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Gynecological Oncosurgery

Gynecological oncosurgery focuses on the surgical management of cancers affecting the female reproductive system, including the cervix, uterus, ovaries, fallopian tubes, vulva, and vagina. At Apollo Athenaa Women’s Cancer Centre, we combine advanced surgical techniques with a deep understanding of women’s health needs, offering personalised, organ-preserving, and fertility-conscious treatments wherever possible. Our goal is not only to remove the disease but also to support long-term quality of life, body image, and reproductive health. 

Who Needs Gynecological Oncosurgery? 

Gynecological oncosurgery maybe referred for women who: 

  • Have been diagnosed with a cancer of the reproductive organs 
  • Have borderline or pre-cancerous conditions requiring surgical intervention 
  • Are at high genetic risk for gynecological cancers (like BRCA or Lynch syndrome) 
  • Have recurrent disease or cancer spread within the pelvis or abdomen 
  • Need fertility-preserving treatment for early-stage gynecological cancers 

Each case is evaluated by a multidisciplinary tumour board to determine the best surgical plan tailored to your condition, stage, and life goals. 

Treatment Options 

We offer a full spectrum of gynecological cancer surgeries, including: 

Robotic-Assisted Gynecological Surgeries 

Surgical care for gynecological cancers has advanced dramatically in recent years. One of the most significant innovations is robotic-assisted surgery, a minimally invasive technique that combines the skills of your surgeon with the precision of robotic technology.   

Debulking (cytoreductive) Surgery 

Debulking surgery, also known as cytoreductive surgery, is a cornerstone of treatment for advanced gynecologic cancers, especially ovarian cancer. Its goal is to surgically remove as much of the visible tumor as possible to enhance the effectiveness of subsequent therapies like chemotherapy. 

Ultra-Radical Debulking Surgery 

Ultra-Radical Debulking Surgery is an advanced and highly specialised surgical procedure used in the treatment of advanced-stage ovarian cancer and other gynecological malignancies that have extensively spread within the abdominal cavity. The primary goal of this surgery is to remove all visible cancer, even when it involves multiple organs or deep-seated tumour deposits.  

Pelvic Exenteration 

Pelvic exenteration is a highly complex surgical procedure performed for certain advanced or recurrent gynecological cancers (most commonly cervical, vaginal, vulvar, or endometrial cancers) when the disease is confined to the pelvis but cannot be controlled by radiation or chemotherapy alone. It involves the removal of all affected pelvic organs (bladder, urethra, rectum, anus, and may also include removal of reproductive organs) to achieve complete cancer clearance. 

Radical Hysterectomy 

A radical hysterectomy is a surgical procedure used to treat early-stage cervical cancer and certain other gynecological cancers. It involves removal of the uterus, cervix, the upper part of the vagina, along with pelvic lymph nodes. Unlike a simple hysterectomy, this procedure is more extensive and is typically done when cancer has spread beyond the cervix but remains confined to the pelvis.  

Trachelectomy (Vaginal and Abdominal) 

Trachelectomy is a specialised surgical procedure that involves the removal of the cervix (the lower part of the uterus that opens into the vagina) while preserving the uterus. It is most often performed in early-stage cervical cancer in women who wish to retain their ability to have children. There are two main surgical approaches: vaginal trachelectomy and abdominal trachelectomy. 

HIPEC  

HIPEC (Hyperthermic Intraperitoneal Chemotherapy) is a highly specialised procedure used to treat peritoneal surface malignancies (cancers that spread to the lining of the abdominal cavity). It involves a two-step process: cytoreductive surgery to remove all visible tumour deposits, followed by the circulation of heated chemotherapy directly into the abdominal cavity.   

PIPAC 

PIPAC (Pressurised IntraPeritoneal Aerosol Chemotherapy) is an innovative, minimally invasive treatment for patients with peritoneal metastases. It is most commonly used in recurrent or chemoresistant select gynecological cancers. PIPAC administers chemotherapy directly to the affected area in the form of a pressurised aerosol mist, allowing for better distribution and tissue penetration. 

LEEP 

Loop Electrosurgical Excision Procedure (LEEP) is a safe and effective outpatient procedure used to remove abnormal or pre-cancerous cells from the cervix (the lower, narrow end of the uterus that opens into the vagina). It is often recommended when a Pap smear reveals CIN (Cervical Intraepithelial Neoplasia), which are changes in cervical cells that could progress to cancer over time. LEEP is both diagnostic and therapeutic. 

Fertility-Preserving Gynecological Surgery  

Fertility-preserving gynecological surgery offers hope and choice to young women diagnosed with early-stage cancers of the reproductive system. It is designed to treat cancer effectively without removing the uterus or ovaries, so that future childbearing remains a possibility. 

How We Plan Surgery 

Every surgery begins with meticulous preoperative planning: 

  • Advanced imaging like 3T MRI with AI tools to define disease extent 
  • Precision tumour mapping by expert radiologists to locate impalpable or hidden lesions 
  • Multidisciplinary tumour board review to customise treatment 
  • Care continuum following treatment including nutritional, psychological, and physiotherapy support  
  • If reconstruction or fertility preservation is needed, our plastic surgeons and fertility experts are part of the planning team from the start 

Why Choose Apollo Athenaa for Gynecologic Oncosurgery 

  • Specialised women’s cancer centre exclusively focused on female cancers 
  • Advanced surgical technology, including robotic-assisted systems, AI-enabled diagnostics, and super microsurgery 
  • Multidisciplinary team of gynecological oncologists, radiologists, pathologists, and fertility specialists 
  • Personalised care with a strong emphasis on aesthetics, fertility, emotional wellness, and survivorship 
  • Continuum of care, from screening to after cancer 
  • Women-centric environment designed for privacy, dignity, and comfort  

At Apollo Athenaa, we walk with you through every step, from diagnosis to healing, with empathy and expertise. 

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