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Multimodality treatment of ovarian cancer with cytoreductive surgery and HIPEC (639272) | Eichsfeld Hospital Heilbad Heiligenstadt - BookingHealth
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After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan and tomography of the abdominal organs. Based on the results of the examination, the physician will choose the surgical technique and the type of anesthesia. After that, preparation according to the preoperative standard will start.<\/p>\n\n<p style=\"text-align:justify\"><strong>Cytoreductive surgery<\/strong>&nbsp;begins with general anesthesia. The intervention is performed as open surgery, i.e. through the incision in the anterior abdominal wall, so that the surgeon can carefully examine the peritoneum and the surface of the abdominal organs. The surgeon removes affected by the malignant process ovaries, areas of the peritoneum and metastases in other internal organs. 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Multimodality treatment of ovarian cancer with cytoreductive surgery and HIPEC in Eichsfeld Hospital Heilbad Heiligenstadt

Eichsfeld Hospital Heilbad Heiligenstadt

Heilbad Heiligenstadt, Germany
Program id # 639272
Doctor photo
Dr. med. Annegret Kiefer
Department of Gynecology, Mammology and Obstetrics
Specialized in: gynecology, mammology, obstetrics
Specialization Curriculum vitae

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • TSH-basal, fT3, fT4
    • tumor markers 
    • inflammation indicators (CRP, ESR)
    • indicators of blood coagulation
  • abdominal ultrasound scan
  • CT scan/MRI or PET-CT of abdomen
  • preoperative care
  • cytoreductive surgery to remove visible tumors
    inside the abdomen and HIPEC
  • histological and immunohistochemical
    examination of removed tissues
  • symptomatic treatment
  • cost of essential medicines
  • nursing services
  • stay in the hospital with a full board
  • accommodation in a 2-bedroom ward
  • elaboration of further recommendations

How program is carried out

During the first visit, the physician will conduct a clinical examination and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan and tomography of the abdominal organs. Based on the results of the examination, the physician will choose the surgical technique and the type of anesthesia. After that, preparation according to the preoperative standard will start.

Cytoreductive surgery begins with general anesthesia. The intervention is performed as open surgery, i.e. through the incision in the anterior abdominal wall, so that the surgeon can carefully examine the peritoneum and the surface of the abdominal organs. The surgeon removes affected by the malignant process ovaries, areas of the peritoneum and metastases in other internal organs. This stage of the operation can take several hours, since the overall effectiveness of the treatment depends on the completeness of the malignant tissues removal.

At the next stage of the operation, the surgeon inserts several catheters into the abdominal cavity. Through the catheters, a heated solution of a chemotherapy drug is pumped inside. The special system maintains the required temperature (42-43 degrees Celsius), pressure and circulation rate of the medicinal solution. The solution mechanically flushes out blood clots and remnants of malignant tissues, and a heated chemotherapy drug destroys micrometastases in internal organs and lymph nodes (micrometastases can’t be detected by the naked eye).

After 1-1.5 hours, the chemotherapy drug is removed from the abdominal cavity and the abdominal cavity is washed with saline. After that, the surgeon removes the catheters and sutures the incision of the anterior abdominal wall.

After the completion of the operation, you will be transferred to the ward of the intensive care unit, under the round-the-clock supervision of doctors and nurses. In 1-3 days after the operation, your drains will be removed and you will be transferred to a regular ward for further recovery. The whole treatment takes 10-12 days on average.

Finally, the attending physician will evaluate the results of control examinations, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.

Required documents

  • Medical records
  • MRI/CT scan (not older than 3 months)
  • Biopsy results (if available)

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About the department

The Department of Gynecology, Mammology and Obstetrics at the Eichsfeld Hospital Heilbad Heiligenstadt offers the full range of diagnostics, conservative and surgical treatment of diseases of the female reproductive system. The specialists of the medical facility have all the necessary resources to provide effective medical care to patients with both benign and malignant pathologies. In the field of mammology, breast cancer surgery is of key interest. A team of obstetricians takes care of integrated pregnancy management in every trimester, ensures safe childbirth and postnatal care for mother and baby. Doctors are also experienced in managing high-risk pregnancies and multiple pregnancies. The department also offers the services of a specially trained diabetologist, who monitors pregnancy in women suffering from gestational diabetes. The entire department's medical team adheres to the same principles in their work – high professionalism combined with a humane attitude and personalized care. The department is headed by Dr. med. Annegret Kiefer.

