Gynecological cancer in India: the right treatment to deal with

Dr. Kanika Gupta

With more than 800,000 new cases every year, cancer has become a significant public health concern in India and is now one of the top ten causes of death in the country. The cervix, uterus and breast are the most common cancer sites in women, according to data from population-based registries under the National Cancer Registry Program. In India, about 50-60 percent of malignancies in women are caused by four organs: the uterus, breasts, corpus uterus and ovaries. In addition, more than 70% of women seek diagnostic and medical services when their condition improves, resulting in lower survival and higher mortality.

The current cancer situation for women in India certainly calls for awareness at a specific time of prevention, early detection, diagnosis, better facilities, treatment options and follow-up.

Challenges to preventive care, diagnosis, and treatment.

First, about 70% of India’s population lives in rural areas with poor health and living conditions. Child marriage, childbearing, multidimensionality, poor genital hygiene, and persistent sexually transmitted diseases increase the risk of cervical cancer in rural women. Second, simple things like liquid PAP and HPV, a routine screening procedure for cervical cancer recommended once every five years for women aged 30 to 65, lack attendance at programs, and most women in need are unaware of the need. For screening and testing that helps. HPV-related cancers can be eradicated with the vaccine, so it is best to make sure that medical providers understand the HPV vaccination recommendations.

Sometimes, limited access to education, employment, and high illiteracy rates contribute to a lack of knowledge about cancer and treatment options. In urban populations, where education and employment are dominant, aspects such as poor lifestyle and ignorance of one’s health will contribute to limited knowledge of treatment options. For example, in the case of robotic-assisted surgery, given that it is minimally invasive and more specific, it often provides additional benefits to a number of patients compared to conventional procedures.

Robotic-assisted surgery in gynecology

The most common method of treating gynecological cancer is still hysterectomy. Despite significant advances in general gynecology, reproductive gynecology, and reconstructive gynecology, the focus remains on gynecological oncology and the role of robotic surgery in gynecology is expanding.

Gynecological robotic-assisted surgery is one of the latest innovations in minimally invasive surgery techniques. In my experience, after performing multiple surgeries using the Da Vinci Surgical System, the advantages of flexibility are incomparable when the technology works in small spaces with high precision, resulting in better patient results. It involves less pain, less bleeding, and shorter hospital stays, allowing gynecological surgeons to treat a variety of conditions that affect the female reproductive organs.

Surgeons perform traditional, open surgery by making a long incision to enter the area for treatment. In the case of laparoscopic surgery, surgeons have to hold and operate a scope and instruments through a few small incisions. Robotic-assisted surgery is similar to laparoscopy. However, robotic surgery allows surgeons to operate in smaller spaces with greater freedom of motion, providing better visualization and understanding of the anatomy due to 3D views and 10-fold magnification. The introduction of robotic-assisted surgery in gynecological surgery, especially the Da Vinci Surgical System, is one of the most significant advances in how surgery will be performed in the future.

Endometrial malignancies are increasingly being surgically staged using minimal access surgeries such as laparoscopic and robotic. In a potentially randomized study comparing traditional laparotomy for endometrial cancer staging with robotic-assisted hysterectomy and regional lymphadenctomy, the robotic-assisted group had much less projected bleeding and problems than the open technique. The surgeon, located on the surgeon’s console, performs even the most delicate and difficult surgeries with greater precision through small incisions. The robotic system is not programmed and does not run independently, the surgeon maintains complete control during the process.

Experience of experts from open / lab to robotic surgery indicates that the use of robotic technology has increased dramatically in the last ten years, with positive financial and therapeutic benefits allowing patients to return to the most important things to them.

India is climbing the ladder of healthcare development, and providing these new surgical technologies to surgeons and patients alike is now more important than ever. To keep up with these changes, surgeons must undergo robotic surgery training and ensure that humans and machines are compatible and moving forward together. The adoption of this technology to provide better and holistic medical services to the society depends on the undoubtedly talented surgeons of India.

(Author Senior Director, Robotic Surgery, Max Super Specialty Hospital, Vaishali. This article is for informational purposes only). Please consult a medical professional and health professional before starting any therapy, medication and / or remedies. The opinions expressed are personal and do not reflect the official position or policy of

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