{"id":16812,"date":"2025-05-15T13:51:42","date_gmt":"2025-05-15T13:51:42","guid":{"rendered":"https:\/\/darkseagreen-pony-349255.hostingersite.com\/?page_id=16812"},"modified":"2025-05-21T10:41:57","modified_gmt":"2025-05-21T10:41:57","slug":"gynecologic-cancer-surgery","status":"publish","type":"page","link":"https:\/\/drshivangshukla.com\/?page_id=16812","title":{"rendered":"Gynecologic Cancer Surgery"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_section][vc_row][vc_column][vc_single_image image=&#8221;16939&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Gynecologic Cancer Surgery&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<p class=\"\" data-start=\"398\" data-end=\"442\"><strong data-start=\"398\" data-end=\"442\">(Ovarian, Uterine, and Cervical Cancers)<\/strong><\/p>\n<p class=\"\" data-start=\"444\" data-end=\"837\">Gynecologic cancers affect the female reproductive organs and require specialized surgical care that balances effective cancer control with the patient\u2019s overall health, reproductive goals, and quality of life. Our surgical oncology team collaborates closely with gynecologic and medical oncology specialists to deliver personalized, evidence-based treatment for women facing these conditions.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"844\" data-end=\"867\"><strong data-start=\"848\" data-end=\"867\">&#8211; Cancers Treated<\/strong><\/h3>\n<p class=\"\" data-start=\"869\" data-end=\"950\">We manage surgical care for a broad range of gynecologic malignancies, including:<\/p>\n<ol data-start=\"952\" data-end=\"1162\">\n<li class=\"\" data-start=\"952\" data-end=\"1028\">\n<p class=\"\" data-start=\"954\" data-end=\"1028\"><strong data-start=\"954\" data-end=\"972\">Ovarian cancer<\/strong> (including epithelial, germ cell, and stromal tumors)<\/p>\n<\/li>\n<li class=\"\" data-start=\"1029\" data-end=\"1065\">\n<p class=\"\" data-start=\"1031\" data-end=\"1065\"><strong data-start=\"1031\" data-end=\"1063\">Endometrial (Uterine) cancer<\/strong><\/p>\n<\/li>\n<li class=\"\" data-start=\"1066\" data-end=\"1089\">\n<p class=\"\" data-start=\"1068\" data-end=\"1089\"><strong data-start=\"1068\" data-end=\"1087\">Cervical cancer<\/strong><\/p>\n<\/li>\n<li class=\"\" data-start=\"1090\" data-end=\"1162\">\n<p class=\"\" data-start=\"1092\" data-end=\"1162\"><strong data-start=\"1092\" data-end=\"1107\">Rare tumors<\/strong> such as fallopian tube carcinoma or uterine sarcomas<\/p>\n<\/li>\n<\/ol>\n<p class=\"\" data-start=\"1164\" data-end=\"1256\">Each cancer varies in presentation and behavior, so tailored surgical planning is essential.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"1263\" data-end=\"1298\"><strong data-start=\"1267\" data-end=\"1298\">&#8211; Surgical Procedures Offered<\/strong><\/h3>\n<p class=\"\" data-start=\"1300\" data-end=\"1391\">Depending on the type and stage of cancer, we offer a wide range of surgical interventions:<\/p>\n<ol data-start=\"1393\" data-end=\"2476\">\n<li class=\"\" data-start=\"1393\" data-end=\"1471\">\n<p class=\"\" data-start=\"1395\" data-end=\"1471\"><strong data-start=\"1395\" data-end=\"1417\">Total Hysterectomy<\/strong>: Removal of the uterus, often including the cervix.<\/p>\n<\/li>\n<li class=\"\" data-start=\"1472\" data-end=\"1639\">\n<p class=\"\" data-start=\"1474\" data-end=\"1639\"><strong data-start=\"1474\" data-end=\"1515\">Bilateral Salpingo-Oophorectomy (BSO)<\/strong>: Removal of both ovaries and fallopian tubes, frequently performed alongside hysterectomy for ovarian or uterine cancers.<\/p>\n<\/li>\n<li class=\"\" data-start=\"1640\" data-end=\"1810\">\n<p class=\"\" data-start=\"1642\" data-end=\"1810\"><strong data-start=\"1642\" data-end=\"1679\">Staging and Lymph Node Dissection<\/strong>: Pelvic and para-aortic lymph node sampling or removal to assess disease spread, particularly in ovarian and endometrial cancer.<\/p>\n<\/li>\n<li class=\"\" data-start=\"1811\" data-end=\"1925\">\n<p class=\"\" data-start=\"1813\" data-end=\"1925\"><strong data-start=\"1813\" data-end=\"1828\">Omentectomy<\/strong>: Removal of the omentum, especially in ovarian cancer where it can harbor microscopic disease.<\/p>\n<\/li>\n<li class=\"\" data-start=\"1926\" data-end=\"2117\">\n<p class=\"\" data-start=\"1928\" data-end=\"2117\"><strong data-start=\"1928\" data-end=\"1965\">Debulking (Cytoreductive) Surgery<\/strong>: For advanced ovarian cancer, aimed at removing as much tumor as possible. Optimal debulking improves response to chemotherapy and survival outcomes.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2118\" data-end=\"2240\">\n<p class=\"\" data-start=\"2120\" data-end=\"2240\"><strong data-start=\"2120\" data-end=\"2144\">Radical Hysterectomy<\/strong>: For early-stage cervical cancer, includes removal of adjacent tissue and upper vaginal cuff.