Gynecological interventions and surgeries

Incision of the Bartholin Gland

In cases of enlargement and acute inflammatory processes, opening the abscess and draining pus is the only immediate relief, while treating the condition, disinfecting, and flushing the cavity quickly leads to resolution of the inflammation.

Cervical Biopsy and Curettage of the Cervical Canal

In cases of changes on the cervix such as ectropion or erosion, when a Pap test shows pathological changes, a targeted biopsy along with curettage of the cervical canal is indicated, and the obtained material should be sent for histopathology, which will provide a reliable answer regarding the nature of the changes and whether a part of the cervix needs to be removed.

Fractional Curettage

In cases of changes on the cervix and uterus, curettage of the cervical canal should be performed first, followed by curettage of the uterine cavity, with separate submission of the obtained material for analysis to determine the location of the pathological changes.

Exploratory Curettage

When there is irregular bleeding or suspicion of pathological changes inside the uterus, exploratory curettage is indicated, and the reason can be discovered through pathohistological analysis.

Loop Excision of the Cervix

In cases of changes on the cervix that represent precancerous conditions or do not decrease with treatment, excision of the change using radio waves is indicated (the term laser removal is often mistakenly used here, although lasers, i.e., focused light beams, are not used for this purpose). The procedure is performed under local or short general anesthesia, is outpatient, meaning the patient goes home the same day, and the obtained material is sent for histopathological analysis. After the procedure, increased discharge from the cervix occurs for about 2 weeks, which accompanies healing after the intervention.

Removal of Condylomas

This is done under local anesthesia if the changes are external and not extensive; otherwise, short general anesthesia may be used.

Marsupialization of the Bartholin Gland

In the presence of a Bartholin gland cyst after previous infection, and following the resolution of the inflammatory process, plastic reconstruction of the gland's duct can be performed, ensuring its drainage and regular function, and preventing re-infection. The procedure is done under local anesthesia, is not painful, and is outpatient.

Hysteroscopy (Diagnostic and Operative)

Hysteroscopy is an endoscopic procedure where, using a hysteroscope, we can visually enter the cervical canal and uterus and observe what is inside these cavities. If it is used solely for viewing the uterine cavity, it is diagnostic; if pathological changes are removed during the procedure using various instruments introduced through the working channel, it is operative.