Le Medical Center Solingen est un hôpital universitaire affilié à l’Université de Cologne et certifié en oncologie par la DKG. Le Dr Severin Iborra dirige le service de gynécologie et possède plus de 15 ans d’expérience en oncologie chirurgicale. Les consultations et les échographies coûtent environ 200 $, tandis que les examens diagnostiques par hystéroscopie coûtent entre 1 500 et 3 200 $. Les forfaits de myomectomie coûtent généralement entre 7 000 et 10 000 $ et comprennent un séjour de 3 jours ainsi qu’une analyse histologique. Dans les cas complexes, une hystérectomie robotisée réalisée à l’aide du système DaVinci Xi coûte environ 33 600 $ et permet une grande précision dans l’ablation des fibromes.
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Le Dr Séverine Iborra est médecin-chef en gynécologie et obstétrique au Centre médical de Solingen. Elle est spécialisée en oncologie gynécologique et en médecine périnatale à haut risque. Le Dr Iborra utilise le système robotique Da Vinci pour les chirurgies cancéreuses mini-invasives. Elle est spécialiste certifiée en pathologie cervicale et en urogynécologie.
Le centre médical de Solingen est un hôpital universitaire affilié à l'Université de Cologne. Il figure parmi les meilleures cliniques d'Allemagne selon le magazine Focus. Ses spécialités principales incluent la neurochirurgie, la gastro-entérologie, l'oncologie et le centre du sein.
Nom du diagnostic | Pourquoi est-il réalisé ? |
Examen gynécologique | Le médecin recueille une anamnèse de la maladie, sonde la tumeur et oriente le patient vers des tests et examens. |
Échographie / échographie intravaginale | Utilisé pour déterminer l'emplacement des fibromes et identifier les plus petits néoplasmes et nodules. |
L'hystéroscopie diagnostique/colposcopie sont des méthodes d'examen de l'utérus à l'aide d'un système optique. | Ils permettent au médecin de constater l'état de l'utérus et de choisir une méthode pour éliminer les fibromes. |
Biopsie (prélèvement de tissus) avec analyse histologique | La procédure est réalisée lors d’une colposcopie. À l’aide d’un appareil spécial, le médecin prélève un échantillon de tissu fibrome et le soumet à un examen au microscope. L'analyse histologique révèle des cellules cancéreuses, des processus inflammatoires dans le système génito-urinaire et des causes d'infertilité. |
Les méthodes de traitement des fibromes sont divisées en méthodes non chirurgicales et chirurgicales. Ces dernières comprennent la myomectomie (ablation des fibromes) et l'hystérectomie (ablation de l'utérus). L'avantage de l'ablation chirurgicale des fibromes est que la possibilité de récidive est minime, avec une hystérectomie, elle est complètement absente.
Les inconvénients de ces méthodes sont les cicatrices, les complications postopératoires, la perte de sang et les perturbations hormonales. La chirurgie moderne des fibromes utérins permet de réduire au minimum tous ces risques. C'est pourquoi les spécialistes des cliniques étrangères préfèrent les techniques mini-invasives. Il s'agit notamment de la laparoscopie (chirurgie par ponctions dans le péritoine) et de l'hystéroscopie (chirurgie par le vagin).
Embolisation des artères utérines. De petits ballons (emboles) sont insérés à travers le cathéter dans l'artère fémorale. Ils obstruent les vaisseaux qui alimentent le fibrome et celui-ci revient à un état normal.
Ablation FUS. La procédure consiste à chauffer les fibromes sous contrôle IRM, après quoi le néoplasme est détruit.
Arrivée
Diagnostique
Élaboration d'un plan de traitement
Traitement
Suivi
Réhabilitation
Veuillez noter que ce qui précède est un guide général. Seul un professionnel de la santé peut déterminer le plan de diagnostic et de traitement précis adapté à votre état de santé. D'autres options de diagnostic, telles que la laparoscopie ou la biopsie de l'endomètre, et des options de traitement, comme l'hormonothérapie ou l'embolisation de l'artère utérine, peuvent également être envisagées.
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