HIPEC Surgeon in Delhi

Cytoreductive Surgery

What is cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC)?

Cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC) is an advanced procedure for managing several types of cancer. The doctor may perform the procedure in patients with abdominal cancer which have spread to and limited to the inner lining of the abdomen called peritoneum. It offers several advantages to the patients. It helps in delivering the drug at the site of action and improves the overall survival rate. Less amount of drug is systemically absorbed leading to fewer systemic side effects.

How should I know that I need cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC)?

Your doctor will recommend you to undergo cytoreductive surgery with HIPEC if you are suffering from cancers of the abdominal cavity. Cytoreductive surgery with HIPEC is used to metastatic cancers of the colon, rectum, ovary and stomach. It is also used for the treatment of peritoneal mesothelioma, pseudomyxoma peritonei and other disorders. It is important to accurately diagnose the peritoneal malignancies.

What is the procedure for performing cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC)?

The procedure of cytoreductive surgery with HIPEC is of two steps. In the first step, the doctors perform cytoreductive surgery. During this procedure, the GI surgeon removes the visible cancerous tissues and leaves the microscopic tissues. Apart from the tissues, the surgeon may also remove the organ or part of an organ if it is not possible to remove the cancerous tissues. The doctor may remove organs such as the gall bladder, section of the small or large intestine, and spleen.

The doctor then performs Hyperthermic Intraperitoneal Chemotherapy (HIPEC) to remove the microscopic cancerous cells. The surgeon heats the chemotherapeutic drug and delivers them directly into the abdominal cavity through the catheter. The heating temperature is around 42-43°C. The cancerous cells die at 40°C, while the normal healthy cells die at 44°C.

What are the advantages of cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC)?

Cytoreductive surgery with HIPEC is an advanced procedure for several types of cancers. It combines the advantages of both cytoreductive surgery and HIPEC. One of the common advantages of this surgery include:

• High drug permeation: This process results in high drug permeation into the cancerous tissues. The technique involves the delivery of the chemotherapeutic drug directly into the abdominal cavity to achieve maximum efficacy.
• Improvement in overall survival: Several studies have been performed on the survival of patients with peritoneal cancer after cytoreductive surgery with HIPEC. Most of the studies indicate that this technique improves the overall survival rate. In a study done on peritoneal metastases from colorectal cancer, the median survival was significantly higher as compared to surgery and chemotherapy, only surgery, chemotherapy only, and best supportive care.
• Treats challenging cancers: Cytoreductive surgery with HIPEC has given hope for patients suffering from cancers that are very challenging to manage. It is important to note that the cancer tissues residing on the surface of the abdominal organs or walls are difficult to treat with intravenous chemotherapy.
• Significant reduction in cancerous tissues: Cytoreductive surgery with HIPEC targets the cancerous tissues through different actions and significantly reduces the overall cancerous tissues. It results in delayed progression of cancer into the advanced stage and improves survival.

What are the risks associated with cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC)?

There are several risks associated with cytoreductive surgery with HIPEC. Some of them are:

• Clot formation: Patients with this technique are at increased risk for developing the clot that may travel to vital organs and may lead to life-threatening complications.
• Risk of infection: Due to the exposure of the internal tissues, the patients are at risk for developing an infection.
• Cardiovascular complications: HIPEC results in raising the temperature to 40.5°C. It may result in cardiovascular alterations such as increased heart rate, peripheral vasodilation, low cardiac output, and reduction in systemic vascular resistance.

Which doctor will perform the cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC)? In Delhi?

Several doctors perform cytoreductive surgery with HIPEC in Delhi. However, the efficacy and outcome of the procedure depend upon several factors, including the experience of the doctor, post-procedure care, and the type of medical equipment and facilities available at the hospital. The patient should consult the best GI surgeon in Delhi for undergoing cytoreductive surgery with HIPEC in Delhi.

Are there optimum facilities available for cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Delhi?

Several hospitals have the facilities for performing cytoreductive surgery with HIPEC in Delhi. The best GI surgeons in Delhi are associated with super-specialty hospitals in Delhi for performing this procedure. You should check for the facilities available at the hospitals in Delhi before opting for this procedure.

How many days do I need to stay for cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Delhi?

Cytoreductive surgery with HIPEC in Delhi takes around 8-14 hours to complete. The patient had to remain in the hospital for around 7-10 days or more, depending upon the type of cancer. The healthcare team advises the patient to maintain a balance between rest and activity as both are important. While the patient may feel fatigued for about 2-3 months, taking excessive rest increases the risk of blood clot formation.

