Complex Gynecologic Radical and Ultra-radical Surgeries

Traditional open surgery can be used to treat any type of gynecologic cancer, though, in some instances, minimally invasive laparoscopic or robotic surgery may be a better treatment method. Traditional open surgery is more invasive, however, it remains one of the best surgery options for many women, especially if they are diagnosed with complex cases of ovarian, uterine, and cervical cancer. 

Traditional open surgery is often used for complex gynecologic radical and ultra-radical surgical cases. The type, size, and stage of cancer can indicate the extent of surgery needed to remove the cancerous tumor and areas to which the cancer may have spread. This method allows the surgeon to get a full view of the suspected cancer so that the cancer can be removed. 

The surgeons at The Gynecologic Oncology Center provide expertise in traditional open surgery to treat gynecologic conditions and cancers. Our doctors offer the following gynecologic procedures in the traditional open method for appropriate cases:

• Hysterectomy - simple (removal of uterus and cervix) and radical (removal of uterus and cervix plus removal of upper vagina)
• Oophorectomy - removal of one or both ovaries
• Salpingo-oophorectomy - removal of one or both ovaries and one or both fallopian tubes
• Ovarian Cystectomy - removal of ovarian cysts
• Lysis of Adhesions - surgery to remove scar tissue and restore normal function and reduce pain
• Pelvic Mass Resection - surgery to remove a tumor, cyst or growth in the pelvic region
• Myomectomy - surgery for uterine fibroids
• Sacropolpopexy - surgery to correct pelvic organ prolapse (when a woman's pelvic organs slip downward and out of normal position)
• Lymph Node Dissection - surgery to remove and examine the lymph nodes in the pelvis to either prevent the spread of cancer or to understand the extent of the disease

The best candidates for traditional invasive surgery are women who have an advanced stage of cancer, a very large tumor or a tumor that has spread to multiple organs. Traditional invasive surgery also may be recommended for women who are significantly overweight or have had prior abdominal surgeries resulting in layers of scar tissue. 

For these complex cancer surgeries, an incision is made in the lower abdomen to provide adequate room to remove the tumor. With open surgery, the surgeon has the added advantage of directly seeing, holding and examining the organs and tumor.