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Multimodality treatment of ovarian cancer with cytoreductive surgery and HIPEC (639503) | Marien Hospital Duesseldorf - 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 Marien Hospital Duesseldorf

Marien Hospital Duesseldorf

Duesseldorf, Germany
Program id # 639503
Doctor photo
Dr. med. Alexander Dadze
Department of Gynecology and Obstetrics
Specialized in: gynecology, obstetrics
Specialization

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 and Obstetrics at the Marien Hospital Duesseldorf offers accurate diagnostics and effective treatment of the full range of diseases of the female reproductive system. It also provides high-quality obstetric care, including pregnancy management in all trimesters, childbirth and postpartum care. Of particular interest to the department's gynecologists is the treatment of malignant tumors of the female reproductive system – endometrial, cervical, ovarian and vulvar cancers. The medical facility also admits women with benign gynecologic pathologies. Patients receive effective conservative and surgical treatment that meets modern medical standards. In most cases, surgical interventions are performed using minimally invasive techniques, so recovery after surgery proceeds much faster. In addition, minimally invasive surgery guarantees a good aesthetic result. More than 1,500 patients undergo inpatient treatment in the department annually, which indicates an excellent medical service. The department is headed by Dr. med. Alexander Dadze.

Of particular interest in the field of gynecology is the treatment of oncological diseases of the female reproductive system. The specialists most often deal with the treatment of endometrial, cervical, ovarian and vulvar cancer. The first-line therapy is usually surgical resection of the tumor, if possible, organ-sparing. Unfortunately, surgery is not always enough to cure cancer. In such cases, doctors resort to modern regimens of chemotherapy, radiation therapy, hormone therapy and other conservative methods. Each case of oncology is considered individually, therefore, comprehensive diagnostics is followed by the development of a treatment regimen adapted to the patient's disease. Treatment tactics are determined during an interdisciplinary tumor board, which involves gynecologists and doctors of related medical specialties. After the successful completion of the course of treatment, doctors recommend the patients carefully monitor their health and undergo regular follow-up examinations. Such an approach allows the doctors to prevent the development of recurrence or to detect it in the early stage, when it is possible to provide the most effective treatment.

Such benign pathologies as uterine fibroids, endometriosis, urinary incontinence, pelvic organ prolapse, chronic lower abdominal pain of unclear genesis, and others are among the most common gynecologic diseases in the department's clinical practice. To treat uterine fibroids, doctors carry out organ-preserving surgery or uterine artery embolization – open interventions are not performed. Urinary incontinence in the early stages can be eliminated conservatively, with the use of biofeedback, electrical stimulation, drug therapy, special therapeutic exercises, etc. However, in severe cases of urinary incontinence, surgery may be required.

A special focus of the department's ​​work is obstetrics. More than 950 babies are born here annually. Obstetricians have a rich arsenal of modern methods for monitoring the course of pregnancy and childbirth. The department has three excellent delivery rooms, as well as 20 beds for pre- and postpartum care.

The medical team consists of general practitioners, obstetricians, nurses with special training in child and maternal care, lactation consultants and physiotherapists. The specialists cooperate closely to provide women with safe, customized, comprehensive care during pregnancy, childbirth and the postpartum period. The specialists also provide patients with support and advice on the proper care for the baby.

It is worth noting that all modern methods of pain management during childbirth are offered to patients, for example, homeopathy, acupuncture, and aromatherapy. Epidural anesthesia can also be used. The range of services includes special programs for preparing young couples for the birth of a child, psychosocial counseling for pregnant women, etc.

The highest quality of the department's services is confirmed by prestigious certificates, including the BABY FREUNDLICH certificate in the field of outstanding obstetric services, and the certificate of the Working Group on Gynecologic Oncology for the successful results in cancer treatment in women.

