Gynae Cancer

Gynae cancers and precancers

1. Colposcopy : Diagnosis and management of abnormal pap smears and precancerous lesions of the cervix. Examination of the cervix is carried out under magnification to detect and treat early precancerous or cancerous changes.

1. Traditional and laparoscopic surgeries for gynae malignancy

Cancer of the uterine cervix

Colposcopy, hysteroscopy, cystoscopy is performed to confirm and to assess the stage of cancer

Laparoscopic assisted radical vaginal hysterectomy or abdominal radical hysterectomy is performed for the treatment of early cervical cancer

Conservative surgery-Trachelectomy is an organ preserving surgery for very early cervical cancer

Exenteration procedures for advanced disease.

Cancer of the ovary and fallopian tube

Laparotomy/laparoscopy is used for assessing the stage of cancer and removal of all the areas affected with the cancer. Optimal primary surgical treatment is undertaken for all including advanced epithelial ovarian cancer.

Frozen section facility in the hospital enables the diagnostic procedure to be combined with the corrective procedure in the same sitting under the same anaesthetic

Cytoreductive surgery plus chemotherapy is offered versus chemotherapy alone for recurrent ovarian cancer

Interval debulking surgery is offered for advanced epithelial ovarian cancer

Cancer of the uterine body

Hysteroscopy for the diagnosis of uterus cancer

Laparoscopy with hysterectomy and lymphadenectomy for the management of endometrial cancer enables early and good recovery . In case radiotherapy is required after surgery ,it should be initiated early ,since the patients wounds heal faster as compared to open surgery. Moreover,the advantage of a magnified view on theaffected with cancer. operating tv screen facilitates the complete removal of all areas.