<\/p>\n<\/li>\n<li class=\"\" data-start=\"2241\" data-end=\"2476\">\n<p class=\"\" data-start=\"2243\" data-end=\"2476\"><strong data-start=\"2243\" data-end=\"2272\">Fertility-Sparing Surgery<\/strong>: In selected early-stage cases (especially in young patients), procedures such as unilateral oophorectomy or trachelectomy (removal of the cervix but not the uterus) may preserve the ability to conceive.<\/p>\n<\/li>\n<\/ol>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"3076\" data-end=\"3123\"><strong data-start=\"3080\" data-end=\"3123\">&#8211; Multidisciplinary and Personalized Care<\/strong><\/h3>\n<p class=\"\" data-start=\"3125\" data-end=\"3198\">All cases are discussed in a <strong data-start=\"3154\" data-end=\"3187\">multidisciplinary tumor board<\/strong> involving:<\/p>\n<ol data-start=\"3199\" data-end=\"3354\">\n<li class=\"\" data-start=\"3199\" data-end=\"3239\">\n<p class=\"\" data-start=\"3201\" data-end=\"3239\">Surgical and gynecologic oncologists<\/p>\n<\/li>\n<li class=\"\" data-start=\"3240\" data-end=\"3277\">\n<p class=\"\" data-start=\"3242\" data-end=\"3277\">Medical and radiation oncologists<\/p>\n<\/li>\n<li class=\"\" data-start=\"3278\" data-end=\"3311\">\n<p class=\"\" data-start=\"3280\" data-end=\"3311\">Pathologists and radiologists<\/p>\n<\/li>\n<li class=\"\" data-start=\"3312\" data-end=\"3354\">\n<p class=\"\" data-start=\"3314\" data-end=\"3354\">Fertility and psychological counselors<\/p>\n<\/li>\n<\/ol>\n<p class=\"\" data-start=\"3356\" data-end=\"3527\">Preoperative workup includes <strong data-start=\"3385\" data-end=\"3406\">pelvic ultrasound<\/strong>, <strong data-start=\"3408\" data-end=\"3418\">CT\/MRI<\/strong>, <strong data-start=\"3420\" data-end=\"3437\">tumor markers<\/strong> (e.g., CA-125 for ovarian cancer), and <strong data-start=\"3477\" data-end=\"3511\">endometrial or cervical biopsy<\/strong> when indicated.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"3534\" data-end=\"3573\"><strong data-start=\"3538\" data-end=\"3573\">&#8211; Postoperative Care and Recovery<\/strong><\/h3>\n<p class=\"\" data-start=\"3575\" data-end=\"3625\">After surgery, patients are closely monitored for:<\/p>\n<ol data-start=\"3626\" data-end=\"3867\">\n<li class=\"\" data-start=\"3626\" data-end=\"3663\">\n<p class=\"\" data-start=\"3628\" data-end=\"3663\">Pain management and wound healing<\/p>\n<\/li>\n<li class=\"\" data-start=\"3664\" data-end=\"3704\">\n<p class=\"\" data-start=\"3666\" data-end=\"3704\">Return of bowel and bladder function<\/p>\n<\/li>\n<li class=\"\" data-start=\"3705\" data-end=\"3757\">\n<p class=\"\" data-start=\"3707\" data-end=\"3757\">Hormonal considerations (if ovaries are removed)<\/p>\n<\/li>\n<li class=\"\" data-start=\"3758\" data-end=\"3824\">\n<p class=\"\" data-start=\"3760\" data-end=\"3824\">Need for adjuvant therapy such as chemotherapy or radiotherapy<\/p>\n<\/li>\n<li class=\"\" data-start=\"3825\" data-end=\"3867\">\n<p class=\"\" data-start=\"3827\" data-end=\"3867\">Psychological and fertility counseling<\/p>\n<\/li>\n<\/ol>\n<p class=\"\" data-start=\"3869\" data-end=\"3977\">Surveillance involves regular exams and imaging, especially for ovarian and uterine cancers which may recur.<\/p>\n<p>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]<\/p>\n<p class=\"\" data-start=\"4004\" data-end=\"4483\">Gynecologic cancer surgery demands technical expertise and compassionate care tailored to each woman&#8217;s unique condition and life stage. Whether it\u2019s a fertility-sparing procedure for a young woman with early cervical cancer or extensive cytoreductive surgery for advanced ovarian disease, our focus remains on safety, cure, and long-term quality of life. With a collaborative, evidence-based approach, we strive to offer the highest standard of care for gynecologic malignancies.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_section][vc_row][vc_column][vc_single_image image=&#8221;16939&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Gynecologic Cancer Surgery&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;] (Ovarian, Uterine, and Cervical Cancers) Gynecologic cancers affect the female reproductive organs and require specialized surgical care that balances effective cancer control with the patient\u2019s overall health, reproductive goals, and quality of life. Our surgical oncology team collaborates closely with gynecologic and medical oncology [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-16812","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/pages\/16812","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16812"}],"version-history":[{"count":3,"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/pages\/16812\/revisions"}],"predecessor-version":[{"id":16941,"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/pages\/16812\/revisions\/16941"}],"wp:attachment":[{"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16812"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}