You have been given this leaflet because you are about to have an operation for cervical cancer. Please take your time to read the following information carefully. Ask us if there is anything you do not understand.
What is the surgical management of cervical cancer?
It is possible that cervical cancer may spread from the cervix to lymph glands (nodes). When it does spread, it spreads to one or two nodes first before spreading to other nodes. These nodes are called ‘sentinel nodes’. As it is not always possible to see if the nodes have cancer cells within them on scans it is necessary to remove them at the time of your hysterectomy.
What is the sentinel node procedure?
This procedure involves injecting a small amount of Indocyanine Green dye (ICG) into your cervix during your operation. This helps show your surgeons where your sentinel nodes are so they can remove them. This is important as it will help decide whether you need further treatment after your operation. Once we have removed your sentinel node, we may also remove other nodes in your pelvis and abdomen.
The benefit of this procedure is that it is more likely to identify if you have any spread of cancer to your lymph nodes than random sampling of the nodes. As a result of removing fewer nodes it will
also means less chance of you developing lymphoedema (swollen legs) or lymphocyst (lymph fluid accumulation in your pelvis).
Are there any risks?
There is a risk that you may have an allergic reaction to ICG, reported in 1 out of every 10,000 patients. It is advised that you avoid it if you have an allergy to iodine. The ICG is removed from your circulation by your liver within a few hours and so we need to know if you are taking any drugs which affect how your liver works. Please inform us if you have any concerns about your medication or health.
The surgical procedure to remove the sentinel node procedure itself may risk injuring your blood vessels, nerves or ureters (tubes that bring the urine from your kidneys to your bladder). These risks are uncommon.
Who should I contact if I want advice about my surgery?
If you wish to discuss the surgery you have had or require advice please contact your Consultant’s secretary on the numbers below.
Consultant Secretaries
Monday- Friday
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Alternatively, if you are worried that you have developed one of the complications, please call Ward 26 directly on (0191) 445 3004.
If you are receiving chemotherapy please inform your Oncologist as well.
If you wish to speak to one of our Clinical Nurse Specialists please call: