Gynecologic Cancer Surgery
Gynecologic cancer can take many forms, including cervical cancer, ovarian cancer, uterine cancer, vaginal cancer and vulvar cancer. At Miami Valley Hospital, we have the specialists and technology to care for the broad spectrum of gynecologic cancers.
While gynecologic cancers may be treated using radiation and/or chemotherapy, often surgery is the best option. There are many kinds of surgery that can be used to treat different kinds of gynecologic cancers. In some cases, our surgeons will use minimally invasive surgical techniques, including robotic assisted surgery with the da Vinci® Surgical System, to treat gynecologic cancers.
Cervical Cancer Surgery
For cervical cancer that has not spread beyond the cervix, there are several surgical techniques that can be considered. This includes cryosurgery, which destroys precancerous tissue through freezing; LEEP (loop electrosurgical excision procedure), which removes precancerous lesions using an electrical current; hysterectomy; or bilateral salpingo-oophorectomy, removal of the fallopian tubes and ovaries at the same time as the hysterectomy.
Ovarian Cancer Surgery
The most common treatment for ovarian cancer is surgery. The extent of surgery depends on how far the cancer has spread. If the cancer remains in one or both ovaries, the surgeon will perform an oophorectomy, or removal of one or both ovaries. If the cancer has spread beyond the ovaries, the surgeon will examine other organs and structures surrounding the ovaries to determine how far the cancer has spread. Surgical treatment at this point aims to remove as much of the tumor as possible. Chemotherapy after surgery may be suggested in order to target cancer cells that may still be in the body.
Vaginal Cancer Surgery
Depending on the extent of vaginal cancer, surgery may be needed. Surgery may include removal of a portion of the vagina, as well as other organs and structures near the vagina. This could include a hysterectomy depending on the cancer’s spread.
Vulvar Cancer Surgery
Vulvar cancer is not common. It can involve several parts of the vulva. Treatment for vulvar cancers typically includes surgery to remove all or part of the vulva. Depending on the cancer spread, it may be necessary to remove other organs or structures near the vulva, such as lymph nodes or the bladder. Since vulvar cancers are typically slow growing and begin with precancerous changes, early detection can lead to less invasive treatments.