Gynecologic Cancers: Surgical Methods

Debulking epithelial ovarian cancer

The other important goal of surgery is to remove as much of the tumor as possible − this is called debulking. Debulking is very important in any patient with ovarian cancer that has already spread widely throughout the abdomen at the time of surgery.

Sometimes the surgeon will need to remove a piece of colon to debulk the cancer properly. In some cases, a piece of colon is removed and then the 2 ends that remain are sewn back together. In other cases, though, the ends can’t be sewn back together right away. Instead, the top end of the colon is attached to an opening in the skin of the abdomen to allow body wastes to get out.

Cryosurgery

A metal probe cooled with liquid nitrogen is put in the vagina and on the cervix. This kills the abnormal cells by freezing them. Cryosurgery is used to treat stage 0 cancers (carcinoma in situ), but it is not used for invasive cancer.

Laser surgery

A laser beam is used to burn off cells or to remove a small piece of tissue for study. Laser surgery is used for stage 0 cancers (carcinoma in situ), but it is not used for invasive cancer.

Hysterectomy

In a hysterectomy, the uterus and cervix are removed. The ovaries and fallopian tubes or pelvic lymph nodes may be taken out during the same operation, but this isn't a part of every hysterectomy. Some very early stage-I cervical cancers are treated with a hysterectomy. A hysterectomy is also used for some stage 0 cancers if the cone biopsy didn’t remove all the cancer. In Radical hysterectomy the surgeon removes more than just the uterus.

Trachelectomy

A procedure called a radical trachelectomy lets certain young women with early stage cervical cancer is treated without losing their ability to have children. This method takes out the cervix and the upper part of the vagina but leaves the body of the uterus behind. The doctor puts in a "purse-string" stitch to act as an opening of the cervix inside the uterus.

 

 

  • Debulking epithelial ovarian cancer
  • Cryosurgery
  • Laser surgery
  • Hysterectomy
  • Trachelectomy

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