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Surgery & Minimally Invasive Interventions

Modern surgical techniques and endoscopic procedures without traditional incisions.

1. What is operative endoscopy?

Operative Endoscopy is an advanced field of minimally invasive surgery. It allows full surgical interventions inside hollow organs (esophagus, stomach, intestines) through natural pathways using flexible endoscopes and special micro-instruments.

The main difference from classic surgery is the complete absence of incisions on the skin (abdominal wall). The doctor controls the entire process on the monitor screen with multiple optical magnification, which guarantees high precision and safety of the intervention.

2. What operations are performed endoscopically?

In modern endoscopic practice, a wide range of therapeutic procedures is performed:

  • Polypectomy: removal of benign formations (polyps) in the stomach, duodenum, and colon for cancer prevention.
  • Hemostasis: coagulation of blood vessels or clipping in acute gastrointestinal bleeding (e.g., with ulcers).
  • Removal of foreign bodies: safe extraction of objects accidentally ingested into the esophagus or stomach.
  • Dilation and bougienage: restoring patency of narrowed sections of the esophagus.

3. How is polyp removal (polypectomy) performed?

Polyp removal is performed painlessly during diagnostic examination (gastroscopy or colonoscopy) under sedation (medical sleep).

A special metal snare is placed over the polyp stalk, through which a high-frequency current is passed. The polyp is cut off, and the vessel at its base is immediately coagulated (cauterized), which prevents bleeding. All removed tissues must be sent for histological examination.

4. How to prepare for an endoscopic surgery?

Preparation depends on the organ being operated on and is carried out according to the same rules as for diagnostic examination:

  • Stomach (EGD procedures): strictly fasting (no food for 6-8 hours, no fluids 2 hours before sedation).
  • Large intestine (CS procedures): low-residue diet for 3 days and complete cleansing with Eziclen according to the schedule.
  • Tests: before a planned surgical intervention, it is necessary to pass a standard list of blood tests (complete blood count, coagulogram, blood type) and do an ECG.
  • Medications: if you constantly take anticoagulants (blood thinners), be sure to discuss this with the surgeon in advance — some of them must be temporarily stopped a few days before the surgery.

5. Advantages and recovery period

The minimally invasive nature of the operation ensures no pain in the postoperative period and rapid rehabilitation. Most patients are discharged home within a few hours after the procedure.

It is recommended to follow a gentle diet and exclude heavy physical exertion, hot baths, and saunas for 5-7 days after the intervention.

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