Welcome to Gynmeda Clinic - Your Gynaecological Endoscopy Centre


Contact us:
Karolina Skaroupkova

+420 734 421 680
email: info@gynmeda.com

Call us from Monday till Friday
8 AM TO 3 PM (UTC+1)

Languages: Czech, English, Spanish, Portuguese, Italian, French

HOW TO START YOUR TREATMENT WITH US?

  • 1. Contact our coordinator who will guide you through the whole process up to the surgery itself.
  • 2. Send the required documentation
  • 3. We will discuss the date and surgery details.
  • 4. You will travel to the Czech Republic for your surgery.

Contact coordinator here »

Gynaecological Laparoscopy

PRICES FROM 1500 EUR - Complete price list here »

Laparoscopy is a minimally invasive technique performed under general anaesthesia, with intubation, using a laparoscope inserted through the abdominal wall.

Available appointments for laparoscopy are usually within 4-8 weeks. Procedures are not performed during menstruation cycle, however spotting is not a problem. Optimal timing can be achieved with single-phase hormonal contraception without omission (e.g. Marvelon) or gestagen preparation (e.g. Provera tablets).

Once you are under general anaesthesia, the abdominal cavity is filled with gas (CO2). Subsequently, a laparoscope (an optical device allowing the small pelvis and abdominal cavity to be overlooked) is inserted through the abdominal wall. Laparoscopy is one of the so-called minimally invasive techniques that are preferred today. The postoperative course is significantly better tolerated after these techniques and the recovery time is also significantly shorter. The whole surgical procedure takes about 20 - 60 minutes.

You will be treated by one of the following doctors:

Laparoscopy sterilisation is always provided at our workplace Surgal Clinic. Click for photogallery here »

According to the range of performance and difficulty, we distinguish between surgical and diagnostic laparoscopy.

DIAGNOSTIC LAPAROSCOPY

Diagnostic laparoscopy is performed to simply inspect the organs of the small pelvis (uterus, ovaries, fallopian tubes). It is performed to detect findings in the abdominal cavity (adhesions, cysts, developmental defects of the uterus, chronic pain, etc.).

OPERATIONAL LAPAROSCOPY

It allows the removal of findings discovered during diagnostic laparoscopy or detected by ultrasound. If laparoscopic surgery is planned (e.g. in case of operation on the ovary, removal of the cyst, disruption of adhesions), it is necessary to make another 2-3 small skin incisions to introduce other surgical instruments into the abdominal cavity.

WHEN IS LAPAROSCOPY PERFORMED?

  • If an ovarian cyst or ovarian pathology is found
  • In the diagnosis and treatment of fibroids
  • When examining an abnormal ultrasound finding
  • For chronic lower abdominal pain
  • In case of infertility – tests of patency of the fallopian tubes
  • In ectopic pregnancy
  • When checking after procedures on the uterus
  • For laparoscopic sterilisation - i.e. permanent prevention of conception


TYPES OF LAPAROSCOPIC PROCEDURES:

  • laparoscopic adnexectomy = removal of one or both ovaries
  • laparoscopic cystectomy, cyst extirpation = removal of the cyst from the ovary (the ovary remains)
  • laparoscopic sterilization = irreversible interruption / removal of the fallopian tubes and prevention of fertility, it is not possible to conceive spontaneously after the procedure. The ovary and its hormonal function are preserved, including menstruation.
  • laparoscopic adhesionolysis = loosening, disruption of adhesions in the abdominal cavity
  • laparoscopic salpingectomy = removal of one or both fallopian tubes (eg in ectopic pregnancy)

How to plan your trip?

By plane:

  • Day 1:
    Arrival to Brno – Tuřany airport. From there you can take a taxi or a public bus number E76 that will take you straight to central Brno, to the Main Train Station in 18 minutes . You can spend your day in Brno according to your wishes, you can find HERE some tips what to do.

  • Day 2:
    In the morning, you will come to our clinic Gynmeda at Lidická Street, 63a. Here you will meet your coordinator and your doctor as well. In case you don´t bring the preoperative examinations from your country, these will be done too (please inform your coordinator beforehand and she will arrange it).

  • Day 3:
    You will meet with your coordinator at the Surgal clinic (Drobného 38-40). She will explain you everything necessary and after that, the operation under general anaesthesia will be performed. It takes usually 15-90 minutes, depeding on the nature of the procedure. You will spend the night at the clinic (included in the price).

  • Day 4:
    In the morning, your doctor will come and release you. After laparoscopic operations, expect more pain (than, for example, after hysteroscopy). Depending on your condition, it is teoretically possible to fly home this day. However, we recommend staying an extra 1-2 days at a hotel.

By car:

  • Day 1:
    In the morning, you will come to our clinic Gynmeda at Lidická Street, 63a . Here you will meet your coordinator and your doctor as well. In case you don´t bring the preoperative examinations from your country, these will be done too (please inform your coordinator beforehand and she will arrange it).

  • Day 2:
    You will meet with your coordinator at the Surgal clinic (Drobného 38-40). She will explain you everything necessary and after that, the operation under general anaesthesia will be performed. It usually takes 15-90 minutes, depeding on the nature of the procedure. You will spend the night at the clinic (included in the price).

  • Day 3:
    In the morning, your doctor will come and release you. After laparoscopic operations, expect more pain (than, for example, after hysteroscopy). We recommend staying an extra 1-2 days at a hotel.

PREPARATION BEFORE LAPAROSCOPY

Start dietary preparation for laparoscopy 2 days before surgery. Drink about 2-3 liters of fluids a day. The second day before the procedure it is suitable to consume a rather mushy diet, easily digestible. The day before the procedure, the last meal is at noon - pure broth is preferable. You can drink until midnight. Then do not eat or drink anything. Also, don't smoke. By following these guidelines, you can avoid complications during and after the procedure.

WHAT TO EXPECT AFTER LAPAROSCOPY?

Patients usually feel mild pain or pressure in the lower abdomen after the procedure, which will subside within a few days. A "popping" sensation when touched in the supraclavicular fossa is also typical. This is caused by gas that is absorbed from the abdominal cavity during the operation. Sometimes there is nausea which subsides within a few hours.

Although complications after laparoscopy are rare, you should contact your doctor in case of excessive bleeding or if you experience symptoms of infection, such as convulsions, fever, chills, and so on, after discharge. But always contact our clinic first so that we can advise you on how to deal with the situation.

INSTRUCTIONS AFTER LAPAROSCOPY

After the procedure, you will be disinfecting the surgical wounds 2 times a day and inject low molecular weight heparin (Clexane or Fraxiparine) subcutaneously (into the skin fold on the abdomen) every 24 hours for at least 5 days after surgery. Please follow a strict resting regime for the first 5 days after surgery. 7 - 10 days after the procedure, you will have a check-up and your stitches will be removed. 2 weeks after the procedure we recommend taking it easy, avoiding physical exertion (no heavy lifting, no sexual intercourse or sport activities). It is also advisable to shower only (no bathing).

Do you have more questions?

Do you have more questions? You can look at FAQ or contact our coordinator who will be happy to help you.
Click here for more details »




Karolina Skaroupkova, Mgr.
+420 734 421 680
email: info@gynmeda.com


CALL US ANY DAY FROM 8 AM TO 3 PM (UTC+1)
Languages: Czech, English, Spanish, Portuguese, Italian, French