Pelvic Lymph Node Dissection

Paraaortic Lymphadenectomy

Pelvic Lymph Node Dissection

The lymphatic system fights infections and is made up of lymph vessels, lymph fluid, lymph nodes, bone marrow and the lymphatic organs. The lymph nodes in the pelvis lie along the main blood vessels that supply blood to the lower abdomen and trunk of the body.
A pelvic lymph node dissection (PLND) is a surgery to remove the lymph nodes from the pelvis. It is also called a pelvic lymphadenectomy, ilioinguinal lymphadenectomy or deep groin dissection.

Who needs PLND?

PLND is indicated in early stage cervical cancer, uterine cancer, all bladder cancer patients requiring a cystectomy, and for prostate cancer patients requiring a prostatectomy.

What to expect before surgery?

Prediction of lymph node status can help in preoperative staging for pelvic lymph node dissection. CT scanning is most commonly performed for this purpose.

What happens during PLND?

A PLND is done under general anesthesia. It may be done using a wide cut (open method) or laparoscopy.
Dr. Monika will make a cut in the abdomen and remove the pelvic lymph nodes. The lymph nodes and any other tissue removed during surgery are sent to a lab to be examined by a pathologist.
After removing the lymph nodes, the surgeon places a drain and closes the cut with stitches or staples. A drainage bag is attached to the end of the tube to collect fluid draining from the area. This reduces the chance of fluid building up in the tissue and improves healing. The drain is left in place for a few weeks or until there are little or no drainage.

What to expect post PLND?

Post PLND surgery, the patient is usually sent home after 3-7 days. Doctor will prescribe antibiotics to prevent infection, explain about wound care, inform about how to manage the drain and what symptoms or side effects patient might experience like discomfort in abdomen, foul-smelling discharge or lymphedema.
Dr. Monika will advise the patient about types of activities that patient can do after surgery and provide you a follow-up appointment after 1-2 weeks.

Book Appointments at an Area Near You

Dr. Monika Pansari conducts consultation at Bannerghatta Road and Koramangla as listed below.
Note: Dr Monika Pansari will be available for consulting at Fortis Hospital, Bannerghatta Road, Bangalore from 15 Jan 2024. She will no longer be available at Gleneagles Global Hospital.

Fortis Hospitals

154/9, Bannerghatta Rd, opposite IIM-B, Sahyadri Layout, Panduranga Nagar, Bengaluru, Karnataka 560076
Mon - Sat   : 1 pm to 4 pm
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Acura Speciality Hospital

No. 105, 5th Block, 17th C Main Road, KHB Colony , Koramangala, Bengaluru, Karnataka 560095
Mon - Sat   : 6 pm to 7 pm
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Our Happy Patient

Dr Monika is awesome!! Not only is she an excellent surgeon but most importantly to us as patient and caregiver, she has been warm, empathetic, and very supportive. She has always made time to answer our questions and been encouraging throughout my wife's cancer journey. We are very grateful to her.
Ajay Nangalia
My mom was suffering with endometric carcinoma. Dr Monica guided us with a right treatment and operated my moms surgery successfully. She was available to answer our queries after the surgey as well. She was sweet and helped us curing the disease. Really happy with the service.
Neelufar N.S

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Disclaimer Statement

This website is built with intention of providing basic details about the various diseases. The contents of the website is not meant to replace an in-person consultation. Please follow the advise of your doctor via in-person consultation. This website will not assume any legal responsibility for the patient’s medical condition.
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