General information

Types of surgical approaches

Surgical treatment of benign gynaecological diseases is in most cases primarily minimally invasive.

Endoscopic unit

The endoscopic unit at VITA specialises in performing laparoscopic (bloodless) surgeries for infertility, endometriosis, and fibroids, as well as laparoscopic hysterectomies. Diagnostic and operative hysteroscopies are also performed for infertility, endometrial polyps, fibroid nodes, septa, and others.

What is laparoscopic surgery?

Laparoscopic surgery, also known as "minimally invasive surgery" or "bloodless surgery", is a specialised technique for performing operations. In classic "open" surgical intervention, the surgeon uses an incision of varying size to enter the abdominal cavity. In laparoscopic surgery, one or several incisions of 0.5-1 cm are used. Through each incision, called a port, hollow tubes (trocars) are inserted, through which a camera and micro-instruments are used to reach the relevant organ or pathological process.

The laparoscope transmits images from the abdominal cavity to monitors in the operating room. During the operation, the surgeon views detailed images of the abdominal organs in real time. This system allows the surgeon to perform the same operations as traditional ones, but with small incisions that leave no scars and without pain.

Classic surgical approach

A number of more advanced benign genital diseases, as well as certain gynaecological tumours suspected of malignancy, are not suitable for minimally invasive treatment, and classical (incision-based) surgical access is required.

Gynaecological oncological surgery

Gynaecological oncological surgery and pelvic surgery are applied in patients with isolated malignant tumours of the reproductive system and in combined tumours involving adjacent pelvic and abdominal organs. The treatment strategy is determined by a competent surgeon and a specialised Oncology Committee, following previously performed diagnostic and staging specialised examinations (clinical examination, histological examination, CT scan, blood count, tumour markers, etc.)

Classical surgical access in oncological surgery is necessary both for the correct staging of the disease and for the complete (radical) removal of metastases and the primary tumour, together with all elements of adjacent organs and systems involved by it. The surgical radicality achieved, together with the pre-operative and/or post-operative anti-tumour treatment applied, is of key importance for the survival and quality of life of these patients.

The stages of treatment, expected results, various options for urinary and intestinal reconstructions, possible complications, and quality of life after surgery are subject to detailed prior discussion with the patients. The necessity and type of post-operative treatment are determined after surgery by the specialised Oncology Committee, based on the final disease stage established, histological results, and radicality achieved. Subsequent outpatient monitoring and follow-up provide disease control and the opportunity for timely detection and treatment of late complications and relapses.

Post-operative care and recovery

For preparatory procedures, post-operative care, and rapid general recovery, our patients can rely on both the positive, experienced, and highly qualified staff in the department, as well as consultants from all specialties in medicine.

The department provides all discharged patients with around-the-clock telephone contact with staff.

Patients and their loved ones are entitled to free psychological support during their hospital stay.