damage to other organs.
For diagnostic purposes, you can consider an ultrasound scan or MRI scan instead of a gynecology laparoscopy. Both of these procedures are non-invasive. For treatment purposes, laparotomy or open surgery can be an alternative. This involves making a large cut in your abdomen. It is usually used for bigger operations, such as a hysterectomy.
Before gynecologic laparoscopy, you may experience unexplained pelvic pain or unexplained infertility, or you may have a condition in your reproductive system that needs to be treated. After the procedure, the cause of your symptoms or infertility will be shown and your doctor can create a treatment plan. Any condition you have before the procedure will be treated.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers. This content was last updated on 02/09/2020.