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Multimodality treatment of ovarian cancer with cytoreductive surgery and HIPEC (639290) | Clinic de Valère Sion - 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. 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. 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Multimodality treatment of ovarian cancer with cytoreductive surgery and HIPEC in Clinic de Valère Sion

Clinic de Valère Sion

Sion, Switzerland
Program id # 639290
Doctor photo
Dr. med. Nina Combaz-Söhnchen
Department of Gynecology and Mammalogy
Specialized in: gynecology, mammology

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

To effectively treat the female diseases and breast diseases, Clinique de Valère offers a variety of treatment methods available in gynecological medicine and surgery. Thanks to the modern equipment and the best professionals that can be found within the clinic teams, the gynecological surgery evolved into a comprehensive multi-disciplinary practice. Gynecologists, surgeons, urologists and plastic surgeons use their experience and professional knowledge to effectively treat the female diseases. Our Female Clinic offers the treatment in the following areas: infertility (more than 15 years of experience), endoscopy, conventional surgery, oncology, senology. Following the policy of minimal invasion, the experts in endoscopic gynecological surgery in our clinic regularly perform hysteroscopy and laparoscopy. These technologies minimize surgical traumas. Revolutionary equipment provides effective treatment of female diseases and breast diseases in accordance with the latest operational techniques, involving the constantly developing peer network of doctors and keeping trustworthy relationship between a patient and her doctor. In the course of senological treatment, the gynecologists and plastic surgeons do everything in their power to restore the breast. All gynecological surgeries, such as outpatient treatment or complex operations, are performed with the guarantee of safety ensured by our skilled and friendly staff, anesthesiologists, operating assistants and nurses.

 

Curriculum vitae

Expériences

  • Oct 2003 - avr 2005 : Médecin assistant à l´hôpital de Martigny dans le service de gynécologie et d'obstétrique
  • Avril 2005 - oct 2005 : Médecin assistant aux Soins Intensifs de chirurgie des Hôpitaux Universitaires de Genève
  • Oct 2005 - oct 2007 : Médecin assistant en gynécologie et obstétrique aux Hôpitaux Universitaires de Genève
  • Oct 2007 – jul 2008 : Médecin assistant en gynécologie et obstétrique à l´hôpital de Sion
  • Jul 2008 – avr 2009 : Cheffe de clinique en gynécologie et obstétrique à l´hôpital de Sion
  • Avr 2009 – Déc 2009 : Médecin assistant en anesthésiologie à l´hôpital de Sion
  • Déc 2009 – Nov 2012 : Cheffe de clinique en gynécologie et obstétrique au Centre Hospitalier Universitaire Vaudois, Lausanne
  • Jan 2013 – Fév 2014 : Médecin adjoint en gynécologie et obstétrique au SZO, à Viège Depuis juin 2014 : Médecin agrée à la Clinique de Valère et indépendante dans mon cabinet de gynécologie à Sion

Formation

  • 1996 – 2003 : Études de médecine à l´Université de Göttingen, Allemagne
  • Juillet. 2004 : Dissertation; Défense de thèse
  • Mars 2008 : Participation avec succès à l´examen du Diplôme d´Univer-sité Européen d´Endoscopie Opératoire en Gynécologie à Clermont-Ferrand
  • Mars et août 2008 : Participation avec succès à l´examen de médecine de montagne (mountain medecine)
  • Mars 2009 : Participation avec succès à l´examen de spécialiste en gynécologie et obstétrique (FMH) avec sous-spécialisation opératoire
  • Sept 2011 : Participation avec succès à l´examen du Diplôme Inter – Universitaire d´Echographie Gynécologique et Obstétricale à Strasbourg
  • Janv 2015 Participation avec succès à l´examen du Diplôme : « Certificate in Urodynamics » à Londres

Affiliations

  • Oct 2003 - avr 2005 : Médecin assistant à l´hôpital de Martigny dans le service de gynécologie et d'obstétrique
  • Avril 2005 - oct 2005 : Médecin assistant aux Soins Intensifs de chirurgie des Hôpitaux Universitaires de Genève
  • Oct 2005 - oct 2007 : Médecin assistant en gynécologie et obstétrique aux Hôpitaux Universitaires de Genève
  • Oct 2007 – jul 2008 : Médecin assistant en gynécologie et obstétrique à l´hôpital de Sion
  • Jul 2008 – avr 2009 : Cheffe de clinique en gynécologie et obstétrique à l´hôpital de Sion
  • Avr 2009 – Déc 2009 : Médecin assistant en anesthésiologie à l´hôpital de Sion
  • Déc 2009 – Nov 2012 : Cheffe de clinique en gynécologie et obstétrique au Centre Hospitalier Universitaire Vaudois, Lausanne
  • Jan 2013 – Fév 2014 : Médecin adjoint en gynécologie et obstétrique au SZO, à Viège

Photo of the doctor: (c) Clinique de Valère 


About hospital

Swiss clinic Clinique de Valère is a construction of impressive proportions. Here, the best medical technologies are employed to provide patients with the first-class care. Our experts work 24/7 to offer you the highest quality treatment in a calm and pleasant environment.

Swiss clinic Clinique de Valère puts all the efforts to provide its patients with effective care in a pleasant atmosphere. We involve all our employees and employ the most advanced medical equipment to provide treatment and care of the highest quality. We hire our staff on the basis of their professionalism, experience and skills. During your stay in our clinic, you will enjoy the maximum attention from our experts. You will receive treatment and care of the necessary level.

Swiss clinic Clinique de Valère and its practitioners are among the best specialists in their field. They have years of expertise (gained in our canton and beyond) and use the most advanced medical equipment to provide you with maximum comfort and the highest quality of medical treatment.

In addition to the treatment and everything what is connected to it, the hotel staff and our technical team will also take care of you. Their task is to ensure you have the same hygienic conditions as in the clinic, comfort and safety at the highest level.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

Each patient room has modern furnishings. There is an en-suite a bathroom with a shower and a toilet. A TV and the Internet connection, which is available upon request, will make your stay even more comfortable.
The clinic offers single and double rooms. If you choose a single room, an accompanying person will be able to stay with you. A double room is shared with a patient of the same gender.
The enhanced comfort rooms are equipped with a safety box, a fridge and upholstered furniture.

Meals and Menus

The patient and the accompanying person are offered a daily choice of three menus. If you are on a specific diet for any reason, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

Christian priests are available for the patients at any time. Representatives of other religions may be requested at any time.

Accompanying person

Your companion may stay with you in your room or at a hotel of your choice during the fixed program.

Hotel

You may stay at the hotel during the outpatient program. Our employees will support you for selecting the best option.