We are the leading medical tourism clinic in the Baltic region with over 10 years of experience. We are proud of the fact that around 90% of our patients come from abroad: the UK, Ireland and Scandinavian countries – this is the area we specialise in and our processes have been adapted to cater specifically for patients from abroad. Our team of surgeons perform over 4.000 surgeries per year, mostly plastic, bariatric, orthopaedic, general and gynecological surgeries.
Get your surgery for free by claiming a refund from your local health board. The clinic helps patients with the documents needed to claim a refund after following the EU directive route for medical treatment abroad. It applies to patients who are insured under the systems of one of the EU countries and may not get the surgery due to long waiting times.
The clinic is equipped with modern diagnostic and surgical facilities compliant with all EU standards and requirements. You will be looked after by professional English speaking staff. The wards are fully furnished and equipped with TV, WC and air conditioning. Free Wi-Fi is available while staying in the clinic.
Our clinic is one of the biggest surgical centres in the Baltic region. We work with patients from various countries, among which the UK, Ireland, Norway, Sweden, Denmark, Germany, Switzerland, etc.
Despite the size of the clinic we provide our patients with personal care and assistance. The majority of big public hospitals due to high volume of patients do not have enough resources and medical personnel to pay personal attention to each patient. Whereas we are fully focused on providing exceptional care and undivided attention for our patients.
The patients are provided postoperative care at the clinic without any additional fees. Your hospital stay is approximately 2 days. However, the surgeon only discharges a patient when they are in a good health state and ready to leave.
Our clinic works according to the highest standards set by the European Union. This helps to guarantee the quality of medical service.
Our clinic has a Facebook community of more than 5.000 bariatric patients. In this group our past and future patients share their experiences, useful recommendations and transformation photos. You may join the group here.
Once you land in Lithuania, you do not have to worry about any transportation arrangements. You will receive airport pickup/dropoff and all transfers related to your surgery, tests, consultations and followup. Our staff are always only a phone call away.
Our clinic is the only clinic which has developed their own app designed specifically for bariatric patients – Bariatric IQ. The most useful feature of this app is special bariatric diet recommendations based on a particular product, a patient’s gender, time after surgery and other factors. Such a feature has not been replicated by any other bariatric apps in the world. Read more and download the app on your IOS or Android smartphone here.
2-3 hour regular flights operate from all main airports in the UK & Ireland. Lithuania is part of the EU and is closer than you thought. You can find the list of direct flights here. Please note that airlines constantly add new routes, therefore feel free to contact us if you need help choosing the flight that suits you best.
Everyone in our clinic speaks English, including customer service desk, nurses, assistants and the surgeon.
Our clinic operates strictly according to international standards. Therefore, contrary to most of the commercially oriented clinics in the region, we advise patients with lower BMI of non-surgical procedures. Dr Maleckas approves patients after a thorough evaluation of each case.
Laparoscopic cholecystectomy is the gold standard technique for treating gallbladder diseases in both acute and elective surgery, when gallbladder, a pear-shaped sac situated on the inferior surface of the liver, is removed. Anatomically gallbladder is divided into fundus, body and neck, which is linked to the bile ducts. Its main function is to store and collect bile which plays an important role in fat digestion and absorption, and serves as a means for excreting several important waste products from blood, such as bilirubin, an end product of hemoglobin destruction, and cholesterol excess. Gallbladder removal surgery is commonly performed when there is an inflammation present inside the gallbladder causing moderate to severe pain and directly affecting the quality of a patient’s life.
Laparoscopic cholecystectomy is indicated for patients with symptomatic gallbladder disease who can tolerate general anesthesia, including patients with calcified gallbladder. Gallbladder diseases refer to a great variety of medical conditions that affect gallbladder, and are usually associated with some particular physical symptoms. Some of widely prevailed symptoms among potential cholecystectomy patients are:
All of these distinct symptoms are usually provoked by the presence of gallstones inside the gallbladder. As gallstones pass through the bile ducts, they obstruct the tubes that carry bile from liver to gallbladder and further into the small intestine. Any blockage in the biliary system results in stasis of bile and may cause acute or chronic inflammation of the gallbladder, better known as cholecystitis. The management of symptomatic acute or chronic cholecystitis requires surgical removal of the gallbladder. Moreover, gallstone pancreatitis, better known as inflammation of pancreas, may be severe and accompanied by serious complications but its recurrences are prevented by cholecystectomy.
