Gynecologic oncology procedures

The Gynaecology oncology procedures are as follows

Extra-fascial hysterectomy

Through an incision over the abdomen, the uterus with cervix and tubes is removed. 

Laparoscopic hysterectomy

Keyhole surgery

Through a tiny abdominal incision, a laparoscope—a hollow tube with an instrument with a video camera on the end—is inserted into the lower abdomen.

For dissection, a few more tiny incisions are used to insert surgical instruments.

Small incisions in the abdomen or the vagina can be used to remove the uterus in small pieces.

Complete recovery is less painful and takes less time than an abdominal hysterectomy.

Laparoscopic radical hysterectomy

A radical hysterectomy is a surgical procedure performed to treat cancer affecting the uterus and cervix. During this procedure, the surgeon removes the entire uterus along with the cervix, the upper part of the vagina, tubes and ovaries, tissue attachments near the uterus (known as parametrium), and lymph glands.

Frozen biopsy

This advanced technique is useful to determine the cancerous nature of suspicious lesions/mass intra-operatively within minutes. The tissue is sent to the pathologist who will study it under the microscope and give us the report quickly which helps to determine the extent of dissection / surgery to be carried out.

Cytoreductive surgery

During the treatment of ovarian malignancy, the surgical procedure involves the removal of all tumour deposits present in the fatty tissue (omentum), peritoneum (inner lining of the abdomen), ovaries, uterus, tubes, and pelvic area, as well as the para-aortic nodes. This procedure aims to remove all visible tumour deposits in the abdomen.

HIPEC (Intraperitoneal hyperthermic chemoperfusion)

HIPEC is done after cytoreduction, commonly for advanced ovarian cancer.

After the removal of all visible tumours and diseased tissue from the abdomen, a catheter will be inserted into the abdomen, and a solution containing the chemotherapy drugs will be pumped into the abdominal cavity.

A perfusion machine attached to the catheters heats the chemotherapy medications and pumps them through the abdomen for one to two hours. This increases the treatment efficacy because the cells are given higher doses of chemotherapy.

The heated solution also enhances the absorption of the drug by the tumour cells. It destroys microscopic cancer cells that remain in the abdomen after surgery. Then, the remaining chemotherapy solution will be drained from the abdomen, the abdomen will be rinsed, and the incision will be closed.