If the uterus is removed through the vagina, it is known as a vaginal hysterectomy. Bilateral salpingo-oophorectomy This operation removes both fallopian tubes and both ovaries. This is called debulking. If you are having an abdominal hysterectomy, the lymph nodes can be removed through the same incision. Your doctor will determine if you are eligible for SLN.
This can lead to symptoms such as hot flashes, night sweats, and vaginal dryness. It is called a lymph node dissection when most or all of the lymph nodes in a certain area are removed. This article has been cited by other articles in PMC. Pecorelli Italy , J. Dysplastic changes in prophylactically removed Fallopian tubes of women predisposed to developing ovarian cancer. Bilateral salpingo-oophorectomy This operation removes both fallopian tubes and both ovaries. To decide what stage the cancer is in, lymph nodes in the pelvis and around the aorta will also need to be removed see below. Staging classification for cancer of the ovary, fallopian tube, and peritoneum. In this procedure, a blue dye is injected into the area with the cancer, usually near the cervix. Cancer sometimes spreads to this tissue. Cain USA , L. If the hysterectomy is done vaginally, lymph nodes can be removed by laparoscopy. Removing both ovaries means that you will go into menopause if you have not done so already. These lymph nodes are examined closely to see if they contain any cancer cells. Is it justified to classify patients to Stage IIIC epithelial ovarian cancer based on nodal involvement only? Int J Gynecol Obstet ; 1: WHO classification of tumours of female reproductive organs. This procedure is usually done at the same time as surgery to remove the uterus. It is not possible to have stage I peritoneal cancer. Fujiwara Japan , N. In women who have had a vaginal hysterectomy, these lymph nodes may be removed by laparoscopic surgery. Lymph node surgery Pelvic and para-aortic lymph node dissection: Removing the ovaries and fallopian tubes, a bilateral salpingo-oophorectomy BSO , is not actually part of a hysterectomy; it is a separate procedure that is often done during the same operation see below. Both fallopian tubes and ovaries are removed at the same time. The lymph nodes that turn blue from the dye are removed at surgery. Complications of these surgeries are unusual and vary with the surgical approach, but they could include excessive bleeding, wound infection, and damage to the urinary or intestinal systems. The average hospital stay after an abdominal radical hysterectomy is about 5 to 7 days.
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