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Robotic Surgery vs Traditional Surgery: Which One is Better for Patients?

The rise of robotic surgery has brought new possibilities in the medical field, but traditional surgery remains a reliable option with decades of proven results. In this blog, we’ll compare both approaches, focusing on their benefits, risks, and patient outcomes, helping you understand which might be the better option.

1. Precision and Accuracy

Robotic Surgery:Robotic surgery offers a higher degree of precision. Using robotic arms controlled by the surgeon, it enables precise movements that are difficult to achieve by hand. Surgeons can operate on delicate tissues or in difficult-to-reach areas with greater accuracy.

Traditional Surgery:In traditional surgery, the surgeon relies on their own hands. While experienced surgeons are very skilled, human limitations sometimes make it challenging to perform highly intricate movements, especially in complex cases.

2. Minimally Invasive Approach

Robotic Surgery:One of the most significant advantages of robotic surgery is its minimally invasive nature. Smaller incisions mean less damage to tissues, resulting in smaller scars, faster recovery, and reduced pain. Patients generally experience quicker healing with fewer complications.

Traditional Surgery:Traditional surgery often involves larger incisions, which can lead to more visible scars and a longer recovery time. While effective, the invasive nature of traditional surgery typically results in more postoperative pain and longer hospital stays.

3. Surgeon Fatigue

Robotic Surgery: Surgeons operate robots while seated comfortably at a console. This reduces the physical strain on the surgeon, especially during lengthy procedures, leading to better focus and efficiency throughout the operation.

Traditional Surgery: In traditional surgery, the surgeon often stands for long periods, which can lead to physical fatigue. While skilled surgeons manage this well, robotic systems can offer an advantage by minimizing the surgeon’s physical strain during long procedures.

4. Recovery Time and Healing

Robotic Surgery:Thanks to smaller incisions and less trauma to the body, patients who undergo robotic surgery tend to recover more quickly. Many patients return to daily activities within a shorter time frame, experiencing less pain overall.

Traditional Surgery:With traditional surgery, the healing process takes longer. Patients may need more time to regain full functionality, and the risk of complications such as infections is higher due to larger incisions.

5. Cost and Accessibility

Robotic Surgery:The downside of robotic surgery is its cost. The equipment is expensive, and this can lead to higher surgery costs for patients. Additionally, robotic systems aren’t available in all hospitals, especially in rural or smaller healthcare facilities.

Traditional Surgery:Traditional surgery is more affordable and widely accessible. Almost all hospitals can perform traditional procedures, making it a more cost-effective option for many patients, especially those without access to high-tech medical centers.

6. Risks of Errors and Malfunctions

Robotic Surgery:Although robotic surgery reduces many human errors, it carries the risk of technology malfunctions. Software glitches or hardware failures, while rare, can pose a problem. However, the surgeon is always in control, reducing the likelihood of such issues.

Traditional Surgery:Traditional surgery doesn’t depend on technology, so there’s no risk of mechanical failure. However, human error is a possibility, though skilled and experienced surgeons minimize these risks.

Conclusion: Which is Better for Patients?

Both robotic and traditional surgeries offer unique advantages. Robotic surgery stands out for its precision, minimally invasive techniques, and quicker recovery times, making it ideal for complex procedures. However, it comes at a higher cost and isn’t available everywhere. Traditional surgery, while more invasive, remains accessible and affordable, offering a dependable option with a longer track record.

Choosing between the two depends on the type of surgery, patient’s health, and the surgeon’s expertise. Always consult with your healthcare provider to find the best option for your specific condition.

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Ovarian Cancer Symptoms: Insights from Dr. Divya Sehra, Leading Gynecologic Oncologist in Delhi

Insights from Dr. Divya Sehra, Leading Gynecologic Oncologist in Delhi

Ovarian cancer is a challenging gynecologic cancer, often difficult to detect in its early stages. The ovaries are small and located deep within the abdomen, making it hard to detect abnormalities through routine exams. Moreover, early symptoms can be subtle or mistaken for less serious conditions, which often delays diagnosis. This is why only 20% of ovarian cancer cases are caught in the early stages when treatment is most effective.

Though ovarian cancer most often affects women between the ages of 50 and 60, it can develop at any age. Risk factors include a family history of ovarian or breast cancer, obesity, endometriosis, and fertility treatments. Because there is no routine screening test, recognizing symptoms and seeking prompt medical advice is crucial.

