Surgery for ovarian cancer

WHO should operate a patient of carcinoma ovary ??

Number of Surgery  increase survival (>10)

Best outcome = Gynaecological oncologist/Surgical oncologist

1.Early stage ovarian cancer

STAGING

2.Late stage ovarian cancer

DEBULKING

Procedure

Appropriate incision

Washings

Remove adnexa and tumour bed completely, can retain fertility

Omentum

Pelvic nodes /Para aortic nodes

Peritoneal staging

Appendectomy

Peritoneal stripping

Consider limited bowel resection/anastomosis

Consider splenectomy

Upper  abdomen exploration = inspection and multiple biopsies

HIPEC/PeritonectomyàAvailable exclusively at Cancer centres only