Gynaecological surgery at Paideia International Hospital covers any benign and malign medical condition in women that requires surgery. The surgical approach must always be minimally invasive in full respect of all aspects of the female body.
Gynaecological surgery: points of entry
This type of surgery can use a variety of access points:
- Mini-laparotomy Surgery: this is a further development of the classic laparotomy surgery, which involves a smaller suprapubic incision (between 4 and 6 cm). This technique minimises the trauma related to surgery but is limited to benign adnexal (ovarian cysts) and uterine (myomas) surgery only.
- Vaginal surgery: this procedure involves entry through the vagina. The gold standard of this access point is pelvic floor reconstruction (urinary incontinence or genital prolapse).
- Laparoscopic surgery: This technique involves small incisions made in the abdomen that are the surgical entry point for the camera, and the tools vary from three to five entry points with a maximum length of 10 mm. Laparoscopic surgery can be used for any benign and malignant gynaecological pathology depending on the surgeon's experience.

Robot-assisted gynaecological surgery
At Paideia International Hospital, robot-assisted surgery is the very latest development in minimally invasive surgery and therefore represents the gold standard for gynaecological surgery. This does not refer to surgery performed by a robot, but a minimally invasive laparoscopic surgery performed and directed by experienced surgeons. The Da Vinci Xi Robot ensures precision of surgical movements that goes beyond the possibilities of any other technique, by eliminating the limitations of the human hand. Therefore, the use of the robot is also extended to complex operations with the same quality and effectiveness as traditional surgery. The benefits of minimally invasive surgery are:
- No extensive scarring on the abdomen
- Reduced operating time
- Reduced anaesthesia time
- Very quick return to daily life
For example, robot-assisted surgery simplifies the following types of gynaecological surgery:
- Microsurgery (tubal anastomosis and salpingoplasty)
- Ovarian surgery for infertility
- Uterine myomectomy, large (bigger than 5cm) or multiple myomas
- Complex hysterectomy (uterine volume greater than 500g)
- Deep endometriosis
- Colposuspension
- Ventral rectopexy
- Gynaecological oncological operations for ovarian, uterine or cervical cancer


