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Multimodality treatment of mesothelioma with cytoreductive surgery and HIPEC (639647) | Hospital Oberberg Gummersbach - BookingHealth
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Multimodality treatment of mesothelioma with cytoreductive surgery and HIPEC in Hospital Oberberg Gummersbach

Hospital Oberberg Gummersbach

Gummersbach, Germany
Program id # 639647
Doctor photo
Prof. Dr. med. Stefan Saad
Department of Adult and Pediatric General and Abdominal Surgery, Hepatopancreatobiliary Surgery, Hernia Surgery, Endocrine Surgery, Thoracic Surgery, Vascular Surgery and Bariatric Surgery
Specialized in: adult and pediatric general and abdominal surgery, hepatopancreatobiliary surgery, hernia surgery, endocrine surgery, thoracic surgery, vascular surgery, bariatric surgery
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 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
  • X-ray examination, MRI/CT scan (if available)
  • Pleural biopsy (if available)

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About the department

The Department of Adult and Pediatric General and Abdominal Surgery, Hepatopancreatobiliary Surgery, Hernia Surgery, Endocrine Surgery, Thoracic Surgery, Vascular Surgery and Bariatric Surgery at the Hospital Oberberg Gummersbach performs the full range of surgical interventions for diseases of the stomach, esophagus, colon, pancreas, liver, gallbladder, bile ducts, thyroid, parathyroid glands, and adrenal glands. The department has a highly qualified team of thoracic surgeons who are responsible for performing surgical procedures for lung, mediastinal, pleural, and thymic pathologies. Patients with vascular diseases are also operated on here. A specially trained team of surgeons performs bariatric operations to treat morbid obesity. Of particular interest to the department's specialists is the surgical resection of gastrointestinal malignancies and lung tumors. Pediatric surgeons most commonly perform operations for hernias, phimosis, and appendicitis. The department has 75 beds for inpatients. However, minor interventions are performed on an outpatient basis. More than 2,200 surgical interventions of varying complexity are performed in the department annually, which testifies to the rich clinical experience of the surgeons.

The department is headed by Prof. Dr. med. Stefan Saad. He is a highly qualified surgeon with more than 20 years of experience, during which he has successfully worked with the most complex clinical cases. Prof. Stefan Saad manages a professional team of specialists consisting of three senior physicians, four surgeons, four assistant physicians, and competent nursing staff.

The primary focus of the department's team of general and abdominal surgeons is the treatment of stomach and colon malignancies. Patients with these types of cancers receive interdisciplinary medical care because only such an approach ensures good results. A treatment regimen is elaborated on an individual basis at the tumor board with the participation of surgeons, gastroenterologists, oncologists, radiation therapists, radiologists, and other specialists. The diagnostic stage involves laboratory tests, gastroscopy (if stomach cancer is suspected), colonoscopy (if colon cancer is suspected), computed tomography, magnetic resonance imaging, and other examinations. The first-line treatment is the surgical removal of the malignant neoplasm. In the early stages of cancer, clinicians can often avoid open surgery. Instead, they perform sparing endoscopic treatments. Patients with stomach cancer undergo endoscopic mucosal resection, and patients with colon cancer undergo polypectomy during colonoscopy (the presence of polyps in the colon is a precancerous condition with a high risk of developing cancer). The second-line surgical treatment for stomach cancer is stomach resection, or a gastrectomy, which is the surgical removal of the stomach. The department's surgeons strive to preserve part of the organ, if possible. In the advanced stages of colon cancer, the specialists perform a colectomy (surgery to remove part or the entire colon). The extent of the operation, however, depends on the prevalence of the cancer process.

It is important that the majority of operations for stomach and colon cancers are performed in the department using minimally invasive techniques, due to which the postoperative pain becomes minimal and the risks of severe bleeding or postoperative complications are practically equal to zero. Such operations allow patients to return to their normal lives as quickly as possible without long-term rehabilitation.

The department's team of surgeons also regularly performs hernia repair surgery. The specialists treat inguinal, umbilical, and incisional hernias. The only effective treatment method for hernias is surgery. The department brilliantly performs hernioplasty, which involves the excision of the hernia with follow-up strengthening of the hernia gates with a special mesh implant. Such operations are currently the "gold standard" of hernia treatment. Surgical interventions of this kind are performed in the department using sparing minimally invasive techniques, so the patient leaves the hospital 1-2 days after surgery, while surgical risks are also almost absent.

The department also offers top-class services in thoracic surgery. The specialists in this field are responsible for endoscopic procedures (mediastinoscopy and thoracoscopy), minimally invasive operations for the removal of malignant lung tumors and lung metastases, and operations for pneumothorax, pleural empyema, and other respiratory diseases. Of particular interest is the surgical resection of malignant lung tumors. Lung cancer is one of the most common and aggressive types of oncology worldwide. In most cases, surgery is the primary method of combating lung cancer, the extent of which depends on the stage of the cancer process. With appropriate clinical indications, the department's specialists perform segmental resection (removal of a lung segment) or lobectomy (removal of a lung lobe). In complex cases, a total lung removal surgery (pneumonectomy) may be required. The decision on the optimal type of surgical intervention for the patient is made based on the size of the tumor, its location, the type of lung cancer (small cell or non-small cell), the spread of the cancer process, and other factors.

