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Da Vinci myomectomy in uterine fibroids (myoma uteri) (643132) | Vivantes Humboldt Hospital Berlin - BookingHealth
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After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan of the abdominal and pelvic organs, CT scan and MRI (if necessary). Based on the results of an additional examination, the physician will clarify the size and location of the myomatous nodes, choose the surgical technique and the type of anesthesia.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Surgery with the da Vinci robot<\/strong> starts with general anesthesia. After anesthesia, the surgeon makes small incisions through which he inserts the manipulators of the da Vinci robot and a video camera into the pelvic cavity. Using manipulators, the doctor removes myomatous nodes, and the video camera continuously transmits a three-dimensional image of the operating field in 12-fold magnification to the monitor.<\/p>\n\n<p style=\"text-align: justify;\">Due to the precise movements of the da Vinci robotic arms, the surgeon can successfully remove multiple and large myomatous nodes on any wall of the uterus. After that, the wall of the uterus is sutured with a multilayer suture. This ensures the consistency of the scar on the uterus in the future and contributes to the preservation of the reproductive function.<\/p>\n\n<p style=\"text-align: justify;\">Excessive body mass, which usually complicates endoscopic surgery, is also not a direct contraindication to robotic intervention.<\/p>\n\n<p style=\"text-align: justify;\"><strong>After the completion of the operation<\/strong>, you will be transferred back to the ward, under the supervision of the attending physician and nursing staff. 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After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan of the abdominal and pelvic organs, CT scan and MRI (if necessary). Based on the results of an additional examination, the physician will clarify the size and location of the myomatous nodes, choose the surgical technique and the type of anesthesia.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Surgery with the da Vinci robot<\/strong> starts with general anesthesia. After anesthesia, the surgeon makes small incisions through which he inserts the manipulators of the da Vinci robot and a video camera into the pelvic cavity. Using manipulators, the doctor removes myomatous nodes, and the video camera continuously transmits a three-dimensional image of the operating field in 12-fold magnification to the monitor.<\/p>\n\n<p style=\"text-align: justify;\">Due to the precise movements of the da Vinci robotic arms, the surgeon can successfully remove multiple and large myomatous nodes on any wall of the uterus. After that, the wall of the uterus is sutured with a multilayer suture. This ensures the consistency of the scar on the uterus in the future and contributes to the preservation of the reproductive function.<\/p>\n\n<p style=\"text-align: justify;\">Excessive body mass, which usually complicates endoscopic surgery, is also not a direct contraindication to robotic intervention.<\/p>\n\n<p style=\"text-align: justify;\"><strong>After the completion of the operation<\/strong>, you will be transferred back to the ward, under the supervision of the attending physician and nursing staff. 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Da Vinci myomectomy in uterine fibroids (myoma uteri)

Vivantes Humboldt Hospital Berlin

Berlin, Germany
Program id # 643132
Doctor photo
Dr. med. Zaher Halwani
Department of Gynecology and Obstetrics
Specialized in: gynecology, obstetrics

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • inflammation indicators (CRP, ESR)
    • indicators of blood coagulation
    • tumor markers (CEA, CA19-9, CA125)
  • gynecological examination
  • ultrasound scan: pelvis, abdomen
  • preoperative care
  • da Vinci myomectomy
  • symptomatic treatment
  • control examinations
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation
  • explanation of future recommendations
     

How program is carried out

During the first visit, the physician will conduct a clinical examination and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan of the abdominal and pelvic organs, CT scan and MRI (if necessary). Based on the results of an additional examination, the physician will clarify the size and location of the myomatous nodes, choose the surgical technique and the type of anesthesia.

Surgery with the da Vinci robot starts with general anesthesia. After anesthesia, the surgeon makes small incisions through which he inserts the manipulators of the da Vinci robot and a video camera into the pelvic cavity. Using manipulators, the doctor removes myomatous nodes, and the video camera continuously transmits a three-dimensional image of the operating field in 12-fold magnification to the monitor.

Due to the precise movements of the da Vinci robotic arms, the surgeon can successfully remove multiple and large myomatous nodes on any wall of the uterus. After that, the wall of the uterus is sutured with a multilayer suture. This ensures the consistency of the scar on the uterus in the future and contributes to the preservation of the reproductive function.

Excessive body mass, which usually complicates endoscopic surgery, is also not a direct contraindication to robotic intervention.

After the completion of the operation, you will be transferred back to the ward, under the supervision of the attending physician and nursing staff. Due to the minimal invasiveness of the operation and the short duration of general anesthesia, you will not need to stay in the intensive care unit for a long time.

Finally, the attending physician will evaluate the results of control examinations, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.

