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00:00 The weekend was a workshop in Poznań at the 5th anniversary of the Foundation for Endometriosis, where doctors, physiotherapists, dietitians, the entire interdisciplinary team, had the opportunity to discuss, above all, with patients, about the procedure, explain a few issues, because unfortunately, a lot has been created here, you can say, the twists and turns, mainly about diagnostics and treatment.
00:29 And unfortunately, patients here are a bit ahead of certain facts, for example, performing where there is no need for magnetic resonance.
00:39 And as I say, there are certain procedures and order that should be maintained.
00:45 As for today's operation, it will also be an advanced endometriosis operation, also deeply inflammatory.
00:56 Today, it will not be an operation that includes the stomach, but of course, sometimes we are not able to, and this should be emphasized by visual studies, i.e. neither ultrasonography nor resonance studies, to fully predict what will be in the stomach.
01:14 Before the operation, we always discuss all the possibilities with the patient, including, for example, that we will find an endometriosis of the inflammatory stomach, and in such a situation we discuss how to help, whether the patient accepts the cut of the fragment of the stomach and sometimes the stomach.
01:34 However, there is also a myth that this stomach is infected every time it is cut, of course it is not, because most often with the help of special devices, the stomach is connected and this stomach is not needed.
01:48 In the old days, it can be said, not so old, because 10 years ago, when we did not have such tools as high-resolution magnetic resonance, trained ultrasonographers, even gynecologists who knew how to recognize endometriosis in ultrasonography,
02:13 they were actually trained with a diagnostic laparoscopy. It should be remembered that this is still an operation and, in fact, today, a diagnostic surgery should not be proposed for several reasons.
02:27 First, it does not give anything, we do not have the consent of the patient, in case we see, for example, a bleeding endometriosis, to cut it within some structures that are at risk of damage.
02:41 In fact, just looking at the stomach, unfortunately, does not give us any benefits, especially since the current Polish and foreign reports on the recognition of endometriosis do not say that you should necessarily have a histopathological result.
02:59 In fact, interviews and imaging studies are enough to recognize endometriosis and treat it in a conservative way. And in a situation where this treatment does not work conservatively, it is better to decide on an operation.
03:14 We are increasingly convinced that the patient should have an endometriosis surgery only once in his life and that it is about cutting out all changes, not just parts.
03:27 As I mentioned earlier, there is work on the ministerial program and here, too, at these workshops, such a matter was raised to construct a similar card for the endometriosis treatment, similar to the new Dilo card.
03:44 So here the Foundation and the President, who is also a member of the ministerial team, are doing everything to make it work.
03:53 We will see how the work will end, how it will actually look like. There are certainly some centers that will enter it.
04:01 It is difficult to say whether Gniezno will have a chance to enter it as a first round. Everything will turn out next year.
04:09 But we can treat it here.
04:12 Yes, we are prepared. Here, too, the director Sienczewski will enable physiotherapists employed in the hospital to continue their training in the field of urophysiotherapy and to cooperate with other urophysiotherapists, physiotherapists who work in Gniezno every day, so that this team is also interdisciplinary.
04:38 The hospital has an employed dietitian who is also trained in the field of endometriosis.
04:44 So here it is not only about the operation itself, which is, one might say, only the beginning of the treatment, but all further ambulatory procedures, urophysiotherapy, dietitian, all this is also very important.
05:00 [music playing]
05:01 you