Laparoscopy
A procedure involving the insertion of a camera and microsurgical instruments through incisions of only a few millimetres in the abdominal wall, allowing the structure of the organs to be assessed and precise procedures to be performed.
A procedure involving the insertion of a camera and microsurgical instruments through incisions of only a few millimetres in the abdominal wall, allowing the structure of the organs to be assessed and precise procedures to be performed.
What is laparoscopy?
What is laparoscopy?
Laparoscopy is a surgical technique for the diagnostics or treatment of disorders of, for example, abdominal organs.
Several-millimetre incisions are made in the abdominal wall; special microinstruments are inserted through these incisions under the guidance of a camera, i.e. the laparoscope. The operator and team track the camera image on a monitor screen.
Laparoscopic microsurgical instruments enable precise procedures such as the extraction of an ovarian cyst, the extraction of an ovarian hydrops or the collection of ovarian tissue for freezing and fertility preservation.
Gynaecological laparoscopy is performed for both diagnostic and therapeutic purposes – during the procedure, in addition to verifying the patency of the fallopian tubes, e.g. intraperitoneal adhesions can be removed or tuboplasty surgery can be performed.
Laparoscopy is a minimally invasive procedure and the number of complications is much lower than with classic surgery. Due to the special perioperative procedure ERAS (Enhanced Recovery After Surgery), it is possible to proceed with the procedure in a one-day regime and get back to daily functioning in no time.
The procedure is performed under general anaesthesia
About testing
Practised approaches
Diagnostic laparoscopy
allows for the assessment of the structure of abdominal organs (including the uterus, ovaries and fallopian tubes) and verification of fallopian tube patency and the presence of intraperitoneal adhesions.
Operative laparoscopy
allows for the extraction of visible lesions, the collection of tissue for analysis, or the collection of ovarian tissue for freezing.
Good to know
Preparation
for testing
ZThe procedure is usually performed in phase I of the menstrual cycle, once menstruation has stopped.
Indications for this procedure
– diagnostic laparoscopy: in the diagnostics of causes of infertility, in particular when a fallopian tube factor (fallopian tube obstruction), stage I or II endometriosis or intraperitoneal adhesions are suspected
– therapeutic laparoscopy: excision of endometriosis foci, excision of intraperitoneal adhesions, excision of ovarian cysts, repair of scar defects caused by Caesarean sections, excision of fallopian tube hydrops, obliteration of proximal segments of fallopian tube hydrops, repair of fallopian tubes in tubal infertility (fallopian tube plication), laparoscopic assistance during hysteroscopic procedures for excision of uterine fibroids)
– oncofertility laparoscopy: collection of ovarian tissue for fertility preservation, e.g. prior to oncological treatment or prior to other gonadotoxic treatment or treatment involving physical injury to the ovaries (to freeze the ovarian tissue) and transposition of the ovaries outside the area of the planned radiation treatment during oncological radiotherapy
– laparoscopic ovarian tissue implantation (ovarian tissue is frozen prior to oncological treatment)
The detailed course of preparation for the procedure is determined by the physician, according to the planned extent of the procedure (this applies, for example, to the preceding pharmacological treatment). You must shower on the day of the treatment, washing your skin thoroughly with soap. Dietary preparation, including how long to fast, is determined individually by the physician, according to the planned procedure (e.g. ERAS).
If the procedure is performed under general anaesthesia, you must hold the results of a blood type test, and of the following blood tests performed no later than two weeks prior to the procedure:
- Blood count
- Sodium
- Potassium
- APTT
- INR
- If, in an individual case, additional investigations are required before the procedure, this is ordered during the pre-operative consultation.
You must also inform the medical staff of any medication you take, and fast for a minimum of six hours before the procedure (do not eat or drink at all).
- pregnancy (not applicable to procedures essential to life)
- acute infection
- absolute contraindications to general anaesthesia
- other medical conditions likely to cause complications during the procedure (to be determined case by case by the referring physician)
Course of procedure
Test price list
| Anaesthesia for surgery, anaesthetic consultation, post-operative anaesthetic care |
PLN 750 |
| Surcharge for histopathological analysis |
PLN 150 |
Opinions
How patients see us
I would like to wholeheartedly thank the ARTVIMED staff for making our dream of becoming parents come true. Our beloved baby son was born on 15 May this year.
Thanks to the physicians at the clinic, the whole IVF procedure was successful on the first try 🙂 We received the best care at each step. I had the opportunity to meet several doctors at the clinic during my appointments, and each one proved to be an outstanding professional.
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Opinion (Google) |
I highly recommend this doctor. Competent, committed, empathetic. Specific treatment plan. You know you are in good hands.
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Opinion by B. on Dr. Joanna Figuła (Znany Lekarz) |
Thanks to the Doctor, we welcomed our son into the world 2 weeks ago.
We found this doctor after several years of struggling to conceive a child and being treated by specialists who knew nothing about infertility. The doctor immediately outlined a definite plan of action, ordered the right diagnostic tests, and referred us to the hospital for testing. As a result, the treatment progressed in the right direction.[…]
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Opinion on Dr Ewa Posadzka Agnieszka L. (Znany Lekarz) |
The best doctor we could have come across; she managed our pregnancy with great commitment.
Patient and taking every moment to help or clear up doubts if necessary. Thanks to the Doctor, we are parents of a 5-month-old miracle baby. Highly recommended
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Opinion on Dr Agnieszka Wolak Anna (Znany Lekarz) |
Dr Baran is by far the gentlest, most thorough gynaecologist interested in the patient’s concerns that I have ever encountered.
Immense knowledge of endometriosis, the skills to provide complete ultrasound testing for it and the know how to guide a patient dealing with this unpleasant disease. […]
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Opinion on Dr. Rafał Baran (Znany Lekarz) |
I highly recommend pregnancy management. My past experience with other doctors was that there was little to be gained from the appointments, the doctors were reluctant to tell me what they saw, unwilling to answer questions, and Ms Joanna answered every single one, demonstrating an enormous amount of patience. Highly recommended.
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Opinion on Dr. Joanna Figuła Katarzyna (Znany Lekarz) |
Although our little sunshine is already 6 years old, so far, when I look at her, I still have Dr Chrostowski and the Artvimed clinic in my mind… Dr Chrostowski has got that something about him that, when you are in his office, you know that you couldn’t have found a better place. I will always highly recommend ARTVIMED to everyone.
Ps. I still am in awe of how the embryologists work…how they ‘managed’ to create such a miracle… 😉 Thank you for being there
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Opinion (Google) |
Very matter-of-fact doctor; she informs you thoroughly about everything and explains everything comprehensively. She informed me of the treatment plan and was very kind, gentle and understanding.
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Opinion on Dr Katarzyna Doroszewska (Znany Lekarz) |
We would like to thank the entire ARTVIMED Team – our little miracle was born 2 weeks ago. Many thanks are due, in particular, to Dr Posadzka, through whom the right diagnostic work began, and to Dr Chrostowski, who guided further treatment, punctures, and transfer. I also had the pleasure of dealing with most of the doctors during the course of my diagnosis and each one showed a great deal of support and professionalism. We would also like to thank the Embryology Team – without you, our son would not be here. Thank you for the beautiful work of the whole clinic!
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Opinion (Google) |
