About Surgery Cervical

Introduction

Cervical surgery is a procedure sometimes performed to remove cervical cancer. Cervical cancer is the third most common cancer that affects women, and is found in the cervix, the lower part of the uterus. Cervical cancer starts in the cells on the surface of the cervix, most commonly with the squamous cells. The development of this disease is slow, and starts in a precancerous condition called dysplasia, which can be detected via a pap smear. Surgery is one way that cervical cancer can be treated, and this article will focus upon this method.

History

Cervical Surgery is an option for cervical cancer when it is confined to the cervix or uterus. The variety of cervical surgery performed will vary in accordance to the location and extent of the cancer, and whether or not you will want to have children in the future.

Conization

This variety of cervical cancer is only performed on patients that have early stages of cancer (stage 0 or I) and want to have children in the future. This procedure involves removing a cone shaped piece of tissue from cervix and cervical canal using either a surgical or laser knife (cold knife cone biopsy) or a thin wire heated via electricity. This extracted tissue is then viewed under a microscope by a pathologist; if the outer edges of the tissue have cancer or pre-cancer cells more treatment will be required.

Total hysterectomy

This Cervical surgery removes the uterus and cervix from the patient. The uterus is either taken out vaginally (vaginal hysterectomy), through a small incision made in the abdomen (abdominal hysterectomy), or via a laparoscope. With a laparoscope only a small cut is made on the Abdomen, small enough for the laparoscope to fit in, thus the incision will heal faster than the abdominal hysterectomy. This type of cervical surgery is used for early stage I cervical cancers, and for individuals who do not wish to have children in the future.

 

Features

Radical hysterectomy:

This type of cervical surgery differs from the aforementioned, due to the fact that more than just the uterus is removed. The uterus, cervix, part of the vagina, and a wide area of ligaments and tissues around these organs are extracted, furthermore the ovaries, fallopian tubes, or nearby lymph nodes can also be removed from the patient. This is performed usually via an incision made in the abdomen. This variety of cervical surgery is normally performed on women who have stages I and less often, stage II cervical cancer.

Bilateral salpingo-oophorectomy

This is a surgery which removes a woman’s ovaries and both fallopian tubes.

Loop electrosurgical excision procedure ( LEEP)
This cervical cancer surgery uses an electrical current, which is welded with a thin loop wire to remove abnormal and cancerous tissue in the cervix.

Laser Surgery

In place of a surgical knife, a laser is employed to remove infected tissue or surface lesions (tumors).

Pelvic exenteration

This is a highly radical form of treatment, removing all tissue that is affected with cancer. This can be the colon, rectum, bladder, the cervix, vagina, ovaries, and nearby lymph nodes are also removed. This type of surgery is often used for patients who have had cervical cancer reappear and has spread to their pelvis.

 

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