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Changing Paradigms in Ovarion Cancer Surgery & Growing Role of Peritonectomy and HIPEC

A condition in which the muscles of the lower part of the oesophagus fail to relax, preventing food from passing into the stomach
Case Information

A lady of 62 years age was diagnosed with stage 3 ovarian cancer. She had peritoneal disease along with ovarian disease. She was given chemotherapy first to reduce the size of the disease. We performed aggressive cytoreducve surgery with total peritonectomy in this paent.

Later inj cisplan 100mg was circulated within abdominal cavity at 41 degree Celsius for 90 minutes (HIPEC) with the help of an indigenously designed machine by us. The overall duraon of surgery was 8 hours. Overall blood loss was 1 litre.

She required ICU for 1 day post-operavely. We also administered post-operave chemotherapy (cisplan & doxorubicin) within peritoneal cavity through the drains from post-operave days 3 to 7. She recovered well in 8 next days without any significant post-operave complicaons. Tradionally such paents used to be subjected to only debulking surgery where some amount of gross disease used to be le behind to be taken care of by further chemotherapy. This lead to higher recurrence rates within peritoneum.

But in last 1 decade, a more aggressive form of surgery called total peritonectomy & hyper thermic intra-operave intra peritoneal chemotherapy (HIPEC) has developed which results in beer survival & cure rates.

Operative Procedure –
CRS + Peritonectomy + Total abdominal hysterectomy + BIL salpingo-oophrectomy + BIL Retroperitoneal lymph node dissec
There are very few centres in India which offer this surgery. Dr Anup Tamhankar our Oncosurgeon has been performing this surgery (CRS + HIPEC) for the last 4 years in Pune and has performed CRS + HIPEC in over 50 cases of ovarian cancer during this

Facilities in Onco Dept

About Surgeon –
Dr. Anup Tamhankar - VishwaRaj Hospital
Dr. Anup Tamhankar
Surgical Oncologist, VishwaRaj Hospital
5 Years of Working Experience
He has keen interest and expertise for advanced Laparoscopic Gastrointestinal Onco-surgery as well as Peritonectomy & HIPEC. He also specializes in reconstructive surgery for Head & neck & breast Oncosurgery in the form of free aps & Oncoplasty.
Our Anesthesia Team –

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