Innovative technology and methodology in Gynecology in MC Nairi
There is laparoscopic and endoscopic surgery methodology for treatment of gynecological disease as endoscopic and laparoscopic hysterectomy, myomectomy, laparoscopic sacral colpopexy, laparoscopic comprehensive staging, sentinel node concept, ovarectomy etc. which are usually the cases for open surgery.
The laparoscopic myomectomy is the removal of uterine fibroids causes the minimal postoperative adhesions. It is important for those women who is planning the future pregnancies.
The Laparoscopic Hysterectomy is the most frequent procedure in gynecological surgery. The waste majority of hysterectomies in Nairi MC are performed laparoscopically or vaginally.
The laparoscopic sacral colpopexy is the “gold standard” in the treatment of the uterine descent. Its advantages in these patients are the very high functional results, fast and painless postoperative course and low probability of the disease relapse.
The Laparoscopic Radical Hysterectomy is used in the treatment of early stages of cervical cancer. The modification of radical hysterectomy called the Total Mesometrial Resection and it is available in NAIRI Medical Center. This modification obtains 15-20% more survival with excellent functional results.
Laparoscopic comprehensive staging is a complex procedure that includes the uterus removal, pelvic lymphadenectomy, para-aortic lymphadenectomy and omentectomy. The comprehensive staging surgery may be used for surgical treatment of almost all gynecological malignancies depending on tumor stage and localization.
Sentinel node concept is a novel concept is based on the statement that the cancer cells of the primary malignant tumor are affecting not all but the certain regional lymph nodes called the SENTINEL LYMH NODES. A special dye is injected peri-tumorally prior to the surgery so as the sentinel lymph nodes are stained and can be easily found and removed during the surgery. Thus the unaffected healthy lymph nodes are spared and unnecessary traumatization of the patient can be avoided.
- ESGO – European Society of Gynecological Oncology
- Beatson Cancer Center, Glasgow Scotland
- Department of Gynecological Oncology, Medical University of Turin Italy
- Department of Pathology, Medical University of Graz Austria
- Department of Special Gynecology, Asklepios Hospital Harburg Germany
- Oncogynecological Center, Department of OB/GYN Charles University Prague Czech Republic
- Department of Gynecological Oncology, Catholic University Hospital Leuven Belgium
- Leipzig School of Radical Pelvic Surgery, OB/GYN Department of Medical University of Leipzig Germany