{"id":714,"date":"2017-01-23T13:24:47","date_gmt":"2017-01-23T11:24:47","guid":{"rendered":"http:\/\/womana.com.cy\/?p=714\/"},"modified":"2017-02-06T12:07:29","modified_gmt":"2017-02-06T10:07:29","slug":"endoscopy-diagnosis-treatment-gynaecology","status":"publish","type":"post","link":"https:\/\/www.womana.com.cy\/en\/endoscopy-diagnosis-treatment-gynaecology\/","title":{"rendered":"Endoscopy (key hole surgery) for diagnosis and treatment in Gynaecology"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_section-b82e7e3452f9a3c77df7f0079b179560\">\n.avia-section.av-av_section-b82e7e3452f9a3c77df7f0079b179560{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/woman.jpg);\nbackground-position:0% 100%;\nbackground-attachment:scroll;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-av_section-b82e7e3452f9a3c77df7f0079b179560 main_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-full-stretch avia-bg-style-scroll av-minimum-height av-minimum-height-25 av-height-25  container_wrap fullsize'  data-section-bg-repeat='stretch' data-av_minimum_height_pc='25' data-av_min_height_opt='25'><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-714'><div class='entry-content-wrapper clearfix'>\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><div id='av_section_2'  class='avia-section av-av_section-3c1fdba40d338b16ca77c196ccce61e6 main_color avia-section-default avia-no-border-styling  avia-builder-el-1  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-714'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_three_fourth-6126cab7d8fab8d08143dd2dacdf673c\">\n.flex_column.av-av_three_fourth-6126cab7d8fab8d08143dd2dacdf673c{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-av_three_fourth-6126cab7d8fab8d08143dd2dacdf673c av_three_fourth  avia-builder-el-2  el_before_av_one_fourth  avia-builder-el-first  first flex_column_div av-zero-column-padding  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-9367433cc8df54467ac71572db3cf06e\">\n#top .av-special-heading.av-av_heading-9367433cc8df54467ac71572db3cf06e{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-av_heading-9367433cc8df54467ac71572db3cf06e .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-av_heading-9367433cc8df54467ac71572db3cf06e .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-9367433cc8df54467ac71572db3cf06e av-special-heading-h1 blockquote modern-quote modern-centered  avia-builder-el-3  el_before_av_hr  avia-builder-el-first '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Endoscopy (key hole surgery) for diagnosis and treatment in Gynaecology<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<div  class='hr av-av_hr-bad5bc90bcef2f12297bff634a297b07 hr-short  avia-builder-el-4  el_after_av_heading  el_before_av_textblock  hr-center'><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-av_textblock-0366cc7376be6c9e82a3e9cc8987b64f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-276\" src=\"http:\/\/womana.com.cy\/wp-content\/uploads\/2016\/12\/endoscopy-in-GYne-2.jpg\" alt=\"endoscopy-in-gyne-2\" width=\"275\" height=\"200\" \/><\/p>\n<p>Endoscopy also known as minimal invasive surgery, is one of the greatest achievements of medicine in the 21<sup>st<\/sup> century. The magnification and clarity of the images, the small holes on the skin, the absence of post- operative pain and the immediate mobilization after surgery provide the best surgery outcome and safety for the patient. The complications are less, the need of painkillers after surgery is minimal and the majority of the gynaecological operations are performed in an out patients\u2019 setup. The overall cost is much lower compared to the conservative way of laparotomy, the open type of surgery, which does large skin incisions for the same operations.\u00a0 Transabdominal laparoscopy offers uninterrupted check to all points of the abdominal and pelvic cavity and general anaesthesia is usually necessary. Laparoscopy by local anaesthesia is also feasible but skills, experience, knowledge and selection of the patients are the factors determining this option. Detailed diagnosis and treatment at the highest level can be provided only by experts and trained laparoscopists.<\/p>\n<p>The transvaginal laparoscopy (TVL) enables full investigation of the pelvis via the vagina. The posterior vaginal wall is only 5mm away from the pelvic cavity. The introduction of a small diameter telescope of 2.8mm is easy and the risk of complications almost zero. The major advantage of the TVL is the potential of diagnosis of subtle lesions, making this technique very important for the etiology of the unexplained infertility patients and early diagnosis of ovarian cancer. These pathologies cannot be identified by standard laparoscopy in 40% of the cases with unexplained infertility as published several times in the medical literature. TVL is performed under sedation and local anaesthesia and the patient returns home after 2-3 hours in excellent condition.