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Lymphadenectomy

Lymphadenectomy surgical procedure removes the cervix, surrounding tissues, womb, fallopian tubes, and the upper portion of the vagina. It remains a common choice to treat cancer.

This article covers everything patients should know about Lymphadenectomy, from surgical preparations to recovery. We will discuss the different types of procedures, potential risks, and recovery expectations. The right hospital and surgical team selection is vital to achieving the best outcomes.

Why CARE Group Hospitals is Your Top Choice for Lymphadenectomy Surgery in Hyderabad

CARE Hospitals leads healthcare innovation for Lymphadenectomy surgery in Hyderabad. Their gynaecology department specialises in complex procedures like Lymphadenectomy - a surgery that removes the uterus, cervix, upper vaginal wall, and supporting tissues.

Patient care remains the hospital's top priority. The staff supports patients through every step - from pre-surgery preparation to post-operative care. Doctors schedule regular follow-ups to monitor recovery progress and address patient concerns.

CARE Hospitals gives patients seeking Lymphadenectomy surgery in Hyderabad the perfect blend of surgical excellence, medical expertise, and personalised care.

Cutting-edge Surgical Innovations at CARE Hospitals

CARE Hospital's surgical technology has made remarkable progress with groundbreaking approaches to Lymphadenectomy. Their innovative approaches feature laparoscopic and robotic-assisted nerve-sparing Lymphadenectomy at the vanguard of treatment. These minimally invasive procedures are a great way to gain advantages over conventional methods, especially when you have fine manipulation capabilities and a magnified visual field. The hospital's state-of-the-art HD Laparoscopy and hysteroscopy unit boosts surgical capabilities further. 

Conditions for Lymphadenectomy Surgery

Cervical cancer remains the main reason doctors perform Lymphadenectomy surgery. The best candidates for Lymphadenectomy include:

  • Young women who want to preserve their ovaries and keep a functional, non-irradiated vagina
  • People who can't receive radiation therapy because of conditions like pelvic kidney or past pelvic abscess
  • Patients healthy enough to handle aggressive surgery
  • Those who prefer to avoid radiation therapy's long-term side effects

All the same, Lymphadenectomy helps treat more than just cervical cancer. Doctors might recommend it for:

  • Endometrial cancer that involves the cervix (FIGO Stage II disease)
  • Primary upper vaginal carcinoma
  • Small cancers that come back in the centre after radiation therapy

Types of Lymphadenectomy Procedures

Surgeons worldwide have long respected the Piver-Rutledge-Smith classification from 1974. This system breaks down radical hysterectomies into five distinct classes, from minimal to extensive resection:

  • Class I: Extrafascial hysterectomy with minimal parametrial removal
  • Class II: Modified Lymphadenectomy with partial parametrial removal
  • Class III: Classical Lymphadenectomy with complete parametrial removal
  • Class IV: Extended Lymphadenectomy with superior vesical artery sacrifice
  • Class V: Partial exenteration with bladder or rectal resection

Know the Procedure

Knowing what happens during each phase of Lymphadenectomy helps patients get mentally and physically ready. 

Pre-surgery Preparation

The preparation starts several weeks before the surgery. Doctors will give you a detailed medical evaluation with blood tests, imaging studies, and sometimes a biopsy. You will need to make these changes before surgery:

  • Stop taking blood thinners, aspirin, and NSAIDs a few days before to lower the bleeding risk
  • Don't eat or drink anything after midnight before your surgery
  • Quit smoking to help organ healing and reduce your chance of infection

Steps of Lymphadenectomy Procedure

The surgery usually takes 1-3 hours under general anaesthesia. The medical team will place a urinary catheter once you are asleep. Your surgeon will make either a vertical cut from below the navel to above the pubic bone or a horizontal cut along the bikini line.

The surgery involves these steps:

  • Opening the abdomen to check pelvic organs
  • Taking out the uterus, cervix, upper vagina, and nearby tissues
  • Removing lymph nodes from the pelvic area
  • Looking carefully for any bleeding
  • Closing the cut with stitches, staples, or surgical strips

Post-surgery Recovery

Patients usually stay in the hospital for 1-5 days after surgery. The medical team will connect you to monitors and might place drainage tubes. They will give you pain medication whenever you need it.

Your recovery will include:

  • Taking short walks soon after surgery to prevent blood clots
  • Getting your catheter removed when your bladder starts working normal again
  • Starting to eat regular food step by step
  • Learning specific instructions for care at home
  • Taking 6-8 weeks for full recovery with limited activities

Risks and Complications

Lymphadenectomy, like any surgery, comes with its own set of risks and complications that patients need to know before treatment. 

Blood loss is a major concern during surgery. While rare, general anaesthesia can cause nerve damage and allergic reactions. 

Short-term complications include:

  • Urinary tract infections
  • Lymphocyst formation
  • Urinary retention requiring catheterisation
  • Perineal and lower-extremity oedema
  • Surgical wound infections
  • Women often experience urinary dysfunction, bowel problems and sometimes pelvic organ prolapse. 

Benefits of Lymphadenectomy Surgery

Lymphadenectomy changes lives with benefits that go way beyond. The surgery brings several measurable benefits to patients:

  • Early intervention boosts longevity
  • Enhanced Recovery After Surgery (ERAS) protocols reduce hospital stays 
  • ERAS helps patients go home within 48 hours 
  • Symptoms like cramps, heavy bleeding, and persistent discomfort fade away within weeks after surgery

Insurance Assistance for Lymphadenectomy Surgery

Health insurance plans across India cover Lymphadenectomy surgery under their surgical procedure coverage. General health plans and specialised women's health insurance policies offer this coverage. 

At CARE Hospitals, our dedicated financial counselling team simplify this process, ensuring you can focus entirely on your recovery journey. Our team will thoroughly review your existing health insurance policy, identifying specific coverage limits, exclusions, and pre-authorisation requirements related to major surgical interventions.

Second Opinion for Lymphadenectomy Surgery

You should get another viewpoint in these situations:

  • A complex diagnosis that needs radical instead of total hysterectomy
  • Your symptoms stay unchanged after trying other treatments
  • You face invasive procedures that will affect you long-term
  • You receive an uncommon or rare diagnosis
  • The original treatment plan leaves you uncertain

Conclusion

Lymphadenectomy has evolved into a sophisticated surgical procedure that brings hope and healing to countless women. CARE Hospitals' state-of-the-art surgical techniques have reshaped the scene of this once-risky operation. It is now a precise and manageable treatment option. Robotic-assisted systems and nerve-sparing techniques have significantly improved patient outcomes and recovery times.

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