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Best Gynecologic surgeon

Found 3 Gynecologic surgeon


Dr. Fernanda Esteves Simões Ramos

Dr. Fernanda Esteves Simões Ramos

Gynecologist in São Paulo

Gynecologist

5.0
I love Dr. Fernanda, always very friendly, accessible, and extremely careful. She always takes great care of me and my baby. I recommend her without hesitation.More
Languages: Portuguese, English, German
I love Dr. Fernanda, always very friendly, accessible, and extremely careful. She always takes great care of me and my baby. I recommend her without hesitation.More
Languages: Portuguese, English, German

Avenida Nove de Julho, 3452 - Jardim Paulista, São Paulo, 01406-000, Sao Paulo

Dr. Anna Carolina Haddad Sayeg Lopez

Dr. Anna Carolina Haddad Sayeg Lopez

Gynecologist in São Paulo

Gynecologist

5.0
Dr. Ana received me with extreme attention and empathy. In a delicate moment, I was listened to with patience, sensitivity, and respect. Her welcoming demeanor made all the difference for me to feel safe and understood.More
Languages: Portuguese, English, Spanish, German
Dr. Ana received me with extreme attention and empathy. In a delicate moment, I was listened to with patience, sensitivity, and respect. Her welcoming demeanor made all the difference for me to feel safe and understood.More
Languages: Portuguese, English, Spanish, German

Nexum Clinic, Avenida Nove de Julho, 3452 - Jardim Paulista, São Paulo, Sao Paulo

Dr. Fernando Lorenzi

Dr. Fernando Lorenzi

Gynecological Surgeon in São Paulo

Gynecologic surgeon

0.0
Languages: English, Portuguese, French
Languages: English, Portuguese, French

Rua Dr. Ovídio Pires de Campos, 225, Cerqueira César, Sao Paulo, 05403-010

General information on medical treatment

The importance of gynecological surgeons in women's health

Gynecological surgeons are fundamental to female reproductive health. In addition to performing essential surgeries, they offer specialized counseling and precise diagnosis for various gynecological conditions. With their in-depth knowledge, these professionals ensure that you maintain a healthy and productive life, taking care of crucial aspects of your health.

The multidisciplinary role of the modern gynecological surgeon

Contemporary gynecological surgeons work in an integrated manner with other specialists, combining surgical skills with a holistic approach to women's health. This multidisciplinary perspective allows for a more complete and personalized treatment.

The continuous training of these professionals in new techniques and technologies ensures that patients receive the best care based on the most recent scientific evidence.

Main procedures performed by gynecological surgeons

Hysterectomy: what you need to know

Hysterectomy involves the surgical removal of the uterus and is one of the most frequent procedures performed by gynecological surgeons. This procedure may be indicated to treat serious conditions such as cancer, fibroids, or severe endometriosis. The decision to opt for a hysterectomy should be carefully considered with your doctor, evaluating all available options to ensure the best treatment for your specific condition.

Types of hysterectomy and their specific indications

Hysterectomy can be classified into different types, each with its own indications:

  • Total hysterectomy: removal of the uterus and cervix
  • Partial hysterectomy: preservation of the cervix
  • Radical hysterectomy: includes removal of adjacent tissues, indicated in oncological cases

Advances in surgical techniques now allow many hysterectomies to be performed with less invasive approaches, significantly reducing recovery time and post-operative complications.

Laparoscopy: a minimally invasive approach

Laparoscopy is a surgical technique that uses small incisions, allowing the surgeon to perform procedures with less invasion. This approach results in less pain after surgery and a faster recovery. Laparoscopy is frequently employed to diagnose and treat conditions such as ovarian cysts, endometriosis, and ectopic pregnancy, offering an effective and less traumatic solution for you.

Emerging indications for laparoscopic procedures

The field of gynecological laparoscopy continues to expand, with new applications being developed to treat complex conditions. Innovative techniques now allow addressing cases that would previously require more extensive open surgeries.

The cosmetic advantages of laparoscopy have also become an important factor for many patients, with smaller incisions resulting in almost imperceptible scars.

Hysteroscopic surgery: precision and efficiency in treatment

Hysteroscopy represents a significant advance in the treatment of intrauterine conditions, allowing precise interventions through the cervical canal. This minimally invasive procedure is ideal for treating polyps, submucosal fibroids, and uterine septum.

With the development of more sophisticated hysteroscopic instruments, surgeons can perform complex procedures on an outpatient basis, dispensing with hospital admission and providing a quicker return to daily activities.

Technological advances in gynecological surgery

Gynecological surgery has experienced significant technological advances that have transformed medical practice. The introduction of robotic surgery, for example, has brought unprecedented precision, allowing surgeons to perform complex procedures with greater effectiveness and safety. Additionally, the use of three-dimensional images and advanced instrumentation further enhances surgical results, providing you with more precise treatment and faster recovery. These advances continue to redefine the standard of care in gynecology, ensuring that you receive the best possible care.

Fertility-preserving surgery: new possibilities

Advances in fertility-preserving surgical techniques represent a crucial evolution in the treatment of gynecological conditions in women who wish to become pregnant in the future. Procedures such as laparoscopic myomectomy and conservative treatment of endometriosis allow treating pathologies without compromising reproductive capacity.

