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Nuoširdžiai dėkoju gydytojui med. m. dr. Gintautui Radžiūnui ir jo komandai (gyd. R. Mačiulytei, p. Gražinai, seselei) už profesionalią ir jautriai atliktą kolonoskopiją. Jų darbą galiu įvertinti vieninteliu žodžiu - "HARMONINGA". Pagarbiai, Gerardas Žalėnas2020 09 03
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Tubal Ligation Reversal, also referred to as Tubal Sterilization Reversal or Microsurgical Tubal Reanastomosis, is the surgical procedure to restore female fertility after a tubal ligation was performed, often many years later. The procedure involves rejoining the separated parts of the Fallopian tubes, allowing for the possibility to conceive. Tubal ligation is commonly referred to as "having your tubes tied".
During a tubal ligation reversal, the blocked segments of the fallopian tubes are reconnected to the remainder of the fallopian tubes. This may allow eggs to again move through the tubes and sperm to travel up the fallopian tubes to join an egg.
Tubal ligation reversal is more likely to be successful if your tubal ligation was originally performed using clips or rings, rather than if segments of your fallopian tubes were burned in order to close them off (electrocautery). Some types of sterilization, such as the Essure or Adiana systems, aren't considered reversible.
Before the procedure, you and your partner will need to get a complete physical exam to find out if there is any condition that might keep you from getting pregnant after a tubal reversal. The physical exam usually includes a blood test, imaging test, and hysterosalpingogram (HSG). Your partner may also need to gets tests such as a sperm count and semen analysis to find out if there is any fertility problem. You and your doctor will need to discuss the success rate and your ability to get pregnant after the procedure. You should also discuss other options for pregnancy.
During the procedure, your doctor will likely use robotic or laparoscopic surgical equipment. A laparoscopic is a small tube with a tiny camera and surgical instrument attached to it. Your doctor will first look at your fallopian tubes using the laparoscopic camera. The tiny camera is put into your abdomen through a tiny incision. If your doctor sees that you have enough fallopian tube left and everything looks healthy, they will perform the surgery.
Once your doctor has decided it is okay to perform the surgery, you will be given general anesthesia. The surgery will also be done with laparoscopy, meaning your surgeon will make several incisions in your abdomen and insert a camera and small instruments to do the surgery. Using the microscopic instruments attached to the end of the laparoscope, your doctor will remove any damaged sections of your fallopian tubes and any devices from your tubal ligation, such as clips or rings that were used to block your tubes. Small stitches are used to reattach the undamaged ends of your fallopian tubes to the uterus. When the tubes are reconnected, your doctor will inject a dye into one end of each tube to make sure that the tubes have been reattached successfully.
Another way to carry out the surgery is a procedure called minilaparotomy. During this procedure, your doctor will make an incision in your abdomen to take the ends of your fallopian tube out of your abdomen. Then, your surgeon will remove the damaged parts of your fallopian tube and reconnect the healthy parts while the tubes are outside your body.
The whole procedure usually takes about 2 to 3 hours. It can be done in a hospital or an outpatient center. If everything goes well and the surgery is completed using “microsurgical” techniques, you may be able to go home around 2 to 4 hours after surgery. However, some women will need to stay in the hospital for 1 to 3 days. After being discharged from the hospital, you will have to stay in Vilnius for between 1 to 2 weeks or until your doctor gives you the all-clear to travel home. During your stay in Vilnius you will attend follow-up checkups.
The recovery time depends on the surgical method your doctor used. Typically, recovery takes about one to two weeks until you can resume your normal activities. During the recovery period, you may experience pain and tenderness around the incision. To help with the pain, your doctor may prescribe pain medication, or you can take over-the-counter medication. Many patients also feel extreme weakness during the recovery period. You should not bathe for 48 hours after your surgery and your stitches will dissolve.