The department's gynecologists deal with the treatment of all diseases and pathological changes in the female reproductive system. A large number of patients come to the department with cervical, ovarian, endometrial, vulvar and vaginal malignant tumors. First of all, the specialists of the medical facility carry out comprehensive diagnostics in order to confirm or exclude oncology. They usually conduct ultrasound examinations, hysteroscopy, histological and cytological examinations, as well as biopsy. Sometimes the patient may also require CT or MRI, as well as a PET-CT scanning. The necessary set of diagnostic tests is determined after studying the patient's medical history, complaints and clinical examination. Should cancer diagnosis be confirmed, the department's specialists begin to develop a treatment regimen. Each stage of the therapeutic process is planned in detail during the interdisciplinary tumor board, which brings together gynecologists, oncologists, radiation therapists, radiologists and other experts. In most cases, an integral part of gynecologic cancer treatment is a surgical resection of a malignant tumor (at the early stages). In the advanced stages of cancer, hysterectomy (surgical removal of the uterus), ovariectomy (surgical removal of the ovaries) and fallopian tube resection are often required, since all of these organs are usually affected at the advanced stages of cancer or there is a high risk of their lesions. Whenever possible, the department's specialists give preference to laparoscopic procedures, while open surgery is performed only in the most complex clinical cases. Depending on the particular type of gynecologic cancer and the stage of the oncological process, the treatment regimen includes chemotherapy, radiation therapy, hormone therapy, targeted therapy and other methods. The department also provides the patients with services of competent psychologists who support women and help them cope with the emotional distress during the therapeutic process.

As for benign gynecologic diseases, uterine fibroids and endometriosis are most common. With these pathologies being detected at the early stages, the department's doctors give preference to pharmacotherapy. The patients with uterine fibroids can also undergo uterine artery embolization. The procedure involves making a puncture in the femoral or radial artery, through which a catheter is inserted. A special embolizing drug, containing microspheres – emboli, which block the vessels, is then injected through the catheter into the uterine arteries. Soon, the emboli are additionally closed with thrombotic masses, which leads to the cessation of blood flow through the uterine arteries. Without blood supply, myomatous nodes gradually decrease in size and degenerate into connective tissue. If a diagnosis of endometriosis is confirmed in a woman, first of all, the optimal drug therapy regimens are considered, and if they do not give the expected result, gynecologists resort to minimally invasive interventions, during which the foci of endometriosis are removed while preserving the uterus. In addition, doctors provide both conservative and surgical treatment of urinary incontinence and pelvic organ prolapse in close cooperation with the Department of Urology. The surgical treatment involves the use of low-traumatic laparoscopic techniques.

The main focus of breast specialists is on breast cancer treatment. This is one of the most common cancers in women. The doctors have in their arsenal various therapeutic techniques, which are usually combined to maximize the effectiveness of treatment. As a rule, the first stage of treatment is organ-preserving surgical resection of a malignant tumor. To treat advanced breast cancer, the department's doctors often resort to mastectomy (breast removal). In most cases, the surgical intervention is complemented by conservative therapies: chemotherapy, radiation therapy, hormone therapy, targeted therapy, and other treatments. Each clinical case is unique, so the treatment regimen is developed based on the patient's particular clinical indications, her general health, age and other important factors.

The department's obstetric services include integrated management of pregnancy, including high-risk pregnancies, childbirth and postnatal care for the mother and her newborn baby. The team of the department's obstetricians welcomes natural childbirth, but if necessary, a C-section is performed. Water birth is possible if desired. The medical facility offers a variety of pain management techniques, including epidural anesthesia, acupuncture, homeopathy, etc. The team of obstetricians makes every effort to ensure a safe childbirth in a comfortable environment.

The department's main clinical focuses include:

  • Gynecology
    • Diagnostics and treatment of oncological diseases of the female reproductive system: cervical, ovarian, endometrial, vulvar and vaginal cancers
      • Surgical interventions for resection of a malignant tumor or the entire affected organ and adjacent anatomical structures – preference is given to endoscopic and laparoscopic techniques
      • Conservative treatment methods: chemotherapy, radiation therapy, hormone therapy, targeted therapy
    • Diagnostics and treatment of benign diseases of the female reproductive system
      • Pharmacotherapy, uterine artery embolization and laparoscopic interventions for uterine fibroids
      • Pharmacotherapy and laparoscopic interventions for endometriosis
      • Pharmacotherapy and laparoscopic interventions for urogynecologic diseases: urinary incontinence and pelvic organ prolapse
  • Mammology
    • Diagnostics and treatment of breast cancer
      • Organ-preserving breast cancer surgery and breast removal surgery (mastectomy)
      • Conservative treatment methods: chemotherapy, radiation therapy, hormone therapy, targeted therapy
  • Obstetrics
    • Pregnancy management in all trimesters, including high-risk pregnancies and pregnancies in women with gestational diabetes
    • Childbirth (natural childbirth, water birth, C-section)
    • Postnatal care for mother and her newborn baby
  • Other medical services

