oscar clinic - MEDWIND افضل شركة في التشيك للعلاج الطبيعي والسياحة العلاجية

Why treatment at ISCARE?

ISCARE Clinical Center has been treating and caring for its patients for 26 years, Not only in the field of reproductive medicine, But in 8 other sections. The Center for Reproductive Medicine was one of the first in the Czech Republic, But gradually plastic surgery, IBD center, orthopedics, venous surgery, and more…

Treatments and surgeries:

Inflammatory bowel clinical center
Orthopaedic Surgery
IVF – ICSI
plastic surgery
Rheumatology department

IVF – ICSI:

What is microinjection? artificial insemination in the czech republic, Specifically, artificial insemination. It is a treatment based on collecting eggs from the mother’s body. Which are then fertilized and implanted in the uterus respectively

In vitro fertilization is used to treat primary and secondary infertility

The full treatment offered by our clinic usually anticipates a total of four appointments (consultation, stimulate follicle growth, oocyte retrieval, embryo transfer).

It only takes 3 appointments

Suitable sperm are selected (based on their appearance and motility) and then injected into the egg.

With the help of microinjection, It is possible to fertilize multiple eggs

PICSI, in which sperm is tested

Which measures aspects of her total work and her ability to successfully fertilize an egg

Embryo transfer: Three days after fertilization of the eggs (or up to 5 days for extended implantation), The best embryos that have reached an appropriate stage of development are selected, To be transferred to your womb

We usually transfer two embryos. You can talk to your doctor and embryologist about how many embryos you would like to place.

The greater the number of embryos increases the success rate, But it also increases risks to both the mother and the fetus

We do our best to eliminate these risks and thus take the decision with each couple individually.

One hour after embryo transfer, You will be able to leave our clinic and travel

Pregnancy must be confirmed by a pregnancy test 14 days after embryo transfer

Success rate:

Our clinic relies on its own specialized laboratory

. This has proven to be a prerequisite for the success of our clinic

. Thanks to the knowledge and experience of our laboratory and doctors, the success rate in pregnancy is 48-50%.

by the time , Our IVF success rate has grown while at the same time we have been able to minimize the number of multiple pregnancies

Using the most advanced laboratory methods, We were able to significantly increase the success rate of IVF treatments

The most common causes of infertility in women:

hormonal imbalance – the eggs either fail to mature or are not released, And the growth of the endometrium is abnormal and the implantation of embryos is hindered.
Tube blockage can be caused by infection, previous surgery, endometriosis, or congenital abnormalities – the passage of the egg through the fallopian tubes is impaired or impossible.
Insufficient cervical mucus or anti-sperm that cannot penetrate the egg membrane
thyroid disorders, hyperprolactinemia, etc.
The most common causes of male infertility are:

spermatogenesis disorder
Reducing sperm motility
Sperm transport disorders
Diseases affecting the whole body (diabetes, thyroid diseases, etc).
impotence (caused by paralysis, etc.)

Orthopaedic Surgery :

Specialists in hip or knee joint replacement and hand surgery:

Hip joint replacement: We specialize in hip or knee replacement and hand surgery.

Indications for a hip replacement:

Osteoarthritis of the hip that does not respond to conservative treatment
Destruction of the hip joint in inflammatory rheumatic diseases
Fracture of the neck and head of the hip joint
– sterile necrosis
– cancer of the hip joint region, overweight , Other disorders
Systemic diseases of the musculoskeletal system (hemophilia)
Congenital hip defects

Contraindications to hip replacement:

– the presence of an infectious lesion anywhere in the body – especially diseases of the skin of the lower extremities,
and fungi, leg ulcers, urogenital infections, The upper respiratory tract and teeth
Post erysipelas (can be transplanted with prolonged prophylactic antibiotics
and post-repository penicillin 24 months)
Severe cardiopulmonary disease and exclusion of spinal anesthesia
– vascular diseases – ischemic diseases of the arteries of the lower extremities, Cases after recurrence
phlebotrombosac, advanced atherosclerosis, Preventing necessary cooperation after surgery
– the central nervous system and conditions that lead to specific disorders of consciousness, prevent cooperation
patient after surgery
Insufficient patient compliance.
Drug addicted patients

When referring to the operation:

Total hip replacement is indicated in patients with
The hip joint is severely and irreversibly affected by osteoporosis, rheumatic destruction, tumor or other diseases and at the same time the patient experiences severe pain
and limited articular function or fracture of the femoral neck, Which should not be treated
Bone synthesis.
The primary examination is a classic original x-ray of the affected joint.
It should be noted that we do not perform x-rays, That is, the significance depends mainly on the difficulties
The patient suffers, not only on the imaging method. If the patient’s difficulties do not correspond to
radiographic findings, It is necessary to complement other examination methods such as nuclear magnetic resonance, and computed tomography
Exclusion of non-articular causes of pain by differential diagnosis.