What should I do If I require more detailed information about cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Delhi?

Cytoreductive surgery is a major procedure and is not for every patient with peritoneal mesothelioma. You may have several questions to ask your doctor regarding the procedure. You may fill the form to get your queries solved by the best GI surgeon in Delhi.

Call Now: +91-9599294453, +91-9599294453
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Stomach Cancer Surgeon in Delhi

Stomach Cancer Questions & Answers: Do your symptoms point to stomach cancer?

Stomach cancer, also known as gastric cancer, develops in the stomach. Despite a significant decrease in incidence over the last two decades, stomach cancer remains one of the most common cancers worldwide. The most common type is adenocarcinoma, which develops from the inner lining of the stomach. Other types begin in the middle or outer parts of the stomach, but they are uncommon.

According to global statistics, stomach cancer is the second leading cause of cancer-related deaths. In India, the prevalence of stomach cancer, or gastric cancer, is lower than in most developed countries. However, there are high incidences in the country's southern and north-eastern regions. In India, it is the fifth most common cancer among men and the seventh most common cancer among women.

Because stomach cancer is quite aggressive and patients are frequently bothered by late detection, it is critical to understand and closely monitor for symptoms of the disease.

Gastric cancer can be caused by a variety of genetic, immunologic, and environmental factors.

What are the first stomach cancer signs and symptoms?

Symptoms of stomach cancer are uncommon in the early stages. The symptoms of the stomach cancer are the same as that of hyperacidity. Weight loss and stomach pain, usually do not appear until the cancer has progressed.

Among the symptoms of stomach cancer are:

• Indigestion and heartburn.
• Anemia
• Black coloured stools.
• Appetite loss.
• Vomiting and nausea.
• Having difficulty swallowing.
• After-meal bloating or gassiness.
• Stomach pain, usually above the belly button.
• Even after a small meal or snack, you will feel full.

Many of these symptoms are also seen in other conditions. Consult your doctor to see if your symptoms are indicative of stomach cancer or another disease.

Having one or two symptoms does not mean you have stomach cancer. Even if you have the majority of them, it does not mean you have cancer. However, if you are bothered by problems from time to time, you should see a gastroenterologist.

A gastroenterologist is a doctor who specialises in treating diseases of the entire human gastrointestinal tract, including the stomach. The GI cancer surgeon will be able to perform complicated stomach cancer surgeries and provide tertiary care to help patients enjoy a better quality of life because of their experience in stomach cancer treatment.

How does a GI cancer surgeon diagnose stomach cancer?

When you visit a stomach cancer doctor, they will ask about your medical history (personal and family cancer history) and perform a thorough medical examination. A few tests will be required to diagnose stomach cancer and rule out other problems.

• A blood test is required to determine whether or not your body is affected by cancer.
• The doctor will use an upper GI endoscopy to look for signs of stomach cancer.
• They may advise a biopsy to remove a tissue sample and test it for cancer cells in a laboratory.
• CT scans and PET (Positron Emission Tomography) scans may become necessary.
• Diagnostic laparoscopic surgery is required in cases of advanced stomach cancer where the cancer has spread to other parts of the body.

Once the tests confirm stomach cancer, the GI cancer surgeon will determine the best course of treatment based on the patient's condition and the extent of the cancer's spread. In the early stages of the disease, stomach cancer is treatable. A gastrectomy (subtotal or total) may be performed by the doctor to remove part of the stomach affected by cancer. The cancerous cells may have spread to lymph nodes in the stomach region. In such cases, a lymphadenectomy is required to treat the disease.

What is the most effective way to fight stomach cancer?

Routine medical check-ups with your surgical gastroenterologist are the most effective way to fight cancer. Regular health check-ups are especially important if you have a family history of stomach cancer or a genetic predisposition to it.

There is no need to panic or be afraid of the disease. Not every gastrointestinal symptom indicates the presence of stomach cancer. However, the earlier the GI cancer surgeon detects cancer, the better the clinical outcomes. So, make an appointment with your preferred gastroenterologist right away.

For the best stomach cancer treatment, consult Dr. Neeraj Goel, a top-rated Cancer Surgeon in Delhi. To improve your quality of life, seek treatment for stomach problems.