In order to precisely determine the necessity for surgery, an ultrasound examination of the gallbladder is used as the initial diagnostic procedure because in addition to sludge and stones, it can also detect tenderness over the gallbladder. As ultrasound examination does not give accurate information on the exact site of the abdomen, further investigation with computed tomography or magnetic resonance imaging is required.
Laparoscopic gallbladder surgery, also known as “keyhole surgery”, is facilitated by inflating peritoneal cavity with CO2, a noncombustible gas. Although CO2 is systemically absorbed during the procedure, the advantages of reduced postoperative pain far outweigh any potentially deleterious effects of temporarily elevated levels of CO2 in the blood. A single camera port and a number of operating ports are placed, through which the specially designed instruments are used to manipulate the intra abdominal contents. This way only a few tiny cuts are needed for a gallbladder to be successfully removed.
As successful as a standard 4-port laparoscopic cholecystectomy is, a great variety of alternatives and improvements have been applied in clinical practice so far. The most prevalent alternative surgical techniques include robotic-assisted cholecystectomy, mini-laparoscopic cholecystectomy (which differs from a standard laparoscopic gallbladder removal only in size of surgical instruments), single-incision laparoscopic cholecystectomy and natural orifice cholecystectomy (during which the abdominal cavity is accessed through natural openings of a body, e. g. anal canal).
A proper preparation for cholecystectomy does not differ significantly from preparations for any other intermediate or low surgical risk procedure. However, when acute inflammation is present, the surgery may be postponed until clinically relevant symptoms, such as fever, fatigue etc. are stabilized with intravenous fluids and antibiotics.
Here are some major recommendations that should be taken into account in order to reduce risk of perioperative complications and speed up the recovery:
If cholecystectomy is scheduled in advance, a patient should be encouraged to maintain a healthy lifestyle before the procedure. Having one‘s diet balanced and staying hydrated strengthen the body and the immune system. However, when gallstones are present even mild exercises can provoke biliary colic due to stones moving inside the bile ducts.
Tobacco products and alcohol should be avoided for as long as possible before the procedure. Chemical compounds inhaled with smoke contribute to clot forming processes inside the blood stream, which deteriorates tissue perfusion with oxygen. Moreover, alcohol consumption damages liver and so the symptoms of pre-existing gallbladder disease may worsen.
In order to prevent perioperative complications, taking aspirin, anti-inflammatory drugs and other blood thinners should be avoided before the procedure, unless the operating doctor has advised differently.
In order to properly assess the surgery risk and plan the prophylactic treatment of comorbid conditions, which might complicate or adversely affect the procedure it is vitally important to inform the doctors about your allergies, previous surgeries and pre-existing conditions that require daily usage of drugs.
There are many misconceptions and myths about life after gallbladder removal surgery. Truth to be told, it is not as complicated as many people imagine. Gallbladder is a sac to store substances that are produced by liver, and may later be used for food to be digested in the small intestine. Once the gallbladder is removed, bile cannot be stored and so digestion of fatty foods may become a bit more complicated, as there is only a certain amount of bile that may be excreted into the intestines at a time. For this reason, in the first few weeks after the surgery it is advised to gradually add more diverse foods back into one’s diet and skip high-fat foods in order for the gastrointestinal tract to comfortably adjust to the changes. Later on these recommendations may vary depending on one’s personal state of health.
As significant as gallbladder is, it does not play a vitally important role in the process of food digestion. Therefore, after a total gallbladder removal our body is able to function just as well as in its presence. Here are some widely spread myths and facts about what happens when gallbladder is removed:
We will advise you on travel arrangements including flights to and from Lithuania. We will take care of airport pick up and drop off and arrange a pleasant stay in a comfortable hotel at a convenient location. We will be there for you 24/7 if needed.
*Please note that each case is individual and the results may vary.