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Surgical Services

THEARIS’ surgical team performs all types of gynaecological surgeries, either with minimally invasive methods (laparoscopy, hysteroscopy), or with traditional surgery (laparotomy, vaginal surgery), in cooperation with major hospitals in Athens.

Minimally Invasive Surgery - Laparoscopy

Minimally invasive surgery includes a series of modern surgical methods, such as laparoscopy or robotics, with multiple benefits. Contrary to gynaecological traditional surgery, which require large incisions so that the patient’s organs are visible, laparoscopy involves small incisions through which a camera and various surgical tools are inserted in the body. Using a screen, the surgeon is allowed a magnified view of the patient’s internal organs and can perform with precision any operation necessary.

In gynaecology, laparoscopy is used, both in diagnostic and therapeutic terms, for multiple cases, such as hysterectomy, removing fibroids, ovarian cysts, or extrauterine pregnancy, treating endometriosis, etc. Compared to the traditional surgery, laparoscopy ensures decreased adhesion formation, less postoperative pain, faster recovery, smaller scars and a better aesthetic result.

Hysteroscopy

Hysteroscopy is a minimally invasive method used to investigate various gynaecological problems, such as abnormal uterine bleeding, infertility and anatomical abnormalities of the uterus. During the operation, a special camera (hysteroscope) is inserted in the vagina and, through the cervix, in the uterus. In this way, the gynaecologist has a direct view inside the uterus and can check the endometrial cavity, the fallopian tube entrances, as well as the endocervix.

In case there are findings (polyps, adhesions, fibroids), these can be removed during the same examination. Therapeutic hysteroscopy must always be performed under general anaesthesia.

Traditional Surgery (Open), Gynaecology

Laparotomy is a surgical operation performed through an incision to the abdominal area. Open surgical procedure is mainly performed in cases of oncological diseases or benignity (fibroid excision, removing ovarian cysts, pelvic organ prolapse, tumour removal). Many times, mainly due to the size or location of the findings or following previous surgeries, laparotomy is considered a better choice, compared to laparoscopy. Open surgical procedures always remain a reliable and safe solution in the hands of experienced doctors.

Vaginal Surgery

Pelvic organs (uterus, urinary bladder, urethra, intestine), due to the relaxation of tissues, can move to or beyond the vaginal walls. Some of the factors affecting tissue relaxation are age, obesity or the many and difficult vaginal deliveries. Many women with prolapse experience a sense of pressure or weight in the vagina, defecation disorders or even urinary incontinence, which affect their daily activities, sexual function and exercise. Vaginal surgery helps restore the normal anatomy of the pelvic floor.

Specifically, in cases with cystocele (bladder prolapse) or rectocele (rectum prolapse), a vaginal surgical approach is preferred, where the urinary bladder and the rectum are restored to their normal anatomical position, and the anterior or posterior vaginal wall is restored, offering relief.

Minor Operations

Diagnostic and Therapeutic Dilation & Curettage (D&C)

D&C of the uterus is a minor and short-duration surgery aiming at removing tissue from inside the uterus. It is used to diagnose and treat certain gynaecological diseases or to evacuate the uterus after a miscarriage.

Pregnancy Termination

A pregnancy termination or abortion is a surgical procedure used to remove the fetus from the uterus, through the vagina. It can be performed when a woman wishes to terminate the pregnancy for personal reasons, or when there are serious medical conditions relating to the woman or the fetus.

Genital Warts Cauterization (HPV)

Genital Warts (condyloma) are caused by the human papillomavirus (HPV) and it is one of the most common Sexually Transmitted Diseases (STDs). These are small benign tumours mainly appearing in the genitals and their surrounding areas, and they occur in both men and women.

The type of the human papillomavirus (HPV) causing warts usually is not dangerous. However, some HPV types can gradually cause cervical cancer. For this reason, the preventive and regular gynaecological examination is very important, while an ally in the protection of the body is the HPV vaccine.

Warts are treated either conservatively (e.g., locally applied cream) or surgically (diathermy cauterization, Laser, etc.). Cauterization achieves the bloodless elimination of warts, with direct results, without leaving scars, marks or colourlessness.

Even if you cannot see warts, you may still have HPV. This means that they may reappear at any time, and you may transmit them with sexual intercourse.

Cervical Conization

Cervical conization is a small surgical operation during which a small part of the cervix is removed, in the shape of a cone. The aim is to send the pathological parts of the cervix for histological examination, while at the same time it has a therapeutic result. It is used in cases where there is a persistent abnormal Pap Test, which is compatible with the colposcopy examination.

Bartholin’s Gland Excision or Marsupialization

Bartholin’s glands are located at the entrance of the vagina, behind the small lips, and they secrete mucus, which helps lubricate the vagina. When the pore is blocked, fluids are collected, causing the gland to swell (Bartholin’s gland cyst). In case of cross-infection, an abscess is formed, causing intense pain and redness in the area. With the proper treatment (dilation), the Bartholin’s gland abscess can subside. In case of multiple relapses, a small surgical operation (marsupialization) can be performed, so that the gland pore can remain open. In some cases, it is necessary to remove the whole gland (excision).