<\/p>\n<p>Hysteroscopy is the method used to examine the endometrial cavity of the uterus. A telescope of 1.5mm is progressed via the vagina and cervix into the cavity of a uterus. Normal saline solution or Ringer lactate solutions are usually used to distend the uterine walls in order to be able to observe and examine the endometrium quality, anatomical landmarks and also endometrial functionality. By combining hysteroscopy with ultrasound examination simultaneously in the operating room. Many infertility pathologies can be diagnosed concerning the junctional zone, myometrial and subendometrial layers. In older women and post-menopausal ladies, with menstrual abnormalities, heavy bleedings, polyps, myomas etc hysteroscopy is the best option for diagnosis and treatment at the same time. The cervical dilatation and uterine curettage (D&amp;C) is considered unreliable since 18 % of the pathologies will be missed and its failure to excise a polyp completely can be as high as 40%.<\/p>\n<p>Most of the hysteroscopic operations do not need anaesthesia since there is no inervation in the endometrial layer. In some cases painkillers and local anesthesia are used. Even in difficult hysteroscopic operations like myomectomy the anesthesia used is sedation with a laryngeal mask.\u00a0 Hysteroscopy together with the TVL provide an integrated and reliable procedure for the diagnosis and treatment of women with infertility, repeated pregnancy loss, ectopic cervical pregnancies, heavy uterine bleedings and many more.<\/p>\n<\/div><\/section><br \/>\n<div  class='av_promobox av-av_promobox-67c1b8e9697bc6253e4fca0d3ed3c085 avia-button-yes  avia-builder-el-6  el_after_av_textblock  avia-builder-el-last '><div class='avia-promocontent'><p>\n<strong>Vasilios Tanos MD PhD,<\/strong><br \/>\nProfessor of Obstetrics and Gynecology, St. George&#8217;s Medical School at the University of Nicosia and Aretaeio Hospital in Nicosia<\/p>\n<\/div><div  class='avia-button-wrap av-av_button-56c0c563c33b74ca4940a3785deaea82-wrap avia-button-right '><a href='https:\/\/www.womana.com.cy\/en\/contact\/'  class='avia-button av-av_button-56c0c563c33b74ca4940a3785deaea82 av-link-btn avia-icon_select-yes-left-icon avia-size-large avia-position-right avia-color-theme-color'   aria-label=\"Contact\"><span class='avia_button_icon avia_button_icon_left avia-iconfont avia-font-entypo-fontello' data-av_icon='\ue805' data-av_iconfont='entypo-fontello' ><\/span><span class='avia_iconbox_title' >Contact<\/span><\/a><\/div><\/div><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_one_fourth-586d5a7772599657b90ecdbdf66a14c1\">\n.flex_column.av-av_one_fourth-586d5a7772599657b90ecdbdf66a14c1{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-av_one_fourth-586d5a7772599657b90ecdbdf66a14c1 av_one_fourth  avia-builder-el-7  el_after_av_three_fourth  avia-builder-el-last  flex_column_div av-zero-column-padding  '     ><div  class='avia-builder-widget-area clearfix  avia-builder-el-8  avia-builder-el-no-sibling '><section id=\"newsbox-2\" class=\"widget clearfix avia-widget-container newsbox\"><h3 class=\"widgettitle\">\u0386\u03c1\u03b8\u03c1\u03b1<\/h3><ul class=\"news-wrap image_size_widget\"><li class=\"news-content post-format-standard\"><div class=\"news-link\"><a class='news-thumb ' title=\"Read: The New 9 Vaccine against Cervical Cancer and Genital Warts\" href=\"https:\/\/www.womana.com.cy\/en\/new-9-vaccine-cervical-cancer-genital-warts\/\"><img decoding=\"async\" loading=\"lazy\" width=\"36\" height=\"36\" src=\"https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-36x36.png\" class=\"wp-image-487 avia-img-lazy-loading-487 attachment-widget size-widget wp-post-image\" alt=\"\" srcset=\"https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-36x36.png 36w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-80x80.png 80w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-300x300.png 300w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-180x180.png 180w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-705x705.png 705w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-120x120.png 120w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-450x450.png 450w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM.png 