BPKMCH | ANNUAL REPORT - 2018
DEPARTMENT OF SURGICAL ONCOLOGY
GYNAEONCOLOGY UNIT
Introduction
Female genital tract cancer is one of the most common malignancies in Nepal. Cervical cancer is one of the
most common cancer to be diagnosed and treated followed by ovarian cancer, endometrial cancer, cancer
of vulva and vagina and other miscellaneous cancers. Gynecological unit is commited to the comprehensive
care of these pat ents. We also treat numerous gynecological benign condit ons, who are atended in OPD.
Services
We provide outpat ent services 6 days a week. Services include consultat on, LBC, VIA, colposcopy, biopsy,
thermocoagulat on, and other minor procedures. We operate three days a week, where major and minor
operat ons are performed.
For inpat ent services, 13 beds are allocated for our unit in surgical oncology ward III. In near future, we are
having our own gynecology unit with 33 beds. Major operat ons are admited before surgery and workup and
preparat ons are done and postoperat ve pat ent care and discharge also done in the ward.
We have started laparoscopic surgery in gynecology unit of this hospital and pat ents sat sfact on and recovery
also good afer the laparoscopic surgery.
Table 1: Major operat ons in the unit
Disease condit ons
Type of operat on
No of operat ons
Radical hysterectomy and bilateral pelvic lymph
8
Cervical cancer
node dissect on
TAH with BSO
2
TAH with BSO with omentectomy/ appendectomy
66
TAH with BSO
19
TAH with LSO
4
TAH with RSO
4
Ovarian cancer
LSO
3
Ophorectomy and omental biopsy
10
Cystectomy
3
BSO
1
TAH with BSO with bilateral pelvic lymph node
Ca endometrium
12
dissect on
TAH WITH BSO
10
Fibroid uterus
Hysterostomy and mult ple myomectomy
1
WLE with ILND
10
Ca vulva
Radical Vulvectomy
3
TLH
2
TAH with rectosigmoid resect on and resect on of
1
caecum with omentectomy
Others
Pelvic mass excision with part al bladder resect on
1
Cystectomy with myomectomy
1
Cystectomy with incisional hernia repair
1
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