Knee replacement: we specialize in hip or knee replacement and hand surgery.

Indications for knee replacement:

Osteoarthritis of the knee joint that does not respond to conservative treatment
Destruction of the knee joint in inflammatory rheumatic diseases
Knee joint cancer
Post-traumatic changes in the knee joint
– Systemic diseases affecting the musculoskeletal system (hemophilia)
– Sterile necrosis
– birth defects

The main reason doctors recommend surgery is pain. It can be caused by any of the
The reasons mentioned above. Another is a significant disturbance in the function of the joint, Which leads to a decrease in general movement
. There is a different case, where in some cases the patient does not experience severe pain however
It is necessary to replace the joint, which is a cancer of the knee joint.

Contraindications to a knee replacement:

– the presence of an infectious lesion anywhere in the body – especially diseases of the skin of the lower extremities,
and fungi, leg ulcers, infections of the genitourinary system, The upper respiratory tract and teeth
Post erysipelas (can be transplanted with longer prophylactic antibiotics
and a later warehouse. penicillin 24 months)
Severe cardiopulmonary disease and exclusion of spinal anesthesia
– vascular diseases – ischemic diseases of the arteries of the lower extremities, Cases after recurrence
phlebotrombosac, advanced atherosclerosis, Preventing necessary cooperation after surgery
– the central nervous system and conditions that lead to specific disorders of consciousness, prevent cooperation
patient after surgery
Insufficient patient compliance.
Drug addicted patients

endoscopy:

Referred to as substitution
complete knee in patients whose knee joint is irreversibly affected by osteoarthritis, rheumatic destruction, tumor or other disease, At the same time, the patient suffers from severe pain
and limited joint function. It should be noted that we do not perform x-rays, That is, the signal depends
Mainly on the difficulties experienced by the patient and not just on the method of imaging. If the patient’s difficulties
inconsistent with radiographic findings, It is necessary to complement other examination methods such as nuclear magnetic resonance, and computed tomography
Exclusion of non-articular causes of pain by differential diagnosis.

Arthroscopy: Arthroscopy is a modern method for treating joint injuries and diseases.

knee arthroscopy:

Diagnosis of joint disorders and injuries

Arthroscopy is rarely used as a purely diagnostic method in unclear cases of damage to the soft structures of the joint or for biopsy of a suspected tumor or rheumatic disease in particular. Evidence is also post-traumatic hematoma with clinical suspicion of a new lesion of the anterior cruciate ligament to determine the type and extent of ligament injury on which further therapeutic treatment depends.

meniscus injury – meniscus resection, meniscus suture

The arthroscopic resection of the meniscus is usually partial, It is limited to removing the damaged, unstable or overlapping portion of the meniscus. Only with extensive or repeated damage, We remove the meniscus completely, But then we can expect a faster development of arthritic changes in the affected joint. We check the torn part of the meniscus with a hook probe. Then use a special tick to remove the torn part and grind the meniscus rod with a razor. Leave the rest of the meniscus still. It is important to preserve a healthy portion of meniscus to reduce the burden of cartilage that occurs after meniscus removal.

In cases where the fissure in young individuals extends directly along the outer edge of the meniscus, Where there is still an adequate supply of blood vessels, Thread can be made. Longitudinal lacerations within 8 weeks of injury achieve the best results. Various techniques are used to sew the meniscus. While sewing with the stitch technique, We insert long, flexible needles with a fiber port into the joint, And we sew the meniscus and joint capsule, The stitches are made from a small incision outside the joint capsule. Using technology from the outside in, We insert the suture from the outside into the joint with hollow needles and knot again from a small incision. We insert the suture from the outside into the joint with hollow needles and knot again from a small incision. It is now preferred to use all internal methods, where we use special tools and implants, We put it in the joint, We sew the meniscus and wash the suture directly into the joint.

The advantage of this method is the speed of suturing the wounds and reducing the risk of nerve injury,

After excision of the normal meniscus, The patient is relieved of the French crutches by taking out the sutures, That is, from 10 days to two weeks. during this time, The tip is loaded with the weight of the tip on the mat. It gently rehabilitates the range of motion and isometrically strengthens the thigh muscles. After two weeks , It turns into a full load. Exercise bike possible. Athletic load is appropriate depending on the scope of performance and the course of rehabilitation after 4 to 6 weeks. Meniscus suturing requires longer rest and more intensive rehabilitation.

