{"translation_price":"50","translation_doc_price":"40","child_coefficient":"1.1","transfer_price":"2.00","transfer_price_vip":"5.00","constant_transfer_price_vip":350,"constant_transfer_price":150,"constant_transfer_distanse":60,"type":"treatment","program_full_story":"<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 <\/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> 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.<\/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’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 <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;\">X-ray examination, MRI\/CT scan (if available)<\/li>\n\t<li style=\"text-align: justify;\">Pleural biopsy (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 <\/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> 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.<\/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’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 <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>","is_ambulant":"0","bh_fee":"0","only_for_children":"0","no_service":"0","with_prepayment":"1","show_calculator":"1","paket_type":"2","btn_type":"2","clinic_icon":"60056be4d6ece.jpg","city":"Duisburg","clinic_site":"https:\/\/www.sana-duisburg.de\/","department_recommend":"0","country":"Germany","country_id":"1","clinic_name":"Sana Hospital Duisburg","cinic_name":"Sana Hospital Duisburg","department_id":"32","duration":"12","direction":"Thoracic surgery","min_duration":0,"clinic_id":"14","paketPrice":12000,"paket":"<ul>\n <li>Interpreter up to 25 hours<\/li>\n <li>Translation up to 15 pages<\/li>\n <li>Visa support<\/li>\n\n<\/ul>","title":"Multimodality treatment of mesothelioma with cytoreductive surgery and HIPEC","price":{"val":60023,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[{"id":"need_to_use_head_doctor","title":"Treatment by leading experts","type":"val","val":"13824.00","req":0},{"id":"vip_person_room","title":"VIP room (whole period)","parent":"duration","type":"count_val","val":"125.00"},{"id":"1_person_room","title":" Single room (whole period)","parent":"duration","type":"count_val","val":"176.00"},{"id":"2_person_room","title":" double room (whole period)","parent":"duration","type":"count_val","val":"95.00"},{"id":"attendant_place","title":"Accommodation for the accompanying person ","parent":"duration","type":"count_val","val":"90.00"}],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":"4","distance":"22","airport_title":"Duesseldorf"},{"id":"25","distance":"71","airport_title":"Dortmund Airport"},{"id":"7","distance":"73","airport_title":"Cologne-Bonn"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}
Multimodality treatment of mesothelioma with cytoreductive surgery and HIPEC in Sana Hospital Duisburg
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)
Service
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About the department
The Department of General, Visceral and Thoracic Surgery at the Sana Hospital Duisburg specializes in general surgical interventions and operations on the abdominal organs. These primary include interventions for diseases and tumors of the entire digestive tract and endocrine glands in children and adults. The department is headed by Dr. med. Mark Lienert.
The main focuses of the department include all laparoscopic (minimally invasive) procedures, cancer surgery of the digestive organs, coloproctology and endocrine surgery. Particular importance is also given to the treatment of malignant gastrointestinal tumors. Through close cooperation with the team of the Department of Gastroenterology, the department initiated the foundation of the Abdominal Surgery Center, which provides even more efficient treatment and diagnosis of diseases of various abdominal organs. The Department of General, Abdominal and Thoracic Surgery is also a partner of the regional Trauma Center Duisburg and the Professional Trauma Association in the Ruhr region.
The main focuses of the department include:
Cancer surgery of the digestive tract:
Esophagus
Stomach
Small and large intestines
Surgery for metastases
Liver and pancreatic surgery
Minimally invasive surgery:
Antireflux surgery for gastroesophageal reflux disease
Hernia surgery with a totally extraperitoneal inguinal hernia repair (TEP), laparoscopic IPOM in postoperative hernias
Laparoscopic splenectomy
Surgery of the small, large intestine, rectum, appendectomy, removal of some parts of the small intestine, removal of some parts of the large intestine with total mesorectal excision, rectal prolapse surgery, ostomy
Surgery of the liver and bile-excretory ducts, gallbladder removal, removal of some parts of the liver, liver cyst drainage
Hernia surgery:
Totally extraperitoneal endoscopic repair (TEP)
Laparoscopic IPOM in postoperative hernias
Conventional surgical techniques, plastic repair with the use of a surgical mesh, minimally invasive surgery (in case of sports hernias)
Photo of the doctor: (c) Sana Kliniken Duisburg
About hospital
The Sana Hospital Duisburg is a maximum care medical center with 678 beds and 17 specialized departments. With the very latest innovations and high quality patient care, the clinic works for the benefit of a person and their health. The hospital ranks among the leading clinics in the region. In 2013, the hospital treated 21,403 inpatients, 1,149 partially inpatients and 51,751 outpatients.
The hospital is the maximum care center, since almost all disciplines are represented here as independent departments. The departments specialize in the diagnosis and treatment of both common pathologies and specific diseases or groups of patients. The hospital provides its services for patients of all age groups, starting from the birth in the Department of Obstetrics, Pediatric and Adolescent Medicine, then in the departments for adults up to the treatment of elderly patients in the Department of Geriatrics. The hospital has a unique medical competence and medical centers with special equipment in order to ensure an optimal and multidisciplinary treatment.
The Hospital Duisburg is an academic teaching hospital at the University of Duisburg-Essen with the maximum care (Level 1) Perinatal Center, as well as the Neuro Center with a special focus in the field of oncology. The interdisciplinary Emergency Department, two Intensive Care Units and an Intermediate Care Station offer their services as well. In addition, the hospital has an interregional Stroke Unit with 8 monitored beds, the Unit for Early Neurological Rehabilitation (Level B) with 30 inpatient beds and the accredited Sleep Laboratory with 4 beds.
All activities of the hospital are focused on the patient with their worries and fears; great attention is paid to the patient’s life situation and history. All actions and efforts of the employees of the hospital are made to improve a personal health of each patient. The success rate of the hospital is manifested by satisfaction of both patients and their relatives.
Photo: (c) depositphotos
Accommodation in hospital
Patients rooms
The rooms in the Sana Clinic, Duisburg, meet the strict German standards. The essential safety equipment can be found in each patient room. There are also private bathrooms in all rooms. There are also the electric beds that can be adjusted according to the patient’s needs and habits. The orthopaedic mattresses on the beds provide adequate support for the spine during sleep. You can also use various devices in the room such as a laptop, unless you disturb the other patient in the room. Wi-Fi connection can be provided upon request. 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.
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Your guarantee
One year of support after the treatment
Insurance to cover unforeseen expenses arising from complications during and 48 months after treatment (coverage up to 200,000 €)
Reduced costs by 40-70% (contracts with Hospitals)
In addition, we are the only TÜV-certified company with an ISO 9001:2015 certificate