Surgery for Gynae Cancers

Question 1

what is hysterectomy?

Answer 1

removal of the uterus and cervix

Question 2

what increases the risks associated with hysterectomy?

Answer 2

raised BMI

previous surgery

Question 3

what are the potential serious risks associated with hysterectomy?

Answer 3

bleeding 
damage to organs 
pelvic abscess 
VTE 
death

Question 4

what are the fairly common risks associated with hysterectomy?

Answer 4

pain
bruising
wound gaping
infection

Question 5

what are the three options for hysterectomy?

Answer 5

open
laparoscopic
robotic

Question 6

what are the minimal access options for hysterectomy?

Answer 6

laparoscopic

robotic

Question 7

what are some benefits of minimal access hysterectomy?

Answer 7

less risks
enhanced recovery
reduced chance of VTE

Question 8

what age group is usually affected by cervical cancer?

Answer 8

women of reproductive age

Question 9

what is the management for cervical cancer up to stage 1a2 when the individual wants fertility?

Answer 9

LLETZ/cone biopsy

Question 10

what is the management for cervical cancer up to stage 1a2 when the individual has a completed family?

Answer 10

hysterectomy

Question 11

what is the management for cervical cancer up to stage 1b when the individual wants fertility?

Answer 11

trachelectomy

Question 12

what is the management for cervical cancer up to stage 1b when the individual has a completed family?

Answer 12

radical hysterectomy

Question 13

what is the management for cervical cancer higher than to stage 1b?

Answer 13

chemoradiotherapy

Question 14

what is removed in a trachelectomy?

Answer 14

cervix
parametriium
cuff of vagina

Question 15

what is the management of early stage ovarian cancer?

Answer 15

open hysterectomy, BSO and infra colic omentectomy

Question 16

what is the management of late stage ovarian cancer?

Answer 16

radical debulking