Required documents

  • Medical records
  • Ultrasound scan (if available)

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About the department

The Department of Gynecology and Obstetrics at the Vivantes Humboldt Hospital treats all benign and malignant gynecological diseases and also offers services in the field of obstetrics. All the efforts of the medical team are directed at the individual needs of the patient. In addition to providing competent and professional medical care, the department's specialists show sympathy for their patients and support them throughout the treatment period. The department offers modern medical equipment that meets the latest internationally recognized standards. The head of the department is Dr. med. Zaher Halwani.

The department is equipped with a robotic-assisted surgical system
Da Vinci, through which minimally invasive interventions are conducted with a high degree of accuracy. This system is used even for extensive surgical interventions.

The department has an Endometriosis Center, certified as the Center for the Treatment of Gynecologic Oncological Diseases. Here, doctors specialize in minimally invasive and robotic operations. The center works for the benefit of patients and it also shares its experience and knowledge with specialists of other clinics, introducing medical practice that meets the latest internationally recognized standards and recommendations.

Many small surgeries can be performed at the outpatient department. Thus, the patient has the opportunity to quickly go home, where her relatives will take care of her. For example, outpatient interventions include surgery after miscarriage, laser treatment of cervical disease, as well as treatment of bleeding and genital warts.

The most important direction of the department is obstetrics. Thanks to modern medical equipment, the department has all the possibilities for optimal medical care for the baby and mother in both natural childbirth and high-risk pregnancy.

The department conducts all necessary research methods and comprehensive individual consultations on all issues of interest regarding pregnancy. In addition, the specialists of the department conduct consultations for women who are planning a pregnancy. They also provides in-depth consultation for women with high-risk pregnancies, eg, with gestational diabetes, hypertension, pregnancy with twins, fetal prolapse in the pelvis.

The department employs a competent team of doctors, midwives and nurses who have many years of experience in obstetrics and know how to conduct natural, maximally painless and safe births. There is a variety of ways to relieve pain during childbirth. The Department of Obstetrics offers alternative methods, eg homeopathy, acupuncture, aromatherapy, etc. It goes without saying that anesthetists use classical painkillers or nitrous oxide. In addition, it is possible to receive epidural anesthesia.

The range of medical services of the Department of Gynecology and Obstetrics covers:

  • Prevention, diagnosis, treatment and follow-up care of Gynecological Oncology
  • Diseases of the endometrium (endometriosis)
  • Benign tumors of the muscular tissue of the uterus (fibromas)
  • Pathological changes in the ovaries and fallopian tubes
  • Breast and lower abdominal cancers
  • Bleeding
  • Unfulfilled desire to have a child
  • Prenatal care
  • Childbirth
  • Postpartum care

Curriculum vitae

  • Since 2016 Director, Department of Gynecology and Obstetrics, Vivantes Humboldt Hospital.
  • 2015 Director, Department of Gynecology, Red Cross Hospitals, Berlin Westend.
  • 2011 - 2014 Fellowship Gynecological Oncology German Red Cross Hospital, Berlin Westend.
  • 2006 - 2010 Department of Gynecology, Vivantes Urban Hospital and Vivantes Friedrichshain Hospital.
  • 2004 - 2006 Department of Gynecology, German Red Cross Hospital Saarbrücken.
  • 1994 - 2000 Faculty of Medicine, University of Damascus, Syria.

Memberships

  • Director German Endometriosis Center.
  • German Society of Gynecology and Obstetrics.
  • North-eastern German Society of Gynecologic Oncology (NOGGO).
  • AGE (Society of Gynecological Laparoscopy).
  • AG-CPC (Society of Cervical Pathology).
  • European Endometriosis League (EEL).

Photo of the doctor: (c) Vivantes Netzwerk für Gesundheit GmbH 


About hospital

An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin. The hospital is famous for its impeccable reputation in the field of traumatology, orthopedics, urology and gynecology, as well as treatment of oncological diseases. Treatment in these fields is performed within the specialized centers at a hospital of national importance.

The Humboldt Hospital has 24 medical departments and about 700 beds at its disposal. Every year, a team of 250 doctors treats about 65,000 patients. The hospital combines high medical qualifications and modern technologies: urologists-surgeons employ operating system Da Vinci, Holmium laser enucleation of the prostate and therapeutic robot, neurological rehabilitation uses exoskeleton for walking training after acute disorders of cerebral circulation.

High quality of treatment is proved by the participation of hospital in the "Initiative of Quality Medicine" (Initiative Qualitätsmedizin, IQM) program.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Vivantes Humboldt Hospital live in comfortable single and double rooms.

Rooms are equipped with everything necessary to make the patient's stay in the hospital as convenient and pleasant as possible. It is worth noting the modern and stylish design of the rooms are at the level of a first-class hotel.

Each room has a separate bathroom with toilet and shower. The rooms also have internet access, satellite TV and a telephone.

Meals and Menus

The hospital offers delicious and healthy meals. For lunch, the restaurant offers an abundant selection of meals from 10 menus. There is also a vegetarian and diet menu.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV