Cervical cancer surgery (Radical Hysterectomy or Wertheim’s Operation) can be performed by conventional open method or by laparoscopy. Laparoscopic or Laproscopic cancer surgery has several advantages over conventional open surgery with same cure rate. Only surgery is curative in most of the cancers. Additional therapies (chemotherapy & radiotherapy) are mostly supportive. But, many patients and their relatives try to avoid surgery for the fear of the immense trauma for their loved ones, resulting in patient getting wrong or less effective treatment. With laparoscopy the trauma is much less and makes the treatment more acceptable. The Team MACS precisely addresses all these issues and works relentlessly for a better life.
DR. SANDEEP NAYAK
MNAMS (Gen Surg), DNB (Surgical Oncology),
Fellowship in Laparoscopic and Robotic Onco-Surgery.
Dr Nayak is one of the leading senior Surgical Oncologists (cancer surgeon) of Bangalore. He is one of the pioneers of Laproscopic (laparoscopic) cancer treatment (surgery). He is the Director of Surgical Oncology at Fortis Hospital, Bangalore.
LEAST PAIN & DISCOMFORT
LESS BLOOD LOSS
BETTER PRESERVATION OF PELVIC NERVES MAINTAINING THE SEXUAL & URINARY FUNCTIONS
COSMETICALLY BETTER (SMALLEST WOUND & SCAR)
SHORT HOSPITAL STAY
AVOID UNNECESSARY MAJOR SURGERY
LEAST WOUND COMPLICATIONS VERY LESS RISK OF WOUND INFECTION ESPECIALLY AFTER COLOSTOMY
NO PROLONGED STARVATION; BOWEL MOVEMENTS RECOVER MUCH QUICKER
QUICKER RETURN TO NORMAL LIFE & WORK
GET ALL THE ADVANTAGES OF ROBOTIC SURGERY
BETTER VISION QUALITY FOR THE SURGEON
What Is Cancer Of Uterine Cervix ?
The uterus or womb is muscular organ located in the lower part of women’s abdomen (tummy). Uterus has three parts; roof (fundus), body and lower part (cervix). Cancer can arise from any part of the uterus.
Cancer of uterine cervix are usually squammous cell carcinomas and rarely adenocarcinomas. These affect most commonly between 30-45 years of age group and are commoner in Asia and Africa. Most of these are related to infection by a virus (Human Papiloma Virus; HPV). The risk of this cancer can be reduced using a vaccine. Cervical cancer can also be detected in pre-cancer stage by simple test called PAP smear (refer to cancer prevention).
Cancer of cervix of uterus one of those cancers that can be easily prevented as well as detected early. The HPV vaccine can reduce the risk by 70%. A regular PAP smear test can detect the disease in stage 0 (pre-cancer) when it is curable (refer to cancer prevention). As the disease advances, bleeding and foul smelling discharge from vagina is the most common symptom. If left alone, the disease can progress and cause symptoms like pain, loss of weight, urine related problems, etc. Cervical cancer is diagnosed with a cervical biopsy.
Staging & Treatment
Most of the cancers of cervix can be staged accurately by clinical examination (under anesthesia) and scan (MRI or CT). The most commonly followed staging system for these tumors is proposed by FIGO (International Federation of Gynecology and Obstetrics).
Management of cancer of cervix depends on the stage of the disease. All modalities (surgery, chemotherapy and radiotherapy) of treatment are used to manage the disease effectively.
Recurrent Cervical Cancer
Cancer that comes back after treatment is called recurrent cancer. Cancer can come back locally (in the pelvic organs near the cervix) or come back in distant areas. If the cancer has recurred in the pelvis only, extensive surgery (pelvic exenteration) may be an option for some patients. This surgery can be performed laparoscopically with several advantages to the patient. This operation may successfully treat 40% to 50% of patients. If surgery is not feasible, radiation or chemotherapy may be used for palliative treatment (treatment to relieve symptoms but not expected to cure). If your cancer has recurred in a distant area, chemo or radiation therapy may be used to treat and relieve specific symptoms.
Cervical Cancer In Pregnancy
A small number of cervical cancers are found in pregnant women. If your cancer is a very early cancer, such as stage 0 or IA, then most doctors believe that it is safe to continue the pregnancy to term and then treated like above after delivery.
If the cancer is stage IB or higher, it is preferable to terminate pregnancy and treat cancer according to stage. The continuation of pregnancy can only be done after discussing the risks involved.