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Gynecologic laparoscopy is a procedure in which a surgeon uses a laparoscope (a long, thin tube with a high-resolution camera and a high-intensity light at its end) to see inside your lower abdomen. The camera on the laparoscope sends images to a video monitor. This means that the surgeon will be able to see your ovaries, fallopian tube, and uterus (womb) in real-time, without open surgery. They will also be able to see other parts of the body, such as the bowel and bladder.
Gynecologic laparoscopy can be used to determine what’s causing your symptoms, as well as treating various conditions. It can be done to:
Diagnose and treat endometriosis (endometrial tissue ablation)
Diagnose and remove an ovarian cyst
Diagnose infertility
Diagnose pelvic abscess or pus
Diagnose pelvic inflammatory disease
Diagnose and treat fibroids
Diagnose and treat an ectopic pregnancy (a condition in which a fertilized egg starts to develop outside of your womb)
Remove scar tissue (scars can develop after infections, such as pelvic inflammatory disease or endometriosis)
Perform tubal ligation or sterilization (cutting or closing your fallopian tubes to permanently prevent pregnancy)
Remove your ovaries (oophorectomy) or womb (hysterectomy)
Diagnose cancer or investigate whether cancer has spread.
During a gynecologic laparoscopy, the surgeon may take a small sample of tissue (biopsy). This sample can be sent to a laboratory for testing to see whether the cells in the sample are cancerous or not cancerous.
Gynecologic laparoscopy is usually performed under general anaesthesia. Once your surgeon gives you the anaesthetic, a small tube called a catheter will be used to collect your urine. Then, your surgeon will use a small needle to fill your abdomen with carbon dioxide gas. The gas is needed to reduce the risk of injury by keeping your abdominal wall away from your organs.
A small cut in your abdomen near the belly button will be made to insert the laparoscope, which conveys images to a monitor screen. The images give your surgeon a clear, real-time view of your organs. What happens after depends on why a gynecologic laparoscopy is performed.
For diagnosis purposes, your surgeon might take a look and try to find any abnormality.
For treatment purposes, your surgeon will make other incisions to insert tiny surgical instruments. Then, the treatment is performed using the laparoscope as a guide.
When the procedure is over, your surgeon will remove all instruments and close the incisions with stitches.
If you are having a gynecologic laparoscopy to diagnose a condition, you should be able to leave the hospital on the same day. If you have the procedure to treat a condition, you may need to stay in the hospital overnight. In general, it is recommended that you stay in Bulgaria for 5 to 7 days following your gynecologic laparoscopy as you need to let your body recover first and attend follow-up checkups.
Recovery time for gynecologic laparoscopy varies, depending on what procedure was performed. You may need to rest for a week. After diagnostic gynecologic laparoscopy, you may be able to resume all normal activities in one or two weeks. However, if the procedure is done to treat a condition, it may take 4 weeks or more until you can return to normal activities.
Your medical team will give you instructions on how to care for yourself at home before you are discharged from the hospital. In general, you need to keep the following instructions in mind:
Your doctor may prescribe pain medication to ease your discomfort or antibiotics to prevent an infection. Make sure to take the medications as prescribed.
Rest and get enough sleep to help you recover. However, try to walk every day to boost blood flow.
Drink plenty of fluids.
If your doctor allows you, you may shower within one or two days following the surgery. However, don’t take a bath until your doctor says it’s okay.
Always attend the scheduled follow-up checkups.
Gynecologic laparoscopy is a safe procedure. It is a highly successful procedure that allows your surgeon to easily diagnose any problems and treat various conditions without having to open your lower abdomen. However, there are still some side effects and risks you need to be aware of. These include bleeding from your vagina, pain in your abdomen, nausea, tiredness, and shoulder pain, development of a blood clot, infection, and damage to other organs.
For diagnostic purposes, you can consider an ultrasound scan or MRI scan instead of a gynecology laparoscopy. Both of these procedures are non-invasive. For treatment purposes, laparotomy or open surgery can be an alternative. This involves making a large cut in your abdomen. It is usually used for bigger operations, such as a hysterectomy.
Before gynecologic laparoscopy, you may experience unexplained pelvic pain or unexplained infertility, or you may have a condition in your reproductive system that needs to be treated. After the procedure, the cause of your symptoms or infertility will be shown and your doctor can create a treatment plan. Any condition you have before the procedure will be treated.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Bulgaria has plenty to offer and tourists are going to be very impressed with the country’s mountainous landscapes, beautiful Black Sea beaches, fascinating history, friendly locals, lively nightlife, and affordability. Although the country’s holiday tourism is very much on the radar, it is also actually quite popular with medical tourists, due to its modern medical centers, highly trained medical professionals, state-of-the-art equipment, affordable healthcare, and mineral baths, thousands of medical tourists visit this country each year. Most of the medical tourists come for dental treatment, orthopedic surgery, elective surgery, neurosurgery, as well as health screening.
Bulgaria’s laid-back capital city, Sofia, is truly a must-visit. It is full of museums, Ottoman mosques, communist architecture, chic galleries, Eastern Orthodox churches, amazing restaurants, and upbeat clubs. One of the most popular landmarks in the country is the Aleksander Nevski Cathedral, which is an awe-inspiring church built between 1882 and 1912 to honor 200,000 Russian soldiers who died fighting for the independence of Bulgaria during the Russo-Turkish war. If you want to relax on beautiful beaches visit Varna, which is a major tourist destination during the summer. The second-largest, city in Bulgaria is Plovdiv and it is one of the oldest continuously inhabited cities in Europe. Tourists are attracted by the Roman Amphitheatre, Archeological Museum, and Tsar Simeon Central Garden.
Most international tourists will arrive at Sofia Airport, which serves flights to most numerous major cities in Europe and the Middle East. There are several budget airlines that operate flights from this airport, including Ryanair and Wizz Air. Domestic flights are available, but they tend to be expensive. Therefore, to travel from one city to another, trains and buses are the best option. Buses and trains are punctual and affordable. However, if you are in a hurry, you should avoid trains as they can be a little slow. To travel around big cities, taxis are widely available and are really cheap. Just make sure you choose a licensed taxi to avoid being overcharged.
While Bulgaria is not yet a part of the Schengen Area, it has a visa policy that is based on the Schengen system. Therefore, holders of Schengen Visa are allowed to enter the country. Additionally, citizens of 62 countries, including the US, Australia, and the UAE, can stay in the country for up to 90 days without a visa.
From June to August, Bulgaria experiences summer. The weather can get a bit hot and humid, with an average temperature of 19°C to 21°C. July is the wettest month in the country. Winter, from December to February, is usually freezing. Autumn and Spring bring pleasant weather.