When detected early and confined to the ovaries, ovarian cancer is more treatable. However, when it spreads to the abdomen or pelvis, it becomes harder to manage. Therefore, it’s important for women to be aware of the signs and symptoms and to consult a gynecologic oncologist like Dr. Divya Sehra if they experience any of the following:

Changes in menstrual cycles

Persistent bloating or abdominal swelling

Appetite loss or feeling full quickly

Abdominal or pelvic pain

Unexplained weight loss

Digestive issues

Swollen legs

Frequent urination

Constant fatigue

Early Signs and Symptoms of Ovarian Cancer

Recognizing the early signs of ovarian cancer can dramatically improve the chances of successful treatment. Unfortunately, symptoms are often mistaken for other health issues. It is vital to pay close attention to your body and consult a specialist if any unusual or persistent changes occur.

Menstrual Irregularities

Ovarian cancer can disrupt your menstrual cycle in several ways, such as:

Missed periods

Heavier bleeding than usual

Spotting between periods

Abnormal vaginal discharge

These changes are not necessarily a sign of ovarian cancer but may increase your risk. Women experiencing unexpected menstrual irregularities should consult a gynecologist, especially if they are post-menopausal and notice any unusual bleeding.

Persistent Bloating and Abdominal Swelling

While bloating is common, persistent abdominal bloating can be an early warning sign of ovarian cancer. Women often report feeling as though they are pregnant or notice their clothes becoming tighter around the waist. If this bloating doesn’t resolve, it should be taken seriously and checked by a doctor.

Changes in Appetite

A loss of appetite or feeling full quickly can be one of the first noticeable signs of ovarian cancer. This often leads to unintentional weight loss and digestive issues, such as nausea. If these symptoms persist, it’s important to see a doctor to rule out ovarian cancer, particularly if they do not improve with time.

Pelvic or Abdominal Pain

Pain in the pelvic or abdominal area is another common symptom of ovarian cancer. This pain can be mistaken for menstrual cramps or digestive discomfort, but if it becomes more frequent or intense, it may indicate a problem. Tumors in the ovaries can press on surrounding organs, causing pain in the lower back or abdomen.

Unexplained Weight Loss

Unexplained weight loss is a common symptom of advanced cancer. If you have lost more than 5% of your body weight over six to twelve months without changing your diet or exercise habits, it could be a cause for concern and should be evaluated by a healthcare provider.

Digestive Problems

Ovarian cancer can also cause digestive symptoms, such as constipation, diarrhea, and indigestion. These issues can sometimes mimic irritable bowel syndrome (IBS), so if digestive problems persist for several weeks, it’s essential to seek medical advice.

Leg Swelling

Swelling in the legs or ankles, known as edema, can be an early sign of ovarian cancer. This swelling can cause discomfort and leave indentations when pressed. If leg swelling occurs alongside other symptoms, it may require further investigation.

Frequent Urination

Ovarian tumors can press against the bladder, causing more frequent urination or a constant urge to urinate. This symptom is often misdiagnosed as a urinary tract infection, but if it persists, ovarian cancer should be considered as a possibility.

Stay Informed and Act Early

Recognizing the signs of ovarian cancer early can make a big difference in treatment outcomes. If you notice any combination of these symptoms, it’s important to consult a specialist. Dr. Divya Sehra, one of Delhi’s leading gynecologic oncologists, provides expert care in diagnosing and treating ovarian cancer.

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Robotic Surgery For Uterine Cancer

About Uterine Cancer

Uterine cancer, also known as endometrial cancer, is the second most common type of cancer affecting the female reproductive organs. While it can be a frightening diagnosis, with early detection and proper treatment, the prognosis for uterine cancer is often favourable This blog aims to empower women with knowledge about uterine cancer, its symptoms, diagnosis, and treatment options.

Synopsis

 Risk Factors 

 Symptoms 

 Diagnosis

 Treatment 

 Adjuvant Therapy (Additional Treatment After Surgery)

 Metastatic Cancers

 Conclusion

Risk Factors

Uterine cancer develops in the lining of the uterus (endometrium). While the exact cause of uterine cancer is unknown, certain risk factors can increase your chances of developing it. Here’s a breakdown of the key risk factors:

Obesity: Fat tissue produces estrogen, and excess body weight can lead to prolonged exposure to estrogen, increasing cancer risk.

Polycystic Ovary Syndrome (PCOS): This hormonal imbalance can cause irregular ovulation and lead to unopposed estrogen stimulation of the endometrium.

Never Been Pregnant: Women who have never been pregnant haven’t experienced the hormonal changes associated with pregnancy, which can offer some protective effects against endometrial cancer.

Lynch syndrome: This is caused by mutations in certain genes that are responsible for repairing errors in DNA. These errors can lead to uncontrolled cell growth and eventually cancer. The mutated genes are passed down from a parent to their children. While Lynch syndrome is most well-known for increasing the risk of colon cancer, it also raises the chances of developing other cancers, including Endometrial cancer (cancer of the lining of the uterus), Stomach cancer, Small intestine cancer and Ovarian cancer.