Call Now: +91-9599294453, +91-9599294453
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Gallbladder stone Treatment in Delhi

Gallstones

Gallstone is not an uncommon problem and with the availability of the ultrasonography the diagnosis is increasing, so does the number of gallbladder stone surgeries. Certain questions come to one’s mind when diagnosed with gallstones.

What are the symptoms of gallstones?

Typical symptoms of gallstones are pain in the right upper abdomen which radiates to back and may be associated with vomiting. The pain is typically aggravated by the fatty food intake. A minority of the patients present with symptoms of hyperacidity. Sometimes if the stone slips into the bile duct patient may have jaundice or acute pancreatitis.

I have been diagnosed with gallbladder polyp when underwent ultrasound for gynaecological complaints, should I get surgery done?

Gallbladder polyps are to be operated if symptomatic, single polyp > 1cm size or increasing size on repeated ultrasounds. Follow up ultrasounds are to be done at 6 monthly intervals.

I got ultrasound for some other complaints and diagnosed with gallstones, should I get my gallbladder removed?

Approximately 60-70% of the people with gallstone will never develop any symptom for gallstones, hence surgery is not recommended for gallstone without symptoms. But do not delay surgery if symptoms develop (as mentioned above).

I had hyperacidity for long, my doctor got an ultrasound and gallstones were diagnosed, should I get operated?

Hyperacidity can be the symptom of gallstones. It is difficult be sure of that the symptom is due to gallstone or simple acidity. You should get surgery done while keeping in mind that there is a small chance of acidity not getting relieved. In such a case antacids will take care of the symptoms nicely.

I have gallstones, can gallbladder cancer develop in it?

There is no direct evidence linking gallstones with gallbladder cancer. ~97% of the gallbladder cancers have stones in it but on long term follow up <3% of gallstone patients will develop cancer. Single large stone > 3cm size is considered to be a risk but no concrete evidence is still available.

What is acute cholecystitis?

In simple term it can be defined as inflammation or infection of the gallbladder. Usually associated with gallstones but sometimes can occur without it (acalculuscholecystitis: such patients are usually sick).

When should I get operated with acute cholecystitis?

If it is uncomplicated cholecystitis and your surgeon is experienced enough, it can be operated within 2-3 days of attack of acute cholecystitis. But if the duration is longer from the day of attack of pain, it is preferable to wait for 4-6 weeks and then get operated (called as interval cholecystectomy).

I Had right upper abdominal pain and diagnosed to have gallstones which surgery should I prefer Laparoscopic(keyhole) or open?

Laparoscopic cholecystectomy is the procedure of choice for gallbladder removal, open surgery is reserved for cases in which either laparoscopy is not possible or there is suspicion of cancer.

What can happen to me after gallbladder removal?

Laparoscopic cholecystectomy is a very safe procedure. The complications are very few. You will be able tolerate a normal diet after the procedure. Few patients may have increased frequency of stools initially which improves in the subsequent days. Surgical complications are rare most important being bile duct injury which occurs in <0.75% of total surgeries.

For more information on Gallbladder Stone Surgery In Delhi or gallstone surgery in delhi, please contact us on info@gastrodelhi.com.

Call Now: +91-9599294453, +91-9599294453
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Colorectal Surgeon in Delhi | Colorectal Surgery in Delhi | Cancer surgeon in Delhi

Colorectal Surgeries

What Are Colorectal Diseases?

Colon and rectum combine to form the bowel. The purpose of the bowel is to eliminate the waste material after digestion. There are several conditions that affect the functioning of colon and rectum. If the disease is confined to colon, the condition is known as colon disease. Disease confined only to rectum is known as rectal disease. However, some diseases affect both the colon and the rectum. Such diseases are termed as colorectal diseases. Some of the examples of colorectal diseases include colorectal cancer, colon polyps, Ulcerative colitis, and Crohn’s disease. The patients with colorectal diseases experience several symptoms. These are abdominal pain, blood in the stool, rectal bleeding, and prolong constipation and diarrhea.

What Are The Causes Of Colorectal Diseases?

There are several causes of colorectal diseases. Some of them are:

• Age: Although colorectal disease may occur at any age; however people above the age of 50 years are at increased risk for developing colorectal diseases.
• Family history: Various colorectal diseases run in families. Examples of such diseases are colon polyps, and colon cancer.
• Inactive lifestyle: The risk of colorectal diseases increases with sedentary and inactive lifestyle. Such people have poor bowel movement. Thus, the waste material remains in the colon for prolong period and causes diseases.
• Smoking and intake of alcohol: Smoking and excessive consumption of alcohol increases the risk of colon polyps and colon cancer.
• Genetic mutations: Mutations in the genes may results in the development of colon polyps. Such polyps have high risk of progressing to colon cancer.
• Obesity: People who are obese and overweight have the increased tendency of excessive cellular growth in the colon. This may result in colorectal diseases.