The development of microsurgical techniques has enabled delicate interventions on fallopian tubes and ovaries, increasing the chances of natural conception even after significant surgical procedures.

Preparing for gynecological surgery

Before any surgical procedure, it is crucial that you prepare adequately. This involves having detailed conversations with your surgeon about the procedure itself, discussing expectations for recovery, and understanding all potential risks involved. Maintaining open and honest communication with your doctor not only helps clarify doubts but also reduces the stress and anxiety that may arise before surgery. This careful preparation is fundamental to ensure that you feel confident and informed at each stage of the process.

Modern pre-operative assessment: beyond basic exams

Pre-operative assessment has evolved significantly, incorporating advanced imaging technologies and biomarkers that allow for more precise surgical planning. Exams such as functional magnetic resonance imaging and three-dimensional ultrasound provide detailed information about anatomy and pathologies.

Personalized medicine has also reached pre-operative assessment, with genetic tests that can identify specific risk factors for surgical complications or response to medications used during the procedure.

Psychological support and emotional preparation

The psychological dimension of surgical preparation has received greater attention, with growing evidence that the patient's emotional state directly influences the results of the procedure. Anxiety reduction techniques and psychological preparation programs are now an integral part of pre-operative care in many advanced centers.

Specific support groups for gynecological procedures, both in-person and online, offer a safe space to share experiences and clarify doubts, complementing the information provided by the medical team.

Post-operative care and recovery

Recovery from gynecological surgery can vary significantly depending on the type of procedure performed. Your surgeon will provide you with a personalized post-operative care plan, which will include specific guidance on physical activity, diet, and warning signs that you should observe. Following these recommendations is essential to ensure a smooth and successful recovery. By adhering to these guidelines, you will be facilitating your own recovery and minimizing the risk of complications, allowing you to safely return to your normal activities.

Telemedicine in post-surgical follow-up

Telemedicine has transformed post-operative follow-up, allowing remote monitoring and virtual consultations that reduce the need for frequent trips to the office. Specific applications for surgical recovery allow patients to record symptoms and send photos of incisions for real-time medical evaluation.

Digital monitoring systems also enable early detection of potential complications, alerting both the patient and the medical team about signs that demand immediate attention, increasing safety during the recovery period.

Optimized nutrition for surgical recovery

The science of post-operative nutrition has evolved considerably, with specific protocols that accelerate healing and reduce complications. Diets rich in proteins, antioxidants, and specific nutrients are recommended to optimize tissue recovery.

Personalized supplementation, based on individual needs and the type of procedure performed, has shown significant benefits in reducing recovery time and preventing complications such as infections and suture dehiscence.

The importance of follow-up consultations

After surgery, follow-up consultations are essential to monitor your recovery and ensure that no complications occur. During these visits, you will have the opportunity to discuss any concerns you may have and adjust your recovery plan as necessary. These consultations allow your surgeon to evaluate your progress and make necessary modifications to optimize your recovery, ensuring that you are on the right track to safely and confidently return to your daily activities.

Post-surgical pelvic rehabilitation

Pelvic floor rehabilitation after gynecological procedures has gained recognition as an essential component of complete recovery. Physical therapists specialized in women's health use advanced techniques to restore muscle functionality and prevent future problems.

New technologies such as biofeedback and electromagnetic stimulation allow for more effective and personalized rehabilitation, especially important after procedures such as hysterectomy that can affect pelvic stability.

Sexual health after gynecological procedures

The impact of gynecological procedures on sexual function is now addressed more openly and proactively by healthcare professionals. Specific guidance on returning to sexual activity and strategies to deal with possible challenges are part of post-operative follow-up.

Innovative therapies, including vaginal laser and localized hormonal treatments, are available to treat sexual dysfunctions that may arise after certain procedures, ensuring full quality of life after surgical recovery.

Certifications and subspecialties: understanding the qualifications

The field of surgical gynecology has several subspecialties that reflect the high degree of specialization in the area. Familiarizing yourself with certifications such as urogynecology, gynecological oncology, and reproductive medicine helps identify the most suitable professional for your specific condition.

In addition to formal qualifications, it is important to consider the surgeon's experience with the specific procedure you need, as the volume of cases performed frequently correlates with better surgical outcomes.

Initial assessment by telemedicine: the first virtual contact with the specialist

Telemedicine has revolutionized the process of selecting gynecological surgeons, allowing initial virtual consultations that save time and facilitate access to specialists. These first consultations allow evaluating compatibility with the professional and discussing treatment options before committing to in-person visits.

Specialized digital platforms also offer comparison tools between surgeons, including outcome statistics and patient satisfaction rates, making the selection process more transparent and based on objective data.

Gynecological surgery in different life phases

Adolescence: sensitive and minimally invasive approaches

Gynecological procedures in adolescents require special considerations, prioritizing minimally invasive and fertility-preserving techniques. Age-appropriate communication and appropriate parental involvement are fundamental to ensure a positive experience.

