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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 Dominican Republic 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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The Dominican Republic can be found on the island of Hispaniola and is a part of the island group, the Great Antilles. The nation has diverse natural environments and land features. Characterized by rugged mountains on one side and the other side consist of low lying valleys and coastal plains. It is the world’s leading producer of professional baseball players. It is also home to the highest mountain, Pico Duarte, and the largest lake, Lago Enriquillo in the Caribbean Region.
In recent times, the Dominican Republic has become popular with medical tourists. Tourists, particularly from the United States, visit the country for Plastic and Reconstructive surgeries, especially for Breast Augmentation procedure. About 25,000 to 30,000 patients visit the Dominican Republic yearly for various medical treatments. The most sought-after services are general, Plastic and cosmetic surgeries, dental procedures, weight-loss, oncology, and orthopedic treatments.
Most medical service providers are situated around the capital city Santa Domingo and Santiago. The medical establishments offer competitive healthcare services with highly-qualified and internationally-trained surgeons. The following clinics can be found in Santa Domingo: Dr. Rafael E. Estevez - Plastic, Reconstructive, and Aesthetic Surgeon, Dr. Gustavo Almanzar Plastic Surgery Clinic, Alba Reyes Skin, and Hair Transplant Institute and Dr. Ivan Strachan Bariatric Clinic.
The Dominican Republic is an unmatched destination with amazing natural sceneries, intriguing history, and diverse culture. It offers ecotourism adventures in splendid national parks, mountain ranges, beaches, and rivers.
Top attractions of the Dominican Republic:
Jarabacoa, Sosua, La Romana, Las Aguilas, and Puerto Plata & Playa Dorada are several other popular tourist spots in the Dominican Republic.
The Dominican Republic has a tropical weather climate, and constant temperature throughout the year, with average yearly temperature, is around 77°F.
The hottest and humid period is from May to October. The mild winter season is from December to March. The period between November and April are the moderate seasons.
Rainfall is seasonal. The eastern and southern coasts experience rains between April and October. The northern coast receives rains throughout the year due to the influence of the north-eastern trade winds. The southern region is prone to hurricanes, with most striking in the months of August and September.
The Dominican Republic offers easy access to the rest of the world with a myriad of flight options from North America and Europe. The main ports of entry into the country by air are the international airports in Santa Domingo, Punta Cana, and Puerto Plata. Santiago and Samana airports are other points of entry.
There are many flights from major cities of Canada and the US. The most frequent flights are from New York, Miami, Toronto, and Montreal. JetBlue, the budget airlines, operates flights from North America to Santo Domingo, Santiago, and Puerto Plata.
The Dominican Republic has a well-developed inter-country transport infrastructure with a large network of roads. It has many types of public transportation for moving around within cities such as buses, the metro, carro publicos, guaguas, and the motoconchos.
Carro Publicos are small car-public taxis and have a specific route displayed on their roof. Guaguas are privately-owned minivans and pick up travelers from any point and drop them off close to their desired location. Motoconchos are private motorcycle taxis that have reasonable fares and are ideal for short journeys.
Citizens of countries such as the UK, USA, and Canada, and Schengen countries are not required to have a tourist visa to enter the Dominican Republic, under a bilateral agreement between the countries. However, they do need to:
Nationals of countries like India, Sri Lanka, China, and Russia need to get a tourist visa to travel to the Dominican Republic. The visas are multiple-entry type and are valid for 60 days.