Operations
We perform following operations … at Obs Gyn clinic
Pregnancy and Pregnancy related conditions
- Cervical Encirclage
- Dilatation and Evacuation of the products of Conception.
- Vaginal Delivery with facilities for Painless labor.
- Vacuum and Forceps Delivery
- Caesarian Secti
Gynecology
- Dilatation and Curettage
- Surgeries for Mullerian Dysgenesis
- Cervical Conisation and LLETZ
- Myomectomy
- Hysterectomy : Abdominal / Vaginal / Laparoscopic
- Salpingo oophorectomy
- Surgeries for urinary Incontinence
- Surgeries for Genital Organ Prolapse
Gynecology
- Operative Hysteroscopy
- Advanced Operative Laparoscopy
Before Operation
You have talked in advance to your gynaecologist about having outpatient surgery in our day clinic. If you have decided to have surgery in our clinic, your surgeon and the anaesthetist in the day clinic will inform you in detail about the operation and the anaesthetic.
If you or your gynaecologist would like to have this preoperative discussion before the surgery date, please arrange an appointment during our consulting hours.
After the operation, our nurses will look after you in the recovery room. You will have a final discussion with a doctor of the day clinic before you go home.
Despite careful planning, waiting times cannot always be avoided because we cannot predict how long operations will take. Of course, our colleagues at reception will be happy to answer any questions you might have at any time.
Please come in a fasting state to the operation. You can eat and drink up to midnight before the operation. After that, you should not eat, drink, smoke or chew gum.
Please wear loose clothing, leave jewellery and valuables at home and do not wear nail polish, make-up or mascara. Please bring a container for your contact lenses. Of course you can bring a change of clothes, socks and toiletries to make your stay at the day clinic more pleasant.
If you are younger than 40 and healthy, we do not need any further documents for surgery such as curettage, breast biopsy and minor gynaecological operations.
Please bring the following if you are coming for a laparoscopy:
- An ECG *
- Lung function test results or an X-ray of the lung *
- Laboratory values
- Blood sugar
- Potassium
- PTT
- Blood count
- Urea
- Cholinesterase
Please bring an ECG * if you are older than 40.
if you are older than 60, please bring the following:
- An ECG *
- Lung function test results or an X-ray of the lung *
- Additional blood tests (following consultation with your family doctor)
- We need to know your blood group for curettage, e.g. following a miscarriage.
- Please contact us if you are a diabetic.
- You should not take any medicines containing aspirin the week before the operation.
- Patients stabilized on certain medicines should take them as normal with a sip of water.
- * not older than 6 months
After Operation
After laparoscopy, you stay with us for approx. 4 to 6 hours. After all other operations, you stay 2 to 4 hours. Then please take a taxi home or arrange for a member of your family or a friend to collect you directly from the day clinic. You should make sure that someone is at home to look after you. After some operations, it may be necessary to observe you in a hospital for one or more nights.
For 24 hours after the operation, patients may not
- drive
- drink alcohol
- make important decisions
- take painkillers without detailed instructions from the doctor
Your surgeon will recommend times for check-ups when talking to you before you are discharged.
Anaesthetic procedure
All operations are performed under general anaesthetic. TIVA, which we use nearly exclusively, does not use anaesthetic gases which put a strain on the patient. Patients usually stay in the day clinic for 4 – 6 hours after a laparoscopy and 2 – 4 hours after all the other operations.
Transfer to a hospital after the operation is only required in special cases. These include extensive operations, underlying internal diseases needing treatment and the situation where a relative cannot look after the patient.
Risk
No operation or medical intervention is 100% safe. However, risks in endoscopic surgery in gynaecology are low, particularly when the surgeon has the necessary experience in minimally invasive surgery.
All surgeons are gynaecologists and have many years of experience in endoscopic surgical techniques. One of the advantages of this operating method, e.g. in laparoscopy, is that the surgeon has a very good view of the operating area.
