Pelvic lymph node dissection (PLND) is a critical surgical procedure in the treatment of various gynecological cancers, including cervical, ovarian, endometrial, and vaginal cancers. This procedure involves the removal of lymph nodes from the pelvic region to determine if cancer has spread beyond its original site. By assessing the status of these lymph nodes, oncologists can more accurately stage the cancer and plan for further treatments, such as chemotherapy or radiation.

When it comes to performing such complex procedures, Dr. Nazish Khalid, recognized as one of the best female oncologists in Lahore, brings exceptional expertise, compassion, and advanced surgical techniques to the table. With a strong background in gynecological oncology, Dr. Khalid is well-equipped to handle the intricacies of pelvic lymph node dissection, providing her patients with the best care available.

What is Pelvic Lymph Node Dissection?

Pelvic lymph node dissection (PLND) is a surgical procedure performed to remove lymph nodes from the pelvic area for examination. Lymph nodes are small glands that play a critical role in filtering harmful substances and in the body’s immune response. In cases of cancer, these lymph nodes are often the first place where cancer cells spread.

The procedure is primarily used in the treatment of gynecological cancers, where there is a risk that the cancer may have spread to the pelvic lymph nodes. The removal of these lymph nodes allows the oncologist to determine the extent of cancer spread, which is crucial for accurate staging and treatment planning.

Indications for Pelvic Lymph Node Dissection

PLND is typically performed when a patient has been diagnosed with one of the following conditions:

1. Cervical Cancer: For women with cervical cancer, especially in stages where there is suspicion of regional spread, PLND is a key procedure to check for lymph node involvement.

2. Endometrial Cancer: Women with endometrial cancer (uterine cancer) may require PLND if the tumor is suspected to have spread beyond the uterus.

3. Ovarian Cancer: Pelvic lymph node dissection is often recommended for women diagnosed with ovarian cancer to assess the spread of the disease.

4. Vaginal and Vulvar Cancer: In cases of vaginal or vulvar cancers, PLND is performed to check for metastasis to the pelvic lymph nodes.

How is Pelvic Lymph Node Dissection Performed?

PLND is usually performed under general anesthesia. The procedure can be done in two primary ways:

1. Traditional Open Surgery: In traditional surgery, an incision is made in the lower abdomen, and the pelvic lymph nodes are carefully removed. This method provides a direct view of the pelvic cavity, allowing for thorough removal of lymph nodes.

2. Minimally Invasive (Laparoscopic) Surgery: Dr. Nazish Khalid often employs laparoscopic surgery (also known as minimally invasive surgery) for pelvic lymph node dissection, which involves smaller incisions, specialized instruments, and a camera for a clear view of the pelvic region. This method results in less pain, a shorter hospital stay, and faster recovery times compared to open surgery.

Benefits of Pelvic Lymph Node Dissection

1. Accurate Staging: One of the primary reasons for performing PLND is to help accurately stage the cancer. By examining the lymph nodes removed during surgery, oncologists can determine the extent to which cancer has spread. This information helps in planning further treatments, such as chemotherapy or radiation therapy.

2. Improved Treatment Planning: Based on the results of the dissection, treatment can be tailored more precisely. If the lymph nodes are cancer-free, less aggressive treatments may be recommended. Conversely, if the cancer has spread to the lymph nodes, additional therapies may be considered.

3. Potential to Improve Outcomes: By removing affected lymph nodes, PLND can help reduce the risk of cancer recurrence and improve long-term survival rates, particularly when combined with other treatments.

Why Choose Dr. Nazish Khalid for Pelvic Lymph Node Dissection?

Dr. Nazish Khalid is a leader in gynecological oncology, known for her exceptional skill in performing complex procedures like pelvic lymph node dissection. Here’s why she is the go-to choice for patients in Lahore:

1. Expertise in Gynecological Oncology: Dr. Khalid has extensive training and experience in the management of gynecological cancers. She specializes in performing delicate surgeries like pelvic lymph node dissection with great precision.

2. Minimally Invasive Approach: Dr. Khalid is skilled in laparoscopic surgery, a minimally invasive technique that reduces recovery time, minimizes scarring, and lowers the risk of complications.

3. Personalized Care: Dr. Khalid is known for her compassionate and personalized care. She works closely with each patient to understand their specific needs, concerns, and goals. She offers a thorough evaluation to determine the most effective surgical and post-surgical options.

4. Comprehensive Cancer Care: Beyond surgery, Dr. Khalid provides holistic care, offering chemotherapy, radiation therapy, and regular follow-up appointments to ensure the best possible outcomes.

5. Patient-Centered Approach: Dr. Khalid’s clinic is known for creating a supportive, empathetic environment where patients feel heard, understood, and cared for throughout their treatment journey.

Publication: 29 November 21:08