˂ Sugery

Gynecologic oncology surgery ERAS Clinical Pathway


Surgical approach

These surgeries can be done using one of two techniques: laparoscopy or laparotomy.

With this technique, an instrument equipped with a small camera and light is used to let the surgeon clearly see inside the abdominal cavity.

The surgeon makes 3 to 5 small incisions (cuts) in the abdomen that are 1 to 2 centimetres long. During the surgery, carbon dioxide is pumped into the abdomen to expand its walls and let the surgeon see into the cavity. The gas is then pumped out after the surgery.

With this technique, the surgeon opens the abdominal wall with a 10- to 20-centimetre vertical or horizontal incision.

There are different types of gynecologic oncology surgeries. The images below show the parts of the female reproductive system that are removed (outlined in blue) in each procedure.

Total abdominal hysterectomy

[Translate to English:] Hystérectomie abdominale totale

Removal of the cervix and uterus

Unilateral salpingo-oophorectomy

[Translate to English:] Salpingo-ovariectomie unilatérale

Removal of either the left or right ovary and fallopian tube. For illustration purposes, a left unilateral salpingo-oophorectomy is shown outlined in blue.

Bilateral salpingo-oophorectomy

[Translate to English:] Salpingo-ovariectomie bilatérale

Removal of both ovaries and both fallopian tubes.

Lymphadenectomy

Resection (removal) of the lymph nodes.
No image available.

 

 

Omentectomy

Resection of the omentum (the layer of fat covering the intestines).

No image available.

Cytoreduction

Removal of cancer cells in the affected area of the abdomen.

No image available.

Vulvectomy

Removal of part or all of the vulva.

No image available.

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