Anterior or posterior cruciate ligament replacement

We often use a graft from the patellar cruciate ligament or, Recently , An increasingly common sculpting of the semitendinosus and gracilis muscle for primary anterior cruciate ligament replacement.

first We check the lesion of the anterior cruciate ligament and use a razor to remove its residues at the beginning and at the elbow. We treat potential meniscus injuries. Then we remove the extra-articular graft from the trophoblasts from the open approach. patella, Including bone masses resulting from the roughness of the tibia and the anterior surface of the patella, Or a tendon graft from the semitendinosus and gracilis. Then , Under laparoscopic control and with the help of a special target, We drill a canal in the lateral condyle of the femur and in the tibia, It was decided that the autograft was removed from the anterior cruciate ligament. We secure the graft in the correct position with the help of overlapping screws, hinge or screws that are inserted through the bony canal. The screws can be titanium or polyglycan absorbable, Sometimes it is combined with tri-calcium phosphate or hydroxyapatite.

Surgical technique when using the semi-tendinous tendon and ev. The gracilis muscle is more tender and less painful for the patient, With the possibility of early rehabilitation.

Another possibility is the use of an allograft, Especially the patellar ligament or the anterior tibial tendon. This technique is more suitable for audits.

Treatment of cartilage defects and hip joint disorders

We treat cartilage disorders arthroscopically. Defects already present in older individuals are treated by straightening the edges of the defect and removing free parts of the cartilage. We treat the fibrocartilage with a shaver or radiofrequency probe until it becomes smooth. for deeper imperfections, We use a scraper or spoon. For fourth degree defects, The base of the defect with holes or micro-fractures must be treated with a special chisel or drill with erosion of the hardened bone of the base of the defect. It is necessary to expose the vascular supply and try to heal the defect with a fibrous scar, which can degenerate into fibrocartilage metaplasia during the optimal rehabilitation of pregnancy.

The other alternative is mosaic carving, Where we fill the defects with cartilage grafts taken with a part of the subchondral bone from the hollow part of the joint and transferred to the pre-drilled holes at the bottom of the defect. The latest trends are cartilage implants, cartilage transplants, or various collagen alternatives.

The anatomy of larger cartilage in young individuals can be repaired with an artificial bone material.

In the case of patellar lateral hypertension syndrome, We perform lateral release of the patella using a hook radiofrequency probe.

Removal of the joint lining – synovectomy

A synovectomy is the removal of the lining of a joint. The main indication for synovectomy is synovitis in rheumatoid arthritis, Especially in its form in children. Endoscopic meniscectomy is limited to the synovial layer. So it is suitable for the early stages of the disease, When the lining is not very swollen and the inflammatory changes do not affect the fibrous layer of the joint capsule.

Extraction of free bodies within the joint

soft bodies are formed, called arthropod mice, By calcification of the synovial villi or from loose parts of the articular surface cartilage or meniscus. Loose joints can block movement in the joint and damage the articular cartilage. After checking and finding the free body, Often we pick it up with a fastener and pull it out of the joint.

Get rid of scars and file

Synovial folds are synovial folds. are usually asymptomatic, But it does cause problems sometimes. Pneumonoscopy is a simple endoscopic procedure indicated for intra-articular adhesions, Usually after trauma or in the case of hypertrophy of the articular lung, which interfere with movement, or borderline or cause pain. In these cases, We remove the coil with a shaver or radio frequency probe.

Shoulder arthroscopy:
Diagnostic arthroscopy
Subacromial decompression for subacromial impingement
Laparoscopic suture for rotator cuff tear
Laparoscopic Solution for SLAP Climbing
Arthroscopic fixation for recurrent dislocation of the shoulder joint
Shoulder arthroscopy for biceps longitudinal tendinitis
Shoulder arthroscopy for articular fibrosis “frozen shoulder syndrome

wrist arthroscopy:

Wrist AS is a minimally invasive procedure in which individual diagnoses and surgeries are made from several specific inputs. The advantage of this approach is in particular less damage to the soft tissues of the hand, Which in turn leads to a shorter recovery and better results after surgery.

