Modern Therapy Methods for Major Gynecological and Urogynecological Issues
The surgical treatment program for gynecological and urogynecological diseases is developed considering the individual characteristics of each patient. The program is based on the application of ultra-minimally invasive surgical methods, which allow for rapid recovery after surgery, minimize pain sensations, and reduce the number of scars, thereby improving aesthetic outcomes.
▎Areas of Intervention•
Minimally Invasive Surgery•
Diagnostic and Operative Hysteroscopy•
Diagnosis and Treatment of Benign Diseases of the Uterus, Ovaries, and Adnexa•
Diagnosis and Treatment of Pathologies of the Lower Genital Tract•
Diagnosis and Treatment of Chronic Pelvic Pain and Endometriosis▎
Ultra-Minimally Invasive Methods•
Hysteroscopic Surgery: Whenever possible, preference should be given to endoscopic procedures to avoid incisions and prevent scar formation.
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Percutaneous Laparoscopic Surgery: This technique uses ultra-thin instruments with a diameter of less than 3 mm. The incision in the abdominal cavity is so small that sutures are not required at the end of the procedure.
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Mini-Laparoscopic Surgery: This laparoscopic method employs instruments with a diameter of less than 5 mm.
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Laparoscopic Single-Site Surgery (LESS): In this laparoscopic approach, the umbilicus serves as the only access point to the abdominal cavity.
▎Robotic Gynecological SurgeryThe Da Vinci robot can be used for the treatment of endometrial cancer and progressive genital prolapse. In cases of endometrial tumors, the robotic system allows for a "nerve-sparing" technique, where individual nerve endings are identified to preserve their function and prevent disruption to bladder and bowel function.
For the treatment of severe prolapse, robotic surgery enables better placement of the mesh for supporting the vaginal vault at the sacral promontory. The Da Vinci robot ensures high precision in procedures while preserving vascular structures and nerve integrity, thus preventing complications such as constipation and urinary incontinence that may arise from traditional surgical interventions.
▎Advantages of Using Robotic Technologies Include:• Reduced hospitalization time
• Faster postoperative recovery
• Highly precise surgical treatment
• Preservation of proper innervation (nerve-sparing approach)
Eric Francescangeli is a surgeon who utilizes the da Vinci robotic system and specializes in the treatment of endometriosis
In the past three years, he has performed over 2,500 laparoscopic surgeries, with his main areas of interest being endometriosis, endometrial cancer, and pelvic organ prolapse. He has also gained significant experience in robotic surgery, having conducted over 500 operations using three different robotic platforms. Eric treats uterine fibroids through minimally invasive procedures, both laparoscopically and using robotic surgery. In the field of endometriosis, he specializes in conservative treatment methods aimed at preserving nerve endings, as well as addressing diseases of the intestines and pelvic organs. He has successfully treated several cases of diaphragmatic endometriosis. Eric is confident in his skills in paraaortic and pelvic lymphadenectomy, which he has performed during early-stage ovarian cancer surgeries, as well as for endometrial and cervical cancer. Over the past four years, he has honed his skills in pelvic surgery by collaborating with the proctology department. He has performed over 400 surgeries, including ventral rectopexy (200), colposacropexy, and lateral suspension procedures. He is also able to correct pelvic floor defects through vaginal surgery. Eric has experience in single-port laparoscopic surgery, having conducted over 200 operations. Throughout his practice, he has dealt with emergency obstetric maneuvers such as shoulder dystocia, vacuum extraction, and cesarean sections.
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Preventive SurgeryWith the advancement of medical knowledge in oncology, genetic screening tests to assess the risk of developing ovarian or breast cancer in patients with a family history of these diseases are now available and increasingly utilized. Ultra-minimally invasive surgery is a suitable option for women at high risk who prefer preventive surgery.
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Gynecological Urology• Treatment of urinary incontinence in women
• Organic and functional urinary retention
• Pelvic floor reconstruction surgery (genital prolapse)
• Treatment of fecal incontinence, obstructed defecation, chronic cystitis, interstitial cystitis, and neurological bladder disorders.