Tamoxifen: This medication blocks the effects of estrogen, which can fuel some types of uterine cancer if taken for a prolonged duration.

Symptoms

Here’s a list of the telltale symptoms to watch out for:

Abnormal Vaginal Bleeding: This is the most common symptom of uterine cancer, particularly any bleeding after menopause.

Be aware of:

Bleeding between periods, even if your periods are still regular.

Heavier than usual periods.

Spotting or bleeding after menopause (any vaginal bleeding after menopause is considered abnormal and requires a checkup).

Other Potential Symptoms

Pelvic pain: This can manifest as a dull ache or cramping in the lower abdomen or pelvic area.

Vaginal discharge: A watery or blood-tinged discharge that’s unusual or persistent can be a cause for concern.

Pain during sex: Discomfort or pain during sexual intercourse can sometimes be a symptom of uterine cancer.

Unexplained weight loss: While this can have various causes, unexplained weight loss can be a symptom of some cancers, including uterine cancer

Abdominal distension and bloating: When uterine cancer spreads outside the uterus, can lead to a feeling of fullness and abdominal bloating.

Consult our gynaecology hospital in Delhi if you are experiencing symptoms of uterine cancer. 

Diagnosis

Hysteroscopy: Hysteroscopy is a minimally invasive procedure that allows a doctor to examine the inside of the uterus (womb) and cervix. It’s a valuable tool used for both diagnostic and surgical purposes in women’s health. 

Endometrial Biopsy: An endometrial biopsy is a medical procedure that involves taking a small tissue sample from the lining of the uterus (endometrium) for examination under a microscope. This examination helps diagnose various uterine conditions.

Pipeline Biopsy: A pipeline biopsy is a specific type of endometrial biopsy done as an OPD procedure, which is used to collect tissue samples from the lining of the uterus. It’s also sometimes referred to as an endometrial pipeline biopsy or pipeline biopsy.

D&C: D&C, which stands for Dilation and Curettage, isn’t a diagnosis itself, but rather a surgical procedure used for both diagnostic and therapeutic purposes in the uterus. It is done under anaesthesia as a daycare procedure.

Treatment

Surgical staging: The mainstay surgery for uterine cancer, particularly in earlier stages, is an extrafascial abdominal hysterectomy with bilateral salpingo-oophorectomy (EAH-BSO). It involves removing the entire uterus, including the cervix. Bilateral Salpingo-oophorectomy refers to the removal of both fallopian tubes and ovaries. Along with that, sentinel lymph node mapping and excision as per indication

Cytoreductive surgery: Even in advanced uterine cancers, upfront surgery is the standard path, provided complete cytoreduction is attainable. Adjuvant chemotherapy with or without radiotherapy is usually indicated thereafter. 

Minimally Invasive Surgery: ��Since patients with uterine cancer tend to be obese, minimal access surgery offers the advantage of ease of procedure, small incision, relief from post-operative morbidity, less chances of wound breakdown, and early discharge. Can be done via Laparoscopic or robotic route. 

Laparoscopic surgery: Several small incisions are made in the abdomen, and slender instruments with cameras are inserted to visualize and operate on the uterus and other structures. 

Robotic-assisted laparoscopy: Similar to laparoscopy but utilizes robotic arms for more precise, tremor-filtered movements with a greater range of motion, potentially offering advantages for complex procedures.

Consult our gynaecologist in Delhi if you need Robotic Surgery for Uterine Cancer.

Adjuvant Therapy (Additional Treatment After Surgery)

Radiation Therapy: External beam radiation or brachytherapy (internal radiation) can be used to destroy any remaining cancer cells after surgery, especially if there’s a higher risk of recurrence.

Chemotherapy: Medications are used to kill cancer cells throughout the body. It might be used in combination with radiation therapy or for advanced-stage cancers, particularly useful for serous carcinomas and lymph node-positive tumours. 

Metastatic Cancers

Chemotherapy: Systemic therapy as the sole treatment with platinum-based chemotherapeutic agents is the backbone of treatment

Immunotherapy: Molecular marker testing in endometrial cancers has brought about a paradigm shift in the management, particularly for MMR mutated cancers. Monoclonal antibodies (Pembrolizumab, Durvalumab) and TKI (Lenvatinib) have shown promising results in the light of recent evidence, and are widely available drugs at affordable prices. 

Conclusion

Early detection is the most powerful tool in the fight against uterine cancer. By understanding the risk factors, symptoms, and treatment options, you can take charge of your health and empower yourself to face any challenges that may arise. Book a consultation with our Gynae Oncologist for diagnosis or personalised treatment. We also invite you to explore our blog page to read the latest healthcare blogs shared by our doctors. 

The objective of our blog page is to disseminate medically accurate information and help people make well-informed and timely decisions