Current options for wrist arthroscopy:

Arthroscopic synovectomy is indicated for inflammatory joint diseases
Arthroscopic treatment of wrist instability due to post-traumatic conditions
Joint suture of the triple fibrocartilaginous complex
Laparoscopic nodule removal
Arthroscopic treatment of humerus joints
Arthroscopic arthrodesis – for degenerative and post-traumatic conditions of the wrist and thumb root joint

Hand surgery: a field that combines surgical procedures, orthopedics, neurosurgery, and plastic surgery

Surgeries – Arthroscopy of the wrist
the roots
Kervan’s disease
dandruff finger (vaginitis, trigger finger)
node
soft tissue tumors
bone tumors
carpal tunnel syndrome
Dupuytren’s contracture

plastic surgery

We emphasize meticulous individual consultation under the supervision of an experienced plastic surgeon with extensive foreign experience

Breast augmentation: Breast augmentation solves the problem of many women who feel deficient in the size of smaller breasts.

tummy tuck It is a procedure used to reduce excess fat in the skin in the lower abdomen resulting from significant weight loss with weight loss or after pregnancy. if it is necessary , Dilation (diverging) of the rectus abdominis muscles is also performed during this procedure.

Consultation: During the free individual consultation with you, the surgeon will discuss all your options and recommend a specific procedure to achieve the best result. We perform all pre-operative examinations directly in our clinic
Operation:The operation is performed exclusively under general anesthesia. In the classic abdominoplasty, excess skin is removed up to the height of the navel, and the rectus abdominis spaced, the so-called diastasis, is sutured in the midline and the navel is implanted. Thus the resulting scar is in the lower abdomen and around the navel .
With a smaller excess of skin fat, The so-called abdominoplasty can be performed with the navel separated and moved, Where the resulting scar is in the lower abdomen only.

In some cases, it is appropriate to combine a tummy tuck and liposuction.
After the operation
: Eight weeks after the operation, It is necessary to wear a special compression belt – according to the recommendations of the surgeon.
Wounds after surgery should be kept dry and clean.
Patients should always follow the surgeon’s instructions.
after going out, The rest regime and the abolition of sports and strenuous physical activity should be observed during the next two months.
Full physical activity is usually possible 8 weeks after the operation.
In the first weeks after surgery, It is recommended to lie on your back only.
The scars should not be exposed to sunlight or sunbathing for at least 6 months.
The duration of incapacity for work depends on the performance and occupation of the patient and ranges from 2-8 weeks.
Duration of the operation:
Tummy tuck procedure takes about 1.5 – 2.5 hour Liposuction :

The ideal candidate for this operation is patients who have good elasticity and good skin quality with increased or decreased fat in different areas of the body.

Duration of the procedureLiposuction takes about 1.5-2 hours.
the operation :The operation is performed according to the extent of the procedure under local or general anesthesia, and the duration depends on the number of suction areas and the extent of liposuction. We insert an infiltration solution with a local anesthetic and a liposuction cannula into the area where the surgery is performed. A small scar of about 4 mm in length remains on the skin where The cannula is inserted
After the operation:Immediately after the operation, Elastic underwear is worn, which are worn for six to eight weeksWe recommend customers to rest at home for one week and do not recommend not to exercise, Avoid high physical activity for two monthsThe final result of liposuction appears 3-4 months after surgery
Smoothing wrinkles:

Thanks to the fillings, You can say goodbye to facial wrinkles that appear with age, Especially on the forehead, neck and around the eyes. The application of the active substance leads to a severance of the neuromuscular connections at the treatment site and thus relaxes the muscles. The duration of the effect is individual, But it is usually 3 to 5 months to maintain a permanent result, We recommend repeating the treatment regularly. The application is safe and the substance does not work unless it is applied by a doctor

Laser hair removal :

Tired of frequent shaving and skin irritation? Are you bothered by hair growth and don’t want to spend it on painful waxing? We have a solution for you in the form of cost-effective and time-saving laser hair removal, which can effectively, and, most importantly , Permanently remove hair from your body

Rheumatology department: حفظ الترجمة The Department of Rheumatology specializes in the diagnosis and biological treatment of patients with rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis

Psoriatic arthritis: Psoriatic arthritis is a chronic inflammatory disease of the joints that occurs with psoriasis. Although it generally affects the skin, Where red-brown scaly deposits form on the surface, Joints are affected in up to 40% of these patients. However , Thanks to the great advances in medicine today, There are highly effective substances that can help psoriatic arthritis patients more effectively than before. in some patients, Biological therapy makes it possible to stop the disease completely.

treatment :

Early diagnosis is important in the treatment of psoriatic arthritis.

