Gynecological/ Uterine Cancer Surgery in Mumbai, India

Cervical Cancer

Cervical cancer is cancer of the mouth of the uterus. Early stage tumors are treated with surgery usually followed by radiotherapy. The surgery involves removal of the uterus with cervix & upper part of the vagina, removal of the surrounding supporting tissue (parametrium) and pelvic lymphadenectomy. Smaller tumors are ideal candidates for laparoscopic surgery. The larger tumors because of their vascularity (increased blood supply) may be difficult to manage by laparoscopy. However, treatment should be individualized.

Advantages of laparoscopy in gynecological cancers :

• Magnified view of pelvis with better illumination and better visualization of deeper structure.
• Gas under pressure in the abdomen opens up the natural tissue planes and makes dissection easier.
• Due to magnification, small vessels and lymphatic tissue can be tackled with greater precision.
• Endometrial cancer patients usually are obese and diabetic. Laparotomy (open surgery) is associated with increased morbidity and risk of complications (deep vein thrombosis and wound infection). This is avoided with laparoscopy.
• Less morbidity & pain and superior cosmesis with laparoscopy.