Multidisciplinary teams that include psychologists specialized in adolescents offer adequate emotional support, recognizing the unique vulnerabilities of this age group when facing gynecological interventions.

Menopause: new surgical perspectives

Surgical approaches for menopausal women have evolved significantly, incorporating knowledge about the hormonal and anatomical changes of this phase. Specific techniques minimize risks associated with more fragile tissues and less vascularization.

The integration of gynecological surgery with personalized hormonal therapies allows optimized results and faster recovery, considering the individual hormonal profile and specific needs of post-menopausal women.

Future trends in gynecological surgery

Real-time image-guided surgery

Advances in intraoperative imaging are revolutionizing surgical precision, with systems that merge pre-operative images with real-time visualization during the procedure. This technology allows more precise navigation in complex anatomies and clear identification of vital structures.

Augmented reality applied to gynecological surgery is beginning to emerge in advanced centers, overlaying digital information on the surgical field and allowing more informed decisions during delicate procedures.

Regenerative surgery and personalized medicine

The emerging field of regenerative surgery brings new possibilities for gynecology, with techniques that use stem cells and biomaterials to restore damaged tissues. These innovative approaches promise superior results in pelvic floor repairs and vaginal reconstructions.

Personalized medicine, based on the patient's genetic profile, allows adapting surgical procedures and perioperative protocols to individual characteristics, maximizing effectiveness and minimizing specific risks for each patient.

How to find a trustworthy gynecological surgeon

Choosing a trustworthy gynecological surgeon is a crucial step to ensure quality care. Researching the credentials, experience, and specializations of the doctor can help you make an informed decision. Platforms such as AvaliaMed are useful, as they offer evaluations about doctors and from patients that provide valuable insights about the quality of care you can expect. By informing yourself about these aspects, you will be better prepared to understand and actively participate in your gynecological care, ensuring that your health needs are met with professionalism and competence.

Frequently Asked Questions

What is the difference between a gynecologist and a gynecological surgeon?
A gynecologist performs preventive exams and clinical treatments, while a gynecological surgeon has specific additional training (2-3 years) in advanced surgical techniques for complex conditions. Every gynecological surgeon is a gynecologist, but not every gynecologist performs complex surgical procedures.
When should I see a gynecological surgeon?
Seek a gynecological surgeon when diagnosed with conditions that may require surgical intervention (large fibroids, advanced endometriosis, pelvic prolapse, suspected cancer) or when clinical treatments have not yielded satisfactory results. Usually, your gynecologist will make the referral when necessary.
Recovery time for minimally invasive surgeries
For simple laparoscopic procedures (diagnostic or removal of small cysts), recovery takes 1-2 weeks. More complex procedures, such as laparoscopic hysterectomy, require 3-6 weeks. Individual factors such as age and physical condition also influence recovery time.
Risks of urinary problems after gynecological surgeries
Pelvic surgeries can occasionally affect the urinary system, with risks of temporary incontinence (up to 15% of patients), urinary retention, and, rarely, injuries to the bladder or ureters (<2%). These risks are significantly reduced with experienced surgeons and modern techniques, with most problems being temporary.
Nerve preservation and its influence on sexual function
Modern techniques preserve the pelvic nerves responsible for sexual function and sensitivity. Patients undergoing these techniques report faster return to satisfactory sexual function and lower rates of pain during intercourse. In surgeries such as radical hysterectomy and for deep endometriosis, these techniques have reduced rates of sexual dysfunction from 40% to less than 15%.
How does obesity affect gynecological surgical outcomes?
Obesity increases operative and postoperative risks, including anesthetic complications, greater blood loss, and infection rates (up to three times higher). Specific laparoscopic instruments have improved outcomes. Some patients benefit from preoperative weight loss, but this should be evaluated individually.
What non-surgical alternatives exist for gynecological conditions?
For abnormal uterine bleeding: hormonal treatments, medicated IUD (reduces bleeding in 90% of cases), and endometrial ablation. For fibroids: uterine artery embolization (85-90% success). For endometriosis: continuous hormonal therapies. For mild/moderate prolapses: pelvic floor physical therapy (improvement in 60% of cases).
What differentiates a gynecological oncologist?
This specialist completes 2-3 additional years of specific training in gynecological oncology after residency, developing expertise in complex oncological surgeries and staging. They work with multidisciplinary oncology teams and are capable of performing radical procedures with greater functional preservation.
What are the recent advances in surgeries for gynecological cancer?
Robotic surgery for endometrial and cervical cancers allows precise resections with less blood loss. Sentinel lymph node techniques have reduced the need for extensive lymphadenectomies (risk of lymphedema dropped from 20-30% to <5%). Hyperthermic intraperitoneal chemotherapy (HIPEC) during ovarian cancer surgeries has increased survival rates. Fertility-preserving surgeries have advanced significantly for early cancers.
What warning signs require immediate evaluation for gynecological cancer?
Post-menopausal bleeding (even a single episode), persistent irregular bleeding or bleeding after sexual intercourse, changes in the vulva (non-healing lesions), persistent abdominal distension, early satiety, or changes in bowel/urinary habits (especially after age 50). Early detection raises survival rates to more than 90% in cancers diagnosed at early stages.
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