When The Doctor Recommend Colorectal Surgeries?

There are several conditions when the doctor recommend colorectal surgeries. Some of the conditions are:

• Hemorrhoids: Patients suffering from hemorrhoids have swollen veins either inside or outside the rectum. The doctor may recommend hemorrhoidectomy (removal of hemorrhoids) when non-invasive methods are not useful.
• Colon and rectal cancer: The doctor recommend the patient to undergo surgery in case of colon and rectal cancer. During the surgery, the doctor may remove one (sigmoidectomy) or multiple (Abdominoperineal resection) organs.
• Inflammatory bowel disease: In advanced inflammatory bowel disease, when there is a damage of the lining of the gastrointestinal tract due to chronic inflammation, the doctor may recommend surgery. The patient may undergo colectomy in case the inflammation is confined to colon. However, if there is also a damage to rectum due to inflammation, the doctor may perform proctocolectomy.
• Other diseases: Other disease that requires surgical interventions includes Cecal volvulus, Diverticular disease, Ischemic colitis, Precancerous condition of colon, and Colon Trauma.

What Are The Various Types Of Colorectal Surgeries Available In Delhi?

Almost all the colorectal cancer are available at various hospitals in Delhi. You should consult with the best Following are some of the colorectal surgeries available in Delhi:

• Right hemicolectomy: The procedure for removing the colon from one side is known as hemicolectomy. During the right hemicolectomy, the doctor removes the right side of the colon and joins the remaining part of the colon with small intestine. The doctor performs this procedure in case of colon cancer or severe damage to the colon. If the patient is suffering from severe appendicitis that has affected the colon, the doctor may also remove the colon along with the appendix.
• Left hemicolectomy: During the left hemicolectomy, the surgeon removes the left cancerous or damaged part of the colon and joins the remaining part. The doctor may also remove the surrounding lymph nodes if the cancer has been suspected to invade the lymph nodes. The surgery takes around two to four hours. However, it may take longer if you have any underlying medical complications.
• Sigmoidectomy: Sigmoid section is the terminal part of the colon nearest to the rectum and anus. Procedure to remove this part of the colon is known as sigmoidectomy. Doctor may perform this procedure in several diseases, such as inflammatory bowel disease. The doctor removes the damaged part of the sigmoid section and rejoins the healthy part of the colon to the rectum.
• Low anterior resection: The doctor performs the lower anterior resection surgery to treat the rectal cancer. During this surgery, the doctor removes the cancerous part of the rectum and joints the healthier rectum with the colon. During the open surgery, your doctor makes one long incision on your abdomen to gain access to the rectum and remove the cancerous part of rectum.
• Abdominoperineal resection: This is a major surgery during which the doctor removes the rectum, anus, and sigmoid colon. The doctor performs this procedure in case of cancer that spread to these organs. The doctor creates the stoma after the surgery. After few days your digestive system becomes active again.

How to Prepare For Colorectal Surgeries?

The preparation for the surgeries depends upon the type of colorectal surgery. You should follow all the instructions of your doctor before surgery. The doctor may perform comprehensive evaluation prior to surgery and your vital parameters are analyzed. Inform the doctor about the medicines you are taking. The doctor instructs you not to eat or drink 12 hours prior to surgery.

How Is The Recovery After Colorectal Surgeries?

Once the surgery is completed, you will be shifted to the ICU for monitoring. Once your vitals are stable, you will be shifted to the general ward. The doctors may allow you to drink fluid 24 hours after the surgery. The catheter is removed two-three days after the surgery. The doctors may encourage you to walk next day after surgery. You may discharge from the hospital within four to five days after the surgery. The doctor may call you for the follow-up fifteen days after the discharge.

What Are The Complications Of Colorectal Surgeries?

Colorectal surgery is a major surgery. You may have complications during or after the surgery. Some of the complications include infection, bleeding, loss of muscle function in the colon, and leakage from the connected colon.

How Do I Get More Information About The Colorectal Surgery?

To get more information about the diseases or the surgical procedure, we request you to Contact us.

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