725w\" sizes=\"auto, (max-width: 36px) 100vw, 36px\" \/><\/a><div class=\"news-headline\"><a class='news-title' title=\"Read: The New 9 Vaccine against Cervical Cancer and Genital Warts\" href=\"https:\/\/www.womana.com.cy\/en\/new-9-vaccine-cervical-cancer-genital-warts\/\">The New 9 Vaccine against Cervical Cancer and Genital Warts<\/a><span class=\"news-time\">April 28, 2017 - 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12:31 pm<\/span><\/div><\/div><\/li><li class=\"news-content post-format-standard\"><div class=\"news-link\"><a class='news-thumb ' title=\"Read: Preventive Medicine in Gynaecology\" href=\"https:\/\/www.womana.com.cy\/en\/preventive-medicine-gynaecology\/\"><img decoding=\"async\" loading=\"lazy\" width=\"36\" height=\"36\" src=\"https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/Preventive-medicine-in-Gynaecology-2-36x36.jpg\" class=\"wp-image-273 avia-img-lazy-loading-273 attachment-widget size-widget wp-post-image\" alt=\"\" srcset=\"https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/Preventive-medicine-in-Gynaecology-2-36x36.jpg 36w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/Preventive-medicine-in-Gynaecology-2-80x80.jpg 80w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/Preventive-medicine-in-Gynaecology-2-180x180.jpg 180w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/Preventive-medicine-in-Gynaecology-2-120x120.jpg 120w\" sizes=\"auto, (max-width: 36px) 100vw, 36px\" \/><\/a><div class=\"news-headline\"><a class='news-title' title=\"Read: Preventive Medicine in Gynaecology\" href=\"https:\/\/www.womana.com.cy\/en\/preventive-medicine-gynaecology\/\">Preventive Medicine in Gynaecology<\/a><span class=\"news-time\">January 23, 2017 - 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12:23 pm<\/span><\/div><\/div><\/li><\/ul><span class=\"seperator extralight-border\"><\/span><\/section><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":276,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-714","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Endoscopy (key hole surgery) for diagnosis and treatment in Gynaecology - womana<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.womana.com.cy\/en\/endoscopy-diagnosis-treatment-gynaecology\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endoscopy (key hole surgery) for diagnosis and treatment in Gynaecology\" \/>\n<meta property=\"og:description\" content=\"The combination of endoscope (hysteroscopy \/ laparoscopy) together with ultrasound examination in the operating room can diagnose and safely treat most of the ObGyn problems of any age.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.womana.com.cy\/en\/endoscopy-diagnosis-treatment-gynaecology\/\" \/>\n<meta property=\"og:site_name\" content=\"womana\" \/>\n<meta property=\"article:published_time\" content=\"2017-01-23T11:24:47+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-02-06T10:07:29+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/endoscopy-in-GYne-2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"275\" \/>\n\t<meta property=\"og:image:height\" content=\"200\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Ruxbo\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Ruxbo\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.womana.com.cy\\\/en\\\/endoscopy-diagnosis-treatment-gynaecology\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.womana.com.cy\\\/en\\\/endoscopy-diagnosis-treatment-gynaecology\\\/\"},\"author\":{\"name\":\"Ruxbo\",\"@id\":\"https:\\\/\\\/www.womana.com.cy\\\/#\\\/schema\\\/person\\\/ec9f23a5df96fd3749386b9b5509f031\"},\"headline\":\"Endoscopy (key hole surgery) for diagnosis and treatment in Gynaecology\",\"datePublished\":\"2017-01-23T11:24:47+00:00\",\"dateModified\":\"2017-02-06T10:07:29+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.womana.com.cy\\\/en\\\/endoscopy-diagnosis-treatment-gynaecology\\\/\"},\"wordCount\":867,\"image\":{\"@id\":\"https:\\\/\\\/www.womana.com.cy\\\/en\\\/endoscopy-diagnosis-treatment-gynaecology\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.womana.com.cy\\\/wp-content\\\/uploads\\\/2016\\\/12\\\/endoscopy-in-GYne-2.jpg\",\"articleSection\":[\"Articles\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.womana.com.cy\\\/en\\\/endoscopy-diagnosis-treatment-gynaecology\\\/\",\"url\":\"https:\\\/\\\/www.womana.com.cy\\\/en\\\/endoscopy-diagnosis-treatment-gynaecology\\\/\",\"name\":\"Endoscopy (key hole surgery) for diagnosis and treatment in Gynaecology - 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