The small postoperative scars, often only 1 – 3 cm, also mean a lower complication rate and natural, rapid healing. In addition, the comparatively short period under anaesthetic always minimizes risks.
If you have any questions on special operations or risks, please arrange an appointment with us during our consulting hours or send us an email.
FAQ
Questions for gynaecologists:
Can I go home in the evening?Normally, yes. Depending on the length of the operation and the care situation at home, 96% of patients leave the day clinic in the evening. In a few cases and at the request of the patient, it is possible to spend a night in hospital. Please talk to us if anything is unclear or if you have special requests.Is my partner allowed into the recovery room? Unfortunately not because we strive to give every patient the greatest possible privacy. Single rooms are only available in a few cases and are reserved for cases where they are needed for medical reasons.
Private patients have the option of a single room subject to availability. How often do the described complications occur? For legal reasons, we have to point out all the risks of elective surgery, even if they only occur in one in a thousand patients. The many years of extensive experience the surgeons have at the day clinic have shown that the complication risk can be practically ignored.
Please use the preoperative consulting hours to obtain information about your individual risk profile. Will I experience pain after the operation? As tissue is injured during every operation, the body reacts with different types of pain. Our postoperative pain treatment ensures that any pain occurring is reduced to a level which you can tolerate well. What do I have to observe after the operation and when can I do sports again? Your questions will be answered in a personal discussion with the doctor before you leave the day clinic. You will also receive instructions on how to act in the subsequent few days. Physical exertion of all kinds should be avoided before your referring gynaecologist has given you a final examination and his approval.
Questions during the discussion on anaesthesia:
How long does the anaesthetic last?Approx. 5 minutes longer than the operation. The duration of anaesthesia can be adapted exactly to the length of the operation.When will I feel my normal self again? This depends on the individual and also on the extent of the operation:
You can be discharged from the clinic 1 to 2 hours after small operations and 3 to 6 hours after larger operations. However, you will notice that you only feel really well when lying down and that you are looking forward to your own bed. In the case of larger operations, you should plan several days of rest and taking things easy. Will I have to vomit afterwards?Nausea caused by an anaesthetic is rare. However, in the case of laparoscopy, nausea and vomiting may occasionally occur later on when you stand up due to remaining gas in the stomach. When am I allowed to eat and drink again?Tea and rusk are available as soon as you are properly awake. After smaller operations, you can eat anything you like at home. After laparoscopy, you should avoid gas-forming foods for 2 – 3 days. Will I experience pain afterwards?That depends on the size of the operation. However, you do receive a painkiller before the operation and afterwards in the recovery room, and as many as you need for home.
Checklist
This checklist is a practical way of preparing for your operation in the day clinic and should help you not to forget anything.
Practical points:
- Please come to the day clinic in loose clothing
- Please leave jewellery, e.g. earrings and piercings, and other valuables at home
- Please do not wear any nail polish, make-up or mascara
- Please bring suitable containers for your contact lenses
- Please don’t forget a change of clothes, socks and toiletries
Medical points:
On no account should you eat, drink, smoke or chew gum from midnight before the operation.
I need to bring the following when I’m having a laparoscopy:
- Complete blood group with subgroups *
- An ECG *
- Lung function test results or an X-ray of the lung *
- Laboratory values:
- Blood sugar
- Potassium
- PTT
- Blood count
- Urea
- Cholinesterase
Please bring an ECG * if you are older than 40
I need to bring the following if I’m older than 60:
- An ECG *
- Lung function test results or an X-ray of the lung *
- Additional blood tests (after consultation with your family doctor)
- The blood group is required for curettage, e.g. after a miscarriage.
- I will have contacted the day clinic in advance if I am a diabetic.
- I have not taken any medicines containing aspirin in the week before the operation.
- If I am stabilized on certain medicines, I will take these as usual with a sip of water.
- * not older than 6 months