It is worth noting that in many cases, the department's surgeons manage to perform lung surgery using minimally traumatic video-assisted thoracoscopic surgery (VATS). VATS begins with making 2-3 incisions, each about 2 cm in size, on the chest for inserting special surgical instruments. The main tool for the surgeon is the thoracoscope, which has an attached tiny camera and light source. The camera transmits real-time scans of the surgical field on a large screen with multiple zooms. The surgeon, guided by these scans, performs the necessary manipulations step-by-step and sutures the wound. Video-assisted thoracoscopic surgery is performed without a thoracotomy, which greatly simplifies and accelerates the process of patient recovery in the postoperative period. In addition, such operations guarantee an excellent aesthetic result. And what is more, their effectiveness is not inferior to classical ones.

The department's main clinical focuses include the following:

  • General and abdominal surgery
    • Surgery for malignant gastrointestinal diseases, with a special focus on colon and stomach cancer treatment
    • Surgery for appendix removal
    • Surgery spleen removal
    • Surgery for gastroesophageal reflux disease
    • Surgery for pancreatitis
    • Surgery for appendicitis, hernias, and phimosis in children
  • Hernia surgery
    • Surgery for inguinal hernias
    • Surgery for umbilical hernias
    • Surgery for epigastric hernias
    • Surgery for incisional hernias
  • Hepatopancreatobiliary surgery
    • Surgery for benign and malignant tumors of the liver, gallbladder, and bile ducts
    • Surgery for cholecystitis
    • Surgery for bile duct strictures
  • Endocrine surgery
    • Surgery for thyroid diseases
    • Surgery for parathyroid diseases
    • Surgery for adrenal diseases
  • Thoracic surgery
    • Mediastinoscopy
    • Thoracoscopy
    • Surgery for lung cancer
    • Surgery for pneumothorax
    • Surgery for pleural empyema
  • Vascular surgery
    • Surgery for carotid artery stenosis
    • Surgery for abdominal and thoracic aortic aneurysms
    • Surgery for occlusive peripheral arterial disease
    • Surgery for deep vein thrombosis
    • Surgery for varicose veins
    • Surgery for leg ulcers
  • Bariatric surgery
    • Gastric banding
    • Gastric bypass surgery
    • Sleeve gastrectomy
    • Biliopancreatic diversion
  • Other medical services

Curriculum vitae

Prof. Stefan Saad studied medicine, along with politics, history, and philosophy, at the Universities of Aachen and Cologne. In 1986, he received his medical license. In 1989, after successfully defending his doctoral thesis and receiving the university prize for the best thesis, he was appointed as an Assistant Physician at the Hospital Cologne-Merheim. After a two-year stay in Japan, Dr. med. Saad returned to Merheim in 1998. In 2001, he became an Assistant Professor and received his Venia Legendi. He is currently the Head Physician in the Department of Adult and Pediatric General and Abdominal Surgery, Hepatopancreatobiliary Surgery, Hernia Surgery, Endocrine Surgery, Thoracic Surgery, Vascular Surgery and Bariatric Surgery at the Hospital Oberberg Gummersbach. The specialist is particularly experienced in minimally invasive surgery and morbid obesity treatment. In addition, the main clinical interest of Prof. Stefan Saad is cancer surgery. 

Photo of the doctor: (c) Klinikum Oberberg GmbH

About hospital

The Hospital Oberberg Gummersbach is a medical complex that offers its patients top-class personalized care. The hospital was founded in 1985. Since then, it has earned an excellent reputation in the German medical arena and has gained vast experience in the provision of medical care to foreign patients. The Hospital Oberberg Gummersbach is an academic hospital of the University of Cologne, thanks to which doctors and professors at the medical center have the opportunity to participate in promising research projects of national and international significance. The hospital has 536 beds for patient stays. The medical team consists of more than 1,400 employees. Their main focus is always on the patients and their individual needs and wishes.

The hospital has 13 departments and 7 highly specialized centers. The hospital offers various fields of modern medicine, including general and abdominal surgery, thoracic surgery, oncology, hematology, gastroenterology, nephrology, neurology, orthopedics, traumatology, gynecology, mammology, radiation oncology, otolaryngology, and others. Diagnostic and treatment facilities, as well as operating rooms at the hospital, have state-of-the-art medical equipment, including devices for imaging tests, navigation systems, equipment for endoscopic and minimally invasive interventions, and laser technologies.

Highly qualified doctors and competent nursing staff work with patients. The specialists take care of patients' health around the clock, and they are always open to personal communication and ready to provide support. The primary goal of every employee at the medical facility is to provide accurate diagnostics and the most effective treatment. At the same time, important attention is also paid to the humane and respectful attitude towards patients.

The hospital has a strict quality control system: in 2003, the medical facility was certified according to KTQ requirements, and since 2014, it has been certified according to DIN EN ISO 9001:2008 standards. The Breast Center, the Colon Center, the Oberberg Cancer Center, the Arthroplasty Center, the Stroke Unit, and many other structures of the medical facilities have been certified. Patients can thus be assured of receiving high-quality medical care using the very latest technologies.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Hospital Gummersbach Oberberg stay in comfortable rooms designed in light colors. The patient rooms include an automatically adjustable bed, a bedside table with a pull-out tray, a wardrobe, a table and chairs for receiving visitors, and a TV. The hospital has access to Wi-Fi. Each patient room has an ensuite bathroom with a shower and a toilet.

The hospital also offers enhanced-comfort rooms. These patient rooms have a refrigerator, a safe, and upholstered furniture. The bathroom includes a hairdryer, a bathrobe, toiletries, and towels.

Meals and Menus

The patient and the accompanying person are offered a daily choice of three menus. If, for some reason, you do not eat all the foods, you will be offered an individual menu. Please inform the medical staff of your food preferences prior to treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Accompanying person

The accompanying person may stay with you in the 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 manager will help you choose the best option.