Gynecology

In the Gynaecology Department of the Euromedica General Clinic Mitera Crete, the future of surgery is being implemented today, as surgical procedures are carried out based on the latest developments in international practices, i.e. minimally invasive surgery.

In the Gynaecology Department in particular, patients undergo laparoscopic and hysteroscopic procedures, which guarantee the shortest possible stay in the clinic and the fastest possible return to daily activities. In addition, endoscopy provides new possibilities in the diagnosis and treatment of gynaecological diseases.

At the same time, a colposcopy is performed at the Gynaecology Department of the Euromedica General Clinic of Crete to detect any damage to the vagina, cervix and vulva.

Laparoscopy

This is a procedure in which a thin camera is inserted into the abdomen to give the doctor a picture of the condition of the patient’s fallopian tubes, ovaries and uterus.

Laparoscopic surgery is indicated for the treatment of a number of conditions such as:

Endometriosis
Ectopic- pregnancy
Removal of cysts from the ovaries
Removal of fibroids (fibromyomectomy) or leiomyomas from the uterus
Infertility
Removal of adhesions in the fallopian tubes
Removal of an ovary (oophorectomy) or removal of parts (salpingo-oophorectomy)
Removal of the uterus (hysterectomy)

Today, laparoscopic surgery is described as a “routine procedure” as it is a safe procedure.

The advantages of the surgical method:

It provides a better view of the surgical field compared to open surgery since the camera can get very close to all areas and magnify the image. This allows the surgery, especially in cases of endometriosis or adhesions, to be performed more accurately and with less bleeding.
Also, small surgical incisions mean less surgical trauma. The consequences are: less pain after surgery, less scarring, less time in hospital, faster recovery, reduced use of painkillers and lower risk of infection.

Of course, the doctor will also inform you about possible complications, which may occur if there are contraindications to undergoing laparoscopy or if there is a risk based on your personal history.

Hysteroscopy

Another endoscopic technique, which is very popular internationally and has a wide range of indications, is hysteroscopy. In particular, during hysteroscopic surgery, a microcamera is inserted into the woman’s vagina and from there penetrates the intrauterine cavity. There, the doctor can perform a simple overview of the uterine cavity or proceed to biopsy or other invasive procedures such as removal of fibroids, endometrial polyps and diaphragm removal.

At the same time, hysteroscopy is one of the most frequently selected diagnostic tools for primary and secondary infertility in women.

Colposcopy

A thorough examination of the vulva, vagina and cervix is achieved by colposcopy, the appropriate special examination to detect any lesions that may be missed by the doctor during the simple clinical examination.

The colposcopy is similar to the Pap test in terms of how it is performed, as the vaginal dilator first separates the vaginal walls to reveal the cervix and then the colposcope is placed outside the vagina, focusing on the opening. From that point the doctor examines the cervix and vagina in detail thanks to the lighting and magnification of the colposcope. Then, using dyes, the doctor attempts to highlight areas that may have been damaged so that a biopsy of the cervix can then be taken on the spot if necessary.

The following indications usually precede a patient undergoing a colposcopy:

Pathogenic cells have been detected in the Pap test
Suspicious cervical lesions have been detected with the naked eye
As part of preoperative preparation especially if there is severe cervical pathology
When searching for precancerous lesions in the context of lower genital tract screening
Previous surgery for HSIL or cancer

After the examination, the doctor will instruct the patient on what to avoid or watch out for, depending on whether she has only had a colposcopy or if a sample has been taken for biopsy.