The department provides diagnostics and treatment of the following gynecologic diseases:

  • Diseases of the intimate zone
    • Genital warts (condyloma)
    • Acne inversa
    • Malignant diseases of the intimate zone (rare disease)
  • Uterine diseases
    • Fibroids (benign uterine tumors)
    • Uterine polyps (on the cervix or in the uterine cavity)
    • Pathological changes in the cervix
    • Cervical cancer
  • Ovarian diseases
    • Cysts
    • Inflammatory ovarian diseases (up to abscesses)
    • Ovarian cancer
  • All forms of urinary incontinence in women
  • Vaginal and uterine prolapse
  • Vaginal bleeding
  • Chronic abdominal pain (caused by pathologies of the female reproductive system)
  • Endometriosis and endometrial cancer
  • Vulvar cancer
  • Other gynecologic diseases and pathological conditions

The department's range of medical services includes:

  • Gynecology
    • Minimally invasive surgery (laparoscopy)
      • Laparoscopy to determine the causes of abdominal pain of unknown origin or problems with conception
      • Organ-preserving surgery on the ovaries and fallopian tubes for benign neoplasms
      • Surgery for ectopic pregnancy
      • Organ-preserving surgery for uterine fibroids
      • Partial or total uterus removal (LASH or TLHE techniques)
      • Surgical treatment of cervical cancer (depending on the stage of the disease)
      • Hysteroscopy (for example, to remove fibroids, endometrial curettage for chronic bleeding)
    • Conservative therapy
      • Uterine artery embolization for uterine fibroids
      • Treatment of urinary incontinence (using a special tape)
      • Urethral elevation with gel or hyaluronic acid injections
    • Treatment of uterine prolapse and urinary incontinence
      • Classic surgical interventions
      • Modern method – placement of a special mesh (under the bladder or above the intestines)
    • Sparing surgical interventions
      • Laser techniques, for example, for cervical conization
      • Bi-Clamp technique (most commonly used for laparoscopy and hysterectomy)
  • Obstetrics
    • Pregnancy management in all trimesters
    • Childbirth (natural childbirth and C-section)
    • Postpartum care for mother and baby
  • Other therapeutic options

Photo of the doctor: (c) Marien Hospital Düsseldorf

About hospital

The Marien Hospital Duesseldorf is a modern medical facility in the very center of Duesseldorf and a recognized Research Center. The foundation stone of the hospital was laid back in 1864 with the support of the Catholic Church. The Christian principles of helping and supporting patients have not changed at all over the years, but the level of medical care has become fundamentally different: a small hospital has been transformed into a multidisciplinary medical center with 11 internal departments, institutes and 7 interdisciplinary centers. Thus, patients can receive a comprehensive diagnostic examination and treatment under one roof. The medical facility is an academic hospital, so patients have access to innovative achievements in the field of modern medicine and receive the most effective treatment.

The hospital has 437 beds for inpatient treatment. It provides first-class medical services to 63,000 patients every year. The doctors and nursing staff of the hospital strive to provide each patient with customized treatment, taking into account their wishes and needs. In addition to providing top-class medical care, the specialists pay attention to the humane attitude towards patients and their life situation. Doctors devote enough time to personal communication with patients and support them in every possible way on their path to recovery.

The team of the hospital consists of competent doctors who are the best professionals in their medical field. They all work in interdisciplinary cooperation. In their clinical practice, doctors use state-of-the-art equipment, the very latest technologies, as well as innovative treatment methods, which in combination allows achieving optimal treatment outcomes.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Marien Hospital Duesseldorf live in comfortable patient rooms equipped with everything necessary. The room furnishing includes a comfortable bed with an orthopedic mattress, a bedside table, a wardrobe, a table, chairs, and a TV. The rooms are designed in light colors so that patients feel comfortable here. Each patient room also has an ensuite bathroom with shower and toilet.

Meals and Menus

The patients of the hospital are offered a healthy and balanced three meals a day: buffet breakfast, lunch and dinner. The menu also includes dietary and vegetarian dishes.

If for some reason you do not eat all the foods, you will be offered an individual menu. Please inform the medical staff about your food preferences prior to treatment.

Further details

Standard rooms include:

Shower
Toilet
TV
Wi-Fi

Religion

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.