Ovarian Cancer Surgery
Ovarian Cancer Surgery in India
Overview
Ovarian cancer arises from the uncontrolled growth of abnormal cells in the ovary. Surgery is a primary treatment and varies based on the cancer type and stage. Performed by gynecological oncologists, ovarian cancer surgery is often followed by chemotherapy in advanced cases.
Types of Ovarian Cancer Surgery
- Unilateral/Bilateral Salpingo-oophorectomy: Removal of one or both ovaries and fallopian tubes
- Total Hysterectomy: Removal of the uterus and cervix
- Debulking Surgery: Removal of as much cancerous tissue as possible
- Staging Surgery: To determine the extent of cancer spread
Cancer Staging
- Stage 1: Cancer in one or both ovaries
- Stage 2: Spread to the pelvis
- Stage 3: Spread to the abdomen outside the pelvis
- Stage 4: Spread to liver or beyond
Surgical Procedure
Before Surgery
- Blood tests
- Imaging (X-ray, CT, ultrasound)
- Cardiogram
- Bowel prep
- Fasting 8 hours before surgery
During Surgery
- Administered under general anesthesia
- Tissue samples taken for biopsy
- Cancer staging and debulking performed
- May include removal of ovaries, uterus, stomach sections, lymph nodes
After Surgery
- Hospital stay of 5–7 days
- Full recovery takes 6–8 weeks
- Follow-ups every 2–3 months
- CA125 blood tests and PET-CT or MRI for monitoring
Risks of Surgery
- Cancer recurrence (especially advanced epithelial types)
- Gastrointestinal issues
- Fatigue, swelling, vaginal bleeding
- Loss of libido
- Mental health impacts (stress, anxiety, depression)
Cost Factors
- Medication
- Patient condition and overall health
- Duration and frequency of treatment
- Hospitalization and care level
- Hospital reputation and location
- Diagnostic and treatment modality
- Medical team’s experience
- Government subsidies or medical tourism packages
Foreign patients may save 30–40% compared to their home country costs.
Frequently Asked Questions
Q: Who is at risk for ovarian cancer?
A: Women over 55, those never pregnant, obese individuals, and those with a family history of ovarian/breast/colon cancer.
Q: Are there early-stage symptoms?
A: Yes—bloating, pelvic pain, loss of appetite, frequent urination.
Q: Can genetic screening help?
A: Yes, BRCA1 and BRCA2 mutations increase risk; genetic screening can identify predisposition.
Q: Does CA-125 confirm cancer?
A: Not alone; it’s more useful during/after treatment and in postmenopausal women.
Q: How is it diagnosed if no screening exists?
A: Through laparoscopy/laparotomy and pathological testing of tissue and fluid samples.
Q: Can another cancer occur after ovarian cancer?
A: Yes. Survivors are at higher risk for colon, bladder, breast, rectal, and bile duct cancers.
Q: Is chemotherapy always required post-surgery?
A: Depends on stage. Chemotherapy is used for advanced stages or in combination with other therapies.
Q: When can the patient travel by air?
A: Usually safe 4 weeks after surgery, with 3–7 days hospital stay and 4–6 weeks total recovery.