Risk Reducing Surgery

Women who are found to have a high risk of gynaecological cancer due to hereditary mutations in genes  (BRCA 1 / 2, PALB2, Lynch Syndrome) may consider risk-reducing surgery, after appropriate review and counseling.

Risk-reducing salpingo-oophorectomy is a surgical procedure that includes the complete removal of both fallopian tubes and ovaries. It provides a substantial reduction in the risk of developing ovarian and fallopian tube cancers in women with a BRCA 1/2 or PALB2 gene mutation. This surgery is almost always performed via the minimally invasive approach (laparoscopic or robotic) and has proven to be the single biggest factor in reducing the risk of progression to develop these cancers. It may also reduce the risk of breast cancer, particularly in younger women. 

In women with Lynch syndrome, the increased risk of uterine cancer in addition to ovarian cancer means that a hysterectomy (removal of the uterus) is also necessary. Again, this can almost always be performed with laparoscopic or robotic surgery.


Excellence in Counselling & Minimally Invasive Surgical Care


Dr. Tranoulis was running genetic clinics for gynaecological cancer at University Hospitals in the UK and owing to his extensive experience can ensure that you will have the best standards of counseling and advice about your risk of developing gynaecological cancer, prior to your decision to undergo risk-reducing surgery. 

Dr. Tranoulis offers the latest surgical innovations with emphasis on minimally invasive procedures (laparoscopic or robotic). He is a double board-certified Gynaecological Oncologist with subspecialisation in minimally invasive gynaecological surgery. He is also certified robotic surgeon by the Society of European Robotic Gynaecological Surgery (SERGS).

Dr. Tranoulis will also discuss in detail the benefits and risks of this surgery to your overall health and well-being. He is experienced in managing the possible side-effects such as menopausal symptoms and long-term effects of this surgery, particularly in younger women.