Gynaecological Surgery Gynaecological Surgery Gynaecological Surgery

Gynaecological Surgery

Gynaecology is also a surgical specialty that deals with pathologies that medication can not alleviate. Some gynaecological problems can only be treated surgically. A surgery may:

  • Prevent the development of certain types of gynaecological cancer.
  • Improve considerably the quality of life of the patient, as in the case of the surgical treatment of endometriosis or urinary incontinence.
  • Diagnose diseases or problems of various degrees of severity, like certain cases of female infertility.
In recent years laparoscopic, hysteroscopic or vaginal techniques have come to replace conventional laparatomy (open surgery) in a large number of gynaecological procedures. Dr. Berral was trained in the most innovative surgical techniques in the United Kingdom and has performed minimally invasive surgery over the last 12 years in British and Spanish hospitals. He has therefore a high degree of expertise in endoscopy, laparoscopy and other avant-garde techniques. We are therefore in a position to offer our patients ambulatory or minimally invasive interventions for those procedures that require it.

Gynaecological Surgery. Services that we offer.

Every surgical procedure is performed in the adequate conditions in our Clinic or in the best private hospitals of Marbella. When your operation requires hospital stay, our personnel make all the necessary arrangements for your hospital admission.

Before the operation Dr. Berral will receive you at the Clinic and answer all your questions about the surgery and other issues of concern (time of convalescence, potential complications, etc.). It is very important that the patient understands what the procedure involves and have the opportunity to express any doubts or concerns. We offer all necessary explanations and illustrate the procedure conveniently. It is important that every patient feels as relaxed as possible and has the utmost confidence in the team that is treating her.

On the day of the operation our medical team will ensure that you are perfectly attended since the moment of admission, and will provide all the clinical support that you need until your hospital discharge.  . You can also request private assistance during the nights of your Hospital stay. This service must be booked in advance. Average hospital stay is 1 to 2 days after a vaginal birth and 2 to 3 days after a Caesarean section.

Dr. Berral performs the surgery and supervises all the medical aspects of your post-operative (medication, diet, mobilization,…) until you are discharged from hospital. Mientras dure su estancia hospitalaria, la visita to diario y por supuesto supervisa todos los aspectos médicos de su convalecencia (medicación, dieta, movilización, ...). A check-up visit is normally programmed a week after the procedure and the follow-up visits, if needed, are programmed. All this time we are available to answer any queries that you may have.

Ambulatory Surgery.

Dr. Berral Ginecólogo - Cirugía Ambulatoria Ambulatory surgery is used for procedures that do not require hospitalization, such as diagnostic hysteroscopy, removal of polyps or micro D&Cs.

The diagnostic hysteroscopy is a procedure commonly used in gynaecology to investigate pathologies of the uterine cavity or the endometrial tissue around it. For a long time hysteroscopies have been conducted as a mayor surgical procedure, under general anesthetics. The newest hysteroscopy equipments presented very small diameters that enable the realization of this test as an outpatient procedure. We are equipped to perform diagnostic outpatient hysteroscopies. A short-term local anesthetic is required and the patient can leave the Clinic right after the test and carry on with her normal daily routine immediately after the procedure.

A hysteroscopy may be needed when there are serious menstrual disorders or post-menopausal vaginal. It allows direct visualization of the uterine cavity to confirm the presence of endometrial polyps or fibroids. Most of the times endometrial tissue or polyps are extracted and analysed. In this case the treatment will depend on the results, which are normally available in a few days.

A hysteroscopy is also useful for the investigation of malformations of the uterus in women with a history of infertility or repeat miscarriages.

Laparoscopic Surgery.

Laparoscopic surgery is a technique currently applicable to a large number of gynaecological surgical procedures. It has many important advantages over traditional open surgery.

Technically it consists in operating using a camera, monitors and small surgical instruments that are placed throughout tiny incisions made around the area to be treated.

Today, laparoscopic surgery is widely used for therapeutic purposes to treat problems such as ovarian cysts or uterine fibroids, ectopic pregnancies, endometriosis, pelvic inflammatory disease, pelvic floor dysfunction, and others, etc.. Laparoscopic techniques can also be used for mayor procedures such as hysterectomies or the surgery of certain types of cancer. It is also the method most frequently used for female sterilization by irreversible tubal ligation. Diagnostic laparoscopy is used to treat certain problems of infertility and endometriosis.

Laparoscopic surgery produces the same therapeutic results as traditional techniques, but with a number of significant advantages

  • Less time of convalescence and a faster recovery.
  • Shorter hospital stays. Procedures are normally day-hospital cases and patients are discharged a few hours after the intervention.
  • Less pain and lower risk of post-surgical complications (infection, postoperative adhesions,…).
  • Best aesthetics, with barely perceptible scars once the wounds have healed.

Despite the progress that laparoscopic surgery represents over traditional open surgery, it still requires hospitalization, anesthetics and the observation of the protocols in place for mayor surgical procedures.

Dr. Berral Ginecólogo - Laparoscopic Surgery Dr. Berral Ginecólogo - Laparoscopic Surgery Dr. Berral Ginecólogo - Laparoscopic Surgery

Vaginal Gynaecological Surgery & Laparatomy.

The cervical cancer conization, also called cone biopsy, involves the removal of tissue affected by cervical cancer or precancerous cells. It is performed when a biopsy indicates the existence of this alteration, and sometimes when previous tests have been unable to determine the cause of an abnormal smear test. With this procedure the tissue affected is extracted with a cone-shaped appearance. If the entire area affected is removed this intervention is also effective as a treatment. Cone biopsies are normally day-hospital interventions performed under general anesthetics.

Hysterectomy is the removal of the uterus (womb) usually along with the cervix (neck of the womb). The ovaries (one or both of them) are sometimes removed during the same operation. This is called salpingo-oophorectomy.

The uterus can be removed either through the abdomen (abdominal hysterectomy) or through the vaginal canal, this is called vaginal hysterectomy. The method used will depend on factors such as symptoms and pathology of the uterus that the patient is suffering.  .

A hysterectomy is normally needed to treat symptoms such as:

  • Vaginal bleeding or pelvic pain that does not respond to medical treatment and is seriously affecting the quality of life of the patient.
  • Abdominal pain possibly caused by pelvic inflammatory disease or pelvic adhesions that does not respond to other treatments.
  • Uterine fibroids that are causing pain, bleeding or have reached a considerable size (A myoma or fibroid is not cancer but a benign tumour consisting of muscle and fibrous tissue of the uterus).
  • Severe cases of endometriosis (Endometriosis occurs when the tissue that normally covers the inside of the uterus grows outside the womb, especially next to the ovaries or the fallopian tubes).
  • Early stages of cancer of the uterus, cervix or ovaries.

Hysterectomised women do not have menstrual periods and cannot get pregnant. As far as one of the ovaries is preserved women, hysterectomies do not cause menopause. However natural menopause can occur a little earlier in some women after this operation. The rest of the vagina and genital organs are not affected by the performance of a hysterectomy, and therefore the sexual activity or sexual desire of women should not be affected.

A hysterectomy can eliminate symptoms of pelvic pain and vaginal bleeding. It can also save lives. Many women find that a hysterectomy improves their health and sense of well-being and ensure that they can continue to enjoy an active life. However, before deciding on the operation it is important to understand exactly what a hysterectomy is, what it may involve, and which benefits can bring in your particular case.

Mayor gynaecological surgery includes other procedures such as treatment of ovarian pathology, the removal of solid tumours and exploratory laparotomies. These will require total anesthesia and between two and five days of hospitalization. The period of convalescence is about two weeks.

You can contact us on 952 864088 if you would like to have more information about any of these or other surgical procedures, or would like a second opinion before undergoing surgery.


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