Hysteroscopy In Intrauterine adhesions (Ashermans syndrome) in Hospital Oberberg Gummersbach

About the department

The Department of Gynecology, Obstetrics and Mammology at the Hospital Oberberg Gummersbach provides comprehensive diagnostics and conservative and surgical treatment of diseases of the female reproductive system and breast pathologies. The department also provides top-class obstetric care for expectant mothers. The team of gynecologists in the department focuses on women with oncological diseases such as uterine cancer, cervical cancer, ovarian cancer, vulvar cancer, and vaginal cancer. When dealing with the treatment of oncological diseases, the department's doctors not only perform surgery but also use various combinations of chemotherapy, radiation therapy, hormone therapy, and antibody therapy. Most of the surgical procedures in the department are performed using minimally invasive, endoscopic, or laser techniques, which ensure rapid patient recovery. Breast cancer treatment is provided in a specialized center. In 80% of cases, doctors perform organ preservation surgery for breast cancer. If necessary, reconstructive plastic surgery can also be performed. About 1,000 newborns are born in the department every year. Childbirth takes place in comfortable delivery rooms equipped according to modern requirements. There is also an intensive care unit that provides 24-hour emergency medical care for newborns, premature infants, and mothers. The Head Physician of the department is Dr. med. Anja Weishap.

The department's team of gynecologists has long experience and excellent qualifications in the treatment of malignant diseases of the female reproductive system. The healthcare facility provides comprehensive medical care for women with cervical cancer, uterine cancer, ovarian cancer, vulvar cancer, and vaginal cancer. The department's gynecologists believe that the best treatment results are achieved through a multidisciplinary approach. Therefore, the technical resources and specialized staff of the Cancer Center Oberberg are involved in the therapeutic process. A treatment regimen for gynecologic cancer is developed for each patient on an individual basis during interdisciplinary tumor boards. In most cases, the first-line treatment is surgical removal of the malignant tumor. In the advanced stages, extensive resections are often carried out with the removal of female genitalia and lymph nodes affected by the oncological process. Gynecologists also use effective conservative treatment methods in the fight against cancer, including chemotherapy, targeted therapy, hormone therapy, radiation therapy, and others. It is important for the department's specialists to provide each patient with effective and yet minimally invasive treatment.

The department also treats patients with benign diseases of the female reproductive system, such as uterine fibroids, endometriosis, cervical dysplasia, ovarian cysts, pelvic organ prolapse, and urinary incontinence. Surgical procedures to remove the uterus, ovaries, and uterine fibroids are performed in the medical facility using advanced surgical techniques that exclude traumatic abdominal incisions. Surgeons successfully use laparoscopic supracervical hysterectomy (LASH), laparoscopically assisted vaginal hysterectomy (LAVH), and total laparoscopic hysterectomy (TLH). Some cervical and vulvar surgeries are performed using laser techniques. To treat urinary incontinence, the department's gynecologists perform minimally traumatic TVT and TOT sling procedures and colposuspension (Burch procedure). For women with pelvic organ prolapse, the department offers vaginal wall reconstruction and sacrocolpopexy.

The certified Breast Center operates in the department, which focuses primarily on the treatment of breast cancer in women. This oncological disease is the most common among women all over the world. For this reason, the department has implemented a special breast cancer screening program. Early detection of cancer increases a woman's chances of recovery. During the diagnostic stage, a woman undergoes ultrasound scanning, mammography, MRI, biopsy, and laboratory tests. The patient's diagnostic results are accurately studied by an interdisciplinary tumor board, in which breast specialists, gynecologists, oncologists, radiation therapists, and radiologists take part. The doctors work together to develop an individual treatment regimen. The most effective treatment for breast cancer is surgery. It is worth noting that up to 80% of operations are breast-conserving, which allows the patient's breast to be preserved while the tumor is removed. In the advanced stages of cancer, reconstructive plastic surgery is performed when breast removal is unavoidable. Such surgery helps a woman regain her aesthetic appearance and self-confidence. Chemotherapy is an integral part of the treatment regimen. The amount of drugs and the duration of the chemotherapy course depend on the stage of cancer, the general health condition of the patient, and other factors. If clinically indicated, patients may also receive targeted therapy, hormone therapy, immunotherapy, and radiation therapy.

The department is one of the leading maternity centers in the region. More than 1,000 babies are born here every year. Pregnancy management, childbirth, and postnatal care for both mother and child are performed according to the standardized clinical protocols of professional societies. The department's obstetricians have successful experience in managing high-risk and multiple pregnancies. The department has 4 delivery rooms. Homeopathy, acupuncture, aromatherapy, relaxing baths, epidural anesthesia and other methods are offered to relieve pain during childbirth. Upon request, the department's doctors can perform an outpatient delivery, after which the mother and child go home under the supervision of an accompanying obstetrician.

The department's range of medical services includes the following:

• Gynecology
  • Diagnostics and treatment of malignant diseases of the female reproductive system
    • Surgical treatment
      • Minimally invasive operations
      • Extensive resections using classical open surgical techniques
    • Conservative treatment
      • Chemotherapy
      • Radiation therapy
      • Targeted therapy
      • Hormone therapy
      • Antibody therapy
  • Diagnostics and treatment of benign diseases of the female reproductive system, urinary incontinence, and pelvic organ prolapse
    • Endoscopic procedures for tubal ligation, ectopic pregnancy, and adhesions
    • Dilation and curettage
    • Cervical loop conization
    • Adhesiolysis
    • Uterine fibroid enucleation
    • Laparoscopic chromopertubation
    • Laser vaporization of vulvar and cervical condylomas
    • Minor surgical interventions on the vulva and internal female genitalia
    • Laparoscopic supracervical hysterectomy (LASH)
    • Laparoscopically assisted vaginal hysterectomy (LAVH)
    • Total laparoscopic hysterectomy (TLH)
    • TVT and TOT sling procedures
    • Colposuspension (Burch procedure)
    • Vaginoplasty
    • Sacrocolpopexy
• Mammology
  • Diagnostics and treatment of breast cancer
    • Surgical treatment
      • Breast-preserving surgery for cancer
      • Breast resection (mastectomy)
      • Reconstructive breast plastic surgery
    • Conservative treatment
      • Chemotherapy
      • Targeted therapy
      • Hormone therapy
      • Immunotherapy
      • Radiation therapy
• Obstetrics
  • Comprehensive management of pregnancy, including high-risk and multiple pregnancies
  • Childbirth
  • Postpartum care
• Other medical services