You will need to follow all post-operative instructions that your doctor gives you. You will not have any activity or dietary restrictions after the surgery, but you should avoid any heavy lifting or sexual activity for a certain period of time. Your doctor will give you a timeline on how long you should avoid these activities. Normally, attempts to conceive can begin within four weeks after the procedure. Do not rub the incision, especially when you want to clean it, instead pat it gently.
The success rate of tubal ligation reversal can vary widely, depending on various factors, including maternal age. Women under 35 tend to have a much higher success rate. Generally, 50% to 80% of women who have tubal ligation reversal can have successful pregnancies. While the success rate for women under 35 is 70% to 80%, women over 40 only have around 30% to 40% success rate.
Like any surgery, tubal ligation reversal also has potential risks and can lead to complications. Although it is rare, you will need to make sure that you understand all the risks and complications. Risks associated with this procedure include:
For an in-depth analysis and a look at how Tubal Litigation Reversal Procedures are performed, watch this short video
You may wish to consider in vitro fertilization (IVF) as an alternative to tubal ligation reversal. During IVF, your eggs are mixed with your partner’s sperm outside of the womb in a lab. The fertilized eggs are implanted directly into your uterus. You can also consider IVF if you do not get pregnant after a tubal ligation reversal.
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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Vilnius is the capital of Lithuania and is also the largest city in the country, with a population of around 564,147. Vilnius was once referred to as the ‘Jerusalem of the north’ but the Jewish community was largely wiped out in WWII. The city does not hide its battle relics. Tourists will find museums dedicated to the Holocaust and preserved the KGB torture chamber. Other than its fascinating history, Vilnius also offers spectacular architecture, trendy bars, and hot-air balloons.
Vilnius is emerging as a medical tourism destination. Every year, medical tourism in Vilnius continues to expand and evolve. Medical treatments in Vilnius are gaining a powerful reputation among medical tourists. The vast majority of the medical tourists coming to Vilnius are from the Middle East, the United States, and Western Europe. Many tourists travel for Breast Augmentation or other cosmetic surgery. Kardiolita Hospital is one of the most popular medical facilities in the city. There are many reasons why local and international medical tourists come to Vilnius, including:
Vilnius is a driving force behind Lithuania’s tourism sector. The city has affordable attractions, accommodations, and restaurants, Historical landmarks, extraordinary architecture, green spaces, and an array of cafes making the city a special place to visit.
Summers in Vilnius is warm and dry, with occasional showers and chilly days. Summers are short, lasting for around two months from June to August. The average temperature in the summer is around 11 °C to 22 °C. Summers are usually the busiest time for the city’s tourism.
Although autumn is exceptionally beautiful and has many sunny days, the temperature will cool down rapidly during this season. It can get as low as -1°C in mid-November.
The winters are freezing when the average temperature plummets to -9°C. The temperature will remain below zero until March. Winters in the city can be an amazing time. However, it can be difficult in rural areas.
Spring usually arrives late in April and does not last very long. The temperature in Spring is cool and the green spaces are blossoming.
Vilnius International Airport is the largest airport in Lithuania that connects the country with European cities. It is the hub for air Baltic and Get Jet Airlines. The airport serves many major airlines, as well as budget airlines such as Ryanair and Wizz Air.
Tourists can take the airport taxis to the city center. The taxis can be found in front of the arrivals terminal. A ride to the city center should cost around 10 EUR to 18 EUR. The city bus is another option to travel to Vilnius city center. It is more affordable than taxis, with a single ticket costs around 1EUR.
Walking is the best mode of transportation for exploring the Old Town. A good portion of Vilnius’s attractions is located within walking distance. Buses and trolleybuses are also available, tickets cost 1 EUR which can be paid directly to the driver. Taxis are not very recommended because many taxi drivers are known to cheat foreigners. Uber is available.
European Union citizens, American, Canadian, Australian, and British can stay in Vilnius for up to 90 days. Citizens of other countries must apply and obtain a visa before entering Lithuania
The country is part of the Schengen Area, tourists who already hold a Schengen visa does not have to apply for a new visa to enter Lithuania. A passport valid for at least three months beyond the length of stay is required.