UK surgeons perform combined C-sec, ovarian cancer surgery on 4 women
The number of women who give birth by caesarean section is increasing around the world, as is the number of women who know they carry a gene alteration which increases their ovarian cancer risk. This means many more women may be suitable for the combined procedure.;
London: In a groundbreaking medical procedure, four women in the UK successfully underwent a combined surgery, in which they gave birth by caesarean section (C-sec) and at the same time had surgery to reduce their risk of ovarian cancer.
The women were all carriers of the BRCA1 or BRCA2 gene alterations, which puts them at a lifetime higher risk of ovarian cancer.
Risk-reducing surgery for these patients, known as a bilateral salpingo-oophorectomy (RRSO), is the only proven way to reduce ovarian cancer mortality. It reduces ovarian cancer risk by at least 95 per cent.
Usually it is a standalone procedure, where the fallopian tubes and ovaries are removed. The first such case of a C-sec with the risk-reducing RRSO to reduce ovarian cancer risk was done in 2018 by a team at the University College London Hospital (UCLH).
However, the study, published in Obstetrics and Gynecology details case reports of four women, carrying the BRCA gene alteration and who were due to have a C-sec.
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