Dr Derya Cirik, Consultant of Obstetrics and Gynecology at Al-Ahli Hospital.
Obstetrics and Gynecology Department at Al-Ahli Hospital has seen an increase in number of women seeking for laparoscopic surgeries in the past year, due to the high standard of service and care provided.
“We have seen a significant increase in number of laparoscopic surgeries in Al-Ahli Hospital. We serve our guests in the same standards as the world’s leading hospitals and almost all gynecological surgeries are done safely and successfully in our Obstetrics and Gynecology Department,” said Dr Derya Cirik, Consultant of Obstetrics and Gynecology at Al-Ahli Hospital.
“Guests at our hospital has access to safe gynecological surgery in any time they need. In case of any emergency, even in nights, our gynecological laparoscopy team are with them,” she added. Clinics at Obstetrics and Gynecology Department are staffed with gynecologists, qualified and experienced in performing laparoscopical surgeries.
Laparoscopical surgery has several advantages compared to laparotomy (open surgery) including small incision scars, decreased adhesion formation, less pain, quick recovery, shorter hospital stay and quick return to normal activities.
“One of the most common reason that we do laparoscopic surgery is gynecological emergencies. In case of ectopic pregnancy (pregnancy outside uterus) and ruptured or torsioned ovarian cyst, we do urgent laparoscopy to stop bleeding in the abdomen and remove the ectopic pregnancy or revert the ovary to save the women’s life. And almost for all cases, one day after surgery we discharge them form hospital and let them go their home and meet with the loved ones,” said Dr Derya.
“Second common reason we do laparoscopy is removal of ovarian cysts. It can be a huge cyst suspicions for malignancy or endometriosis that lead to pain or infertility. Nowadays, we can remove most of the ovarian cysts with laparoscopy without rupture by using advanced laparoscopical techniques and instruments,” said Dr Derya.
“With laparoscopy, we check if the tubes are open or working properly, remove the adhesions between the tube and the ovary to increase the chance for natural pregnancy, remove the ovarian cyst if it leads to severe pain or has any suspicion for malignancy. In case of infertility, we also use laparoscopical surgery to search if there is a problem that can interfere natural conceiving and if we detect a major malfunctioning tube, we might remove this tube to increase the success in IVF (in vitro fertilization: Artificial Reproductive Techniques),” said Dr Derya.
Another common use for laparoscopy is removal of fibroids or uterus (womb) itself. All over the world, one fourth of the ladies aged more than 35 years of age has fibroid. This fibroids are usually small and asymptomatic. But if the fibroids are big in size or originates from the inner lining of the uterus (womb), they might cause heavy vaginal bleeding or pain.
Like in most developed countries, we can also remove the big fibroids easily by laparoscopy in our hospital. But if the fibroids are multiple and distorted the uterus so much, women might need to remove the uterus. “Women with abnormal vaginal bleeding unresponsive to the medical treatment, endometrial hyperplasia (suspicious proliferation of the cells in
the inner lining of uterus) or uterine prolapse (abnormal movable uterus) might be also treated with hysterectomy (removal of the uterus) done by laparoscopy. Removal of the uterus by laparoscopical approach is accepted as the best option for removal of the uterus and has many advantages over open surgery,” said Dr Derya.
Laparocopical surgery is also safe procedure during pregnancy in case of any emergency. It is the preferred surgery to stop bleeding in the abdomen (batın) or remove any ovarian cysts or appendix.
According to Dr Derya, all fertile aged women need annual gynecological checkups but during especially amid COVID -19, most of them avoid this routine checkups and even
sometimes ignored their gynecological symptoms. She emphasized that it is very essential that women stay cautious about any abnormal symptoms.
“In case of pregnancy or any new symptom like abnormal bleeding or pain or abnormal brownish discharge that are suspicious for any gynecological malignancy, ladies should see
their gynecologists. Emergency services are available 24 hour/7 days and our Obstetrics and Gynecology at Al-Ahli Hospital clinics are working with obeying the instructions of Ministry of Public Health.