This is especially true of biological therapy, Which can stop the disease in some patients.

We use biological therapy for patients for whom current therapy has failed or appears to be insufficiently effective

Treatment targets factors that trigger an inflammatory response

today , Biological therapy offers us new solutions with very promising results.

We monitor the improvement in patients in a very short time and some symptoms disappear permanently

More information about biological therapy can be found

For milder cases, NSAIDs or corticosteroids can be tried directly into the joint space

In the case of multiple disabilities,

Take into account the so-called DMARDs

or disease-modifying drugs such as methotrexate, cyclosporine A, or sulfasalazine

Biological treatment:

Biological therapy provides a chance for recovery for those who would not have had it a few years ago

This is a breakthrough in the treatment of rheumatoid arthritis. Where it can restore the patient to his normal life and we apply it in the treatment of rheumatoid arthritis, psoriatic arthritis or ankylosing spondylitis.

The treatment targets the immune system and blocks the activity of certain cells

It is used when the disease does not respond well to current treatment or in patients with an acute course of the disease

Today we no longer consider slowing down the disease to be successful, But stop it completely until the inflammatory process disappears from all joints

today , Biological therapy is the only one that offers us this option.

before starting treatment, It is important to conduct a thorough examination of the patient again and to exclude diseases such as tuberculosis, Immunity deficiency Virus , herpes, etc. Other contraindications include frequent infections, Congestive heart , Leukemia or multiple sclerosis.

Biological therapy is applied either subcutaneously or intravenously

It is used subcutaneously by the patient even at home, It is very similar to administration for example insulin

The injections are usually repeated once a month or once every two months

The application itself is provided to the patient in a comfortable environment in our center.

We currently use the following medicines in our clinic:

TNF-alpha blockers with monoclonal antibodies – infliximab, golimumab and adalimumab
TNF-alpha blockers via the soluble TNF receptor – etanercept
Interleukin-1 blocker with its antagonist – anakinra
Recombinant fusion protein – abatacept
Chimeric monoclonal antibodies against CD20 – rituximab

Rheumatoid arthritis:

Rheumatoid osteoporosis is a disease that limits a person’s movement because it primarily affects the musculoskeletal system. It is a long-term disease, painful , progressive, As a result , disabling disease, This prevents us from performing normal daily activities. Although it is the most common joint disease, However, it can affect any other organ in the body. Examples include the lungs, heart, or eyes. from joints, The wrists and the small joints of the hands and feet can be affected most often. Rheumatoid arthritis belongs to the group of autoimmune diseases. The reason is a broken immune system. interacts with body tissues, It causes chronic inflammation and damages it. It manifests itself in the form of swelling, bitterness, sensitivity to touch, pain and decreased functionality. outside the joints, Rheumatoid arthritis can present as anemia (anaemia), Even in 15-25% of patients. Some health problems occur, such as pulmonary fibrosis or osteoporosis, Because of the side effects of the medication.

Symptoms:

Joint symptoms:
Joint symptoms result from chronic inflammation within the joint. This can be manifested by swelling, increased sensitivity, increased temperature, stiffness, and limited movement. Patients often have joint stiffness in the morning. The duration is different for each. Persistent inflammation can disfigure the joint over time, Which then loses its jobs.

Skin symptoms:
By skin symptoms, we mean, for example, rheumatic nodules. They appear as bumps under the skin of a few millimeters to centimeters in size. They often appear over bone spurs (such as the small knuckles of the hands). Only in rare cases can rheumatic nodules appear in the internal organs.

Other members:
in arthritis, The kidneys, lungs, heart, and blood vessels are most often affected. The lungs are affected by fibrosis (the proliferation of connective tissue), Which stands in the way of breathing gases and thus worsens blood oxygenation

Processing:

Because the patient often comes to the doctor in pain, He needs immediate help. So , Treatment often begins before the diagnosis is complete, Which may take several months.

for the treatment of rheumatoid arthritis, There are several groups of drugs that can be combined well to obtain the best therapeutic effect. in addition to , It is important to modify the lifestyle so that the joints are exercised regularly but the load is not unnecessarily increased.

today , A modern therapeutic slogan called Biological Therapy is also being developed,

We use biological therapy in cases where treatment with medicinal products has failed. These are the antibodies, cytokines and cytokine inhibitors, or receptor antagonists, which can be associated with inflammatory substances. This will reduce their effect and reduce the course of inflammation. Our goal is to relieve the patient of pain and return him to normal social and work life