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Pelvic and Para-Aortic Lymphadenectomy

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Pelvic and Para-Aortic Lymphadenectomy

Pelvic and para-aortic lymphadenectomy is the surgical removal of lymph nodes from the pelvic and para-aortic regions to assess and control the spread of gynecological cancers. It plays a key role in accurate cancer staging and guiding further treatment decisions.

At Onco360 Cancer Centre, Dr. Vishakha P. Sinha, an experienced Breast & Gynec Onco Surgeon, offers specialized surgical care using advanced, evidence-based techniques. Every treatment plan is tailored to the patient's diagnosis, overall health, and long-term wellbeing.

Our multidisciplinary approach ensures comprehensive care from diagnosis through recovery, helping patients navigate their journey with confidence and compassion.

Conditions Treated

Dr. Vishakha Sinha performs this procedure as part of surgical management for:

  • Endometrial Cancer
  • Cervical Cancer
  • Ovarian Cancer
  • Uterine Sarcoma
  • Locally Advanced Gynecological Cancers
  • Recurrent Gynecological Cancers
  • High-Risk Endometrial Lesions
  • Fallopian Tube Cancer
  • Primary Peritoneal Cancer
  • Suspected Nodal Metastasis on Imaging

Symptoms

Early detection plays a vital role in successful treatment. Consult a gynecological cancer specialist if you notice:

  • Abnormal vaginal bleeding
  • Pelvic pain or pressure
  • A palpable pelvic mass
  • Abdominal bloating or swelling
  • Enlarged lymph nodes on imaging
  • Leg swelling suggestive of nodal involvement
  • Unexplained weight loss
  • Fatigue
  • Back or flank pain
  • Changes in bowel or bladder habits

Causes

This procedure is performed when there is confirmed or suspected gynecological cancer requiring accurate assessment of lymph node involvement.

Common risk factors include:

  • Confirmed gynecological malignancy requiring staging
  • Imaging suggestive of lymph node involvement
  • High-grade or aggressive tumor histology
  • Deep tissue invasion by the primary tumor
  • Need to guide adjuvant chemotherapy or radiation
  • Recurrent disease requiring restaging
  • Advanced-stage cancer at diagnosis
  • Large tumor size
  • Lymphovascular space invasion
  • Incomplete staging from prior surgery

Treatment

Every patient receives an individualized treatment plan based on their diagnosis and stage of disease.

Treatment options include:

Pelvic Lymphadenectomy

Removal of lymph nodes along the pelvic vessels to assess local spread.

Para-Aortic Lymphadenectomy

Removal of lymph nodes along the aorta for higher-level staging.

Combined Pelvic and Para-Aortic Dissection

Comprehensive nodal assessment performed together with primary tumor surgery.

Robotic-Assisted Lymphadenectomy

Minimally invasive removal of lymph nodes with enhanced precision.

Laparoscopic Lymphadenectomy

Reduced recovery time compared to open surgical approaches.

Selective Lymph Node Sampling

Targeted removal of specific nodes in select low-risk cases.

Treatment may also be combined with:

  • Chemotherapy
  • Radiation Therapy
  • Hormone Therapy
  • Targeted Therapy
  • Immunotherapy

Benefits

Choosing specialized lymphadenectomy offers several advantages:

  • Accurate surgical staging
  • Guides decisions on adjuvant therapy
  • Improved cancer control
  • Personalized treatment planning
  • Faster recovery with minimally invasive techniques
  • Comprehensive assessment of disease spread
  • Multidisciplinary cancer care
  • Better long-term outcomes
  • Continuous follow-up and survivorship care

Prevention

While this procedure addresses existing cancer spread rather than preventing it, timely staging helps ensure the most effective treatment path.

  • Early diagnosis of gynecological cancers
  • Prompt surgical consultation after diagnosis
  • Regular gynecological screening
  • Awareness of abnormal bleeding or symptoms
  • Genetic counseling for high-risk individuals
  • Choosing an experienced surgical oncology team
  • Maintaining overall health before surgery
  • Following post-surgical care instructions
  • Regular follow-up imaging as advised
  • Open communication with your surgical team

Why Choose Dr. Vishakha P. Sinha for Pelvic and Para-Aortic Lymphadenectomy?

  • Specialized Breast & Gynec Onco Surgeon
  • Expertise in Pelvic & Para-Aortic Lymph Node Surgery
  • Advanced Robotic & Laparoscopic Techniques
  • Accurate Cancer Staging
  • Personalized, Evidence-Based Treatment Plans
  • Compassionate, Patient-Centered Care
  • Comprehensive Cancer Care Under One Roof
  • Focus on Faster Recovery & Better Quality of Life
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