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Multimodality treatment of ovarian cancer with cytoreductive surgery and HIPEC (639482) | Asan Medical Center Seoul - 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. 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.<\/p>\n\n<p style=\"text-align:justify\">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&rsquo;t be detected by the naked eye).<\/p>\n\n<p style=\"text-align:justify\">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.<\/p>\n\n<p style=\"text-align:justify\"><strong>After the completion of the operation<\/strong>, 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.<\/p>\n\n<p style=\"text-align:justify\">Finally, the attending physician will evaluate the results of&nbsp;<strong>control examinations<\/strong>, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li style=\"text-align: justify;\">Medical records<\/li>\n\t<li style=\"text-align: justify;\">MRI\/CT scan (not older than 3 months)<\/li>\n\t<li style=\"text-align: justify;\">Biopsy results (if available)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>clinical history taking<\/li>\n\t<li>review of medical records<\/li>\n\t<li>physical examination<\/li>\n\t<li>laboratory tests:\n\t<ul>\n\t\t<li>complete blood count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>TSH-basal, fT3, fT4<\/li>\n\t\t<li>tumor markers&nbsp;<\/li>\n\t\t<li>inflammation indicators (CRP, ESR)<\/li>\n\t\t<li>indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>abdominal ultrasound scan<\/li>\n\t<li>CT scan\/MRI or PET-CT of abdomen<\/li>\n\t<li>preoperative care<\/li>\n\t<li>cytoreductive surgery to remove visible tumors<br \/>\n\tinside the abdomen and HIPEC<\/li>\n\t<li>histological and immunohistochemical<br \/>\n\texamination of removed tissues<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>cost of essential medicines<\/li>\n\t<li>nursing services<\/li>\n\t<li>stay in the hospital with a full board<\/li>\n\t<li>accommodation in a 2-bedroom ward<\/li>\n\t<li>elaboration of further recommendations<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align:justify\"><strong>During the first visit<\/strong>, 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.<\/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

Asan Medical Center Seoul

Seoul, South Korea
Program id # 639482
Doctor photo
M.D., Ph.D. Byung-moon Kang
Department of Obstetrics and Gynecology
Specialized in: obstetrics and gynecology

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 Obstetrics and Gynecology at the Asan Medical Center offers diagnosis and treatment of benign and malign tumors in the uterus or uterine appendages, reproduction-related disorders and pregnancy complications as well as all other gynecological diseases. The goal of the department is to ensure optimal treatment and care for women of all age groups. The department is headed by Dr. Byung-moon Kang.

An essential part of the department is the Gynecologic Cancer Center, which specializes in treatment of gynecologic tumors. In particular, the center treats various cancers such as cervical, ovarian, endometrial, vaginal and vulvar cancer. In addition, the department also deals with diagnosis and treatment of premalignant lesions.

In the field of operative treatment, the department specializes in laparoscopic surgery, which is successfully applied in treatment of cervical, endometrial and early-stage ovarian cancer. The department performed more than 600 laparoscopic surgeries up to date, which is the greatest record in Korea.

It goes without saying that gynecologic cancer treatment does not end with surgery. To prevent its relapse, additional treatments such as radiotherapy and chemotherapy are needed. Therefore, a team of medical professionals in oncology, obstetrics and gynecology, radiation oncology, radiology, and pathology is created to achieve best results in diagnosing, determining a treatment plan and collaborating for intraoperative and postoperative care.

Another field of the department is the Precision Cancer Center that analyzes genomic variations of various tumors to obtain data for optimizing treatment strategies. For this purpose, new analytic technologies such as Onco-map or Onco-panel are applied.

Medical services of the department embrace diagnosis and treatment of the following diseases:

  • Cervical cancer
  • Ovarian cancer
  • Endometrial cancer
  • Vaginal and vulvar cancer
  • Rare gynecologic cancers
  • And other oncogynecological diseases

Curriculum vitae

Education

  • Doctor of Medicine, Seoul National University.
  • Master of Medicine, Seoul National University.
  • Bachelor of Medicine, Seoul National University.

Major Professional Experiences

  • Professor in Obsterics Gynecology, UUCM AMC.
  • Associate Professor in Obsterics Gynecology, UUCM AMC.
  • UCLA Hospital, Research Fellowship Los Angeles USA.
  • Associate Professor in Obsterics Gynecology, INHA UNIVERSITY.
  • Assistant Professor in Obsterics Gynecology, INHA UNIVERSITY.
  • Clinical fellowship in Obsterics Gynecology, INHA UNIVERSITY.
  • Residency in Obsterics Gynecology, Seoul National University Hospital.
  • Internship in the Seoul National University Hospital.

Photo of the doctor: (c) Asan Medical Center 


About hospital

Asan Medical Center is Korea’s largest medical institution, with 1,600 physicians and surgeons, 3,100 nurses, 2,680 beds, and 67 operating rooms, occupying more than four million square feet (about 371,600 square meters). A typical day at AMC sees 2,500 inpatients and 10,000 outpatients treated. The center specializes in treatment of heart diseases, cancer, digestive diseases, health screening and promoting as well as organ transplantation which is carried out within the corresponding centers of excellence.

In addition to the five above mentioned centers of excellence, the center also specializes in orthopedics (95 percent success rate for hip and knee replacements), treatment of Infectious diseases caused by microorganisms (bacteria, viruses, parasites, and fungi). The center occupies the first positions in the field of oral and maxillofacial surgeries (Department of Dentistry) and implantology. Apart from that, Asan’s Department of Reproductive Medicine and the Infertility Clinic work together as world leaders in assisted reproductive technologies. The Department of Plastic Surgery and the Asan Aesthetic Center offers a broad range of reconstructive and cosmetic surgeries.

Consistent pursuit of cutting-edge medical technology and devotion to patient-centered care has brought AMC many honors and awards. Perhaps its most prestigious honor is being named Korea’s Most Admired Hospital for five consecutive years (2007–2011) by the Korea Management Association Consulting. The Ministry of Health, Welfare, and Family Affairs repeatedly recognized Asan as a Highest Quality of Care Hospital, and in 2009 granted it the Grand Award for Korean Medical Travel, as a hospital well prepared for international patients.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

Asan offers five different types of rooms, from budget-conscious multibed units up to VIP suites. All rooms include:

  • electronically adjustable beds
  • personal nurse call system
  • bedside patient-controlled room light and TV
  • individual cable TV including Korean, English, and foreign-language programming
  • guest chair
  • personal telephone for local and international calls

Meals and Menus

Asan also provides patients and visitors with a broad range of gastronomic offerings. The restaurants of the medical center serve Korean, Western, Japanese and Chinese cuisine.

Further details

Standard rooms include:

Shower
Toilet
TV
Wi-Fi