Minimally invasive surgery has consistently been found to reduce complications compared with open surgery. For patients undergoing a variety of gynecologic procedures, minimally invasive surgery also results in equivalent primary procedural outcomes (e.g., survival outcomes after surgical staging of endometrial…
Surgery remains the mainstay of gynecologic cancer treatment, including radical hysterectomy, trachelectomy, and ovarian cancer cytoreduction. Historically, these procedures were performed through a large abdominal incision and were associated with prolonged hospitalization and significant morbidity. With advances in minimally invasive…
The use of laparoscopy has been implemented in the management of adnexal masses since the late 1970s. However, laparoscopy became more popular in gynecologic oncology after Daniel Dargent first described the use of this technique to evaluate pelvic lymph nodes…
Acknowledgment Elsevier previously published a portion of the content in this chapter (Boruta DM. Laparoendoscopic single-site surgery in gynecologic oncology: an update. Gynecol Oncol. 2016;141:616–623). Laparoscopy is the surgical approach of choice for many gynecologic oncology procedures. Reduced morbidity, shorter…
Radiation therapy has been a predominant treatment option for cervical cancer since Marie Curie discovered radium. Radiation therapy is the primary treatment for locally advanced cervical cancer, vulvar carcinoma, and vaginal carcinoma. It is used in the postoperative setting to…
Acknowledgment The authors wish to thank Karen C. Broadbent and George T. Pisimisis for their great assistance on this chapter. Gynecologic malignancies remain a leading cause of cancer death in women. There are approximately 98,000 new cases and 30,000 deaths…
Pelvic exenteration, the most radical of pelvic procedures, is used with curative or palliative intent in the treatment of women with primary and recurrent pelvic malignancies. In women undergoing total or anterior exenterative procedures, the choice of urinary diversion can…
We restore, repair and make whole those parts … Which nature has given but which fortune has taken away . Gaspar Tagliacozzi (1545–1599) The goals of pelvic and perineal reconstruction in gynecologic oncology surgery may be summarized as follows: Maximize…
A fellowship-trained gynecologic oncologist is expected to be competent in performing gynecologic, gastrointestinal, urologic, and vascular procedures relevant to gynecologic malignancy management. Urologic injury is a known risk factor of pelvic and retroperitoneal surgery in general and in gynecologic surgical…
Bowel manipulation and resection are commonly performed in gynecologic cancer surgery. The principles of bowel surgery are discussed elsewhere in this book (see Chapter 17 ). This chapter focuses on frequent complications surgeons encounter during open and minimally invasive surgery…