Curriculum vitae

Dr. med. Annegret Kiefer is the Head Physician of the Department of Gynecology, Mammology and Obstetrics at the Eichsfeld Hospital Heilbad Heiligenstadt. The doctor has board certification in gynecology and obstetrics, as well as a wealth of clinical experience. The priority fields of Dr. Annegret Kiefer's work include the treatment of female genital cancers and urogynecologic diseases. The specialist has excellent skills in the field of laparoscopic gynecologic surgery and successfully performs such interventions, including hysterectomy and operations for the female genital cancers.

Photo of the doctor: (c) Eichsfeld Klinikum

 

About hospital

The Eichsfeld Hospital Heilbad Heiligenstadt is a reputable medical facility, whose patients can undergo high-quality diagnostics and treatment in accordance with European standards. The medical facility is an Academic Hospital of the University of Goettingen, so many local doctors are actively engaged in research activities and can offer patients innovative treatment methods that are available only in leading medical centers in Germany. 

The hospital has ten highly specialized departments, which are responsible for the diagnostics and treatment of a specific group of diseases. The hospital provides modern treatment of diseases of the heart, gastrointestinal tract, musculoskeletal system, female and male reproductive system, as well as diseases in children. The hospital has 352 beds. Patients also receive many medical services on an outpatient basis.

The hospital employs a highly professional team of doctors, each of whom strives to provide the patients with effective, most sparing and safe treatment in a comfortable environment. The specialists are distinguished not only by their successful clinical experience, but also by their approach to treatment – the patient and his health always come first. The doctors and nursing staff are sympathetic to the individual needs and wishes of their patients. The specialists are always ready to help, advise and answer questions of interest.

The hospital is justly proud of its modern technical base. The medical facility has diagnostic rooms with state-of-the-art equipment for laboratory and endoscopic examinations, operating rooms with everything necessary to perform minimally invasive and open surgeries, treatment rooms with advanced laser systems, etc. All this allows for high-precision diagnostics and treatment in accordance with the very latest standards of world medicine.

The exceptional quality of the hospital's medical services is confirmed by the prestigious Cooperation for Transparency and Quality in Healthcare (KTQ) certificate. In addition, an undeniable evidence of the high status of the hospital is the constantly growing number of patients who entrust their health to its doctors.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Eichsfeld Hospital Heilbad Heiligenstadt live in comfortable single and double rooms with a modern design. Each patient room has an ensuite bathroom with shower and toilet. The furnishing of the patient rooms includes an automatically adjustable bed, a bedside table, a wardrobe, a TV and a telephone. The patient can connect to Wi-Fi, if desired.

The hospital also offers accommodation in enhanced-comfort rooms. Such patient rooms are more spacious, additionally equipped with upholstered furniture, a safe and a mini fridge. The bathroom of the enhanced comfort rooms has changeable towels and toiletries.

Meals and Menus

The hospital provides its patients with three delicious and healthy meals a day: breakfast, lunch and dinner. Diet meals are provided for each meal. If for some reason you do not eat all the foods, you will be offered an individual menu.

Those patients living in enhanced-comfort rooms are offered a wider range of meals. Fresh fruit is delivered to the room every morning, as well as tea and coffee can be ordered throughout the day.

In addition, the hospital has a cozy cafeteria where one can taste delicious European cuisine, enjoy a cup of tea, coffee or cappuccino with a wonderful dessert.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV

Television

During an inpatient stay, each patient can use a telephone, a TV and the Internet. Please inform the medical staff about your desire to use these services at the time of admission to the hospital. The base rate is 1.60 € per day and includes the use of the TV in the patient room.

The Internet is available in almost all patient rooms of the hospital. Reservations are made upon admission to inpatient treatment or in the information department. Access is provided with a password for a fee of 3 € for every 300 MB.

Religion

The hospital regularly hosts Catholic divine services. Other religious services are available upon request.

Accompanying person

Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.

Hotel

You may stay at the hotel of your choice during the outpatient program. Our managers will support you for selecting the best option.