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Multimodality treatment of ovarian cancer with cytoreductive surgery and HIPEC (639389) | University Hospital Halle (Saale) - 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

University Hospital Halle (Saale)

Halle, Germany
Program id # 639389
Doctor photo
Prof. Dr. med. Christoph Thomssen
Department of Gynecology and Mammology
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

According to the Focus magazine, the Department of Gynecology and Mammology at the University Hospital Halle (Saale) ranks among the top German departments specializing in breast cancer treatment!

The department offers the full range of accurate diagnostics, conservative and surgical treatment of diseases of the female reproductive system, breast. The department’s state-of-art infrastructure, advanced diagnostic equipment and the highest professionalism of doctors allow for the achievement of excellent treatment results.

The Head Physician of the department is Prof. Dr. med. Christoph Thomssen. The specialist is one of the best obstetrician-gynecologists in Germany, and the number of patients wishing to see him is steadily growing. He regularly demonstrates high success rates in treating breast cancer and oncological diseases of the female reproductive organs. Not the least role in this is played by the professor's clinical experience of more than 35 years, which he has acquired at the best university hospitals in Germany. The research activities of Christoph Thomssen are also impressive and include numerous studies, publications in the scientific literature (more than 280 in total), lectures, and presentations at conferences. In addition, the doctor actively participates in the work of professional societies in gynecology and mammology.

The department has several certified specialized centers, in particular the Breast Center, the Center for Gynecologic Oncology and the Center for Pelvic Diseases. The Breast Center specializes in the treatment of benign and malignant breast diseases. In the patient needs radical breast resection, she will be offered modern reconstructive techniques to restore the aesthetic appearance of the breast. The Center for Gynecologic Oncology has exceptional experience in the treatment of uterine, cervical, vulvar, ovarian cancers, etc.

The service range of the department includes:

General gynecology
  • Counseling and therapy in malformations of the external and internal female reproductive organs
  • Chronic infections of the vagina, uterus or ovaries
  • Benign tumors of the lower abdomen (for example, fibroids, cysts)
  • Chronic pain in the lower abdomen (endometriosis), up to surgical treatment
  • Treatment of secondary pathological changes (in the context of cancer treatment)
  • Planning of outpatient operations
  • Ultrasound diagnostics for cancer prevention
Urogynecology
  • Surgical treatment of various types of urinary incontinence
  • Surgical treatment of pelvic organ prolapse
Mammalogy
  • Benign breast disease
    • Palpable and nonpalpable nodes in the mammary gland
    • Correction of breast malformations (asymmetry, breast augmentation and reduction)
    • Cosmetic surgery
  • Malignant breast diseases
    • Diagnostic imaging (in collaboration with the Department of Radiology)
    • Punch biopsy
    • Histological examination (in collaboration with the Institute of Pathology)
    • Surgical treatment (organ-sparing surgery, radical and reconstructive surgery, lymphadenectomy)
    • Chemotherapy
    • Radiation therapy (in collaboration with the Department of Radiotherapy)
    • Follow-up monitoring of breast cancer patients
    • Oncogenetic counseling (in collaboration with the Institute of Genetics)
Gynecological oncology
  • Uterine cancer
  • Cervical cancer
  • Vulvar cancer
  • Ovarian cancer
    • Histological examination
    • Imaging diagnostics
    • Chemotherapy
    • Radiation therapy
    • Surgical treatment
    • Second opinion
Outpatient surgery
  • Diagnostic hysteroscopy
  • Sclerotherapy in hemorrhages or miscarriage (curettage)
  • Tissue sampling of external and internal genitals (biopsy)
  • Conization/laser therapy in cervical pathologies
  • Laparoscopic tubal ligation
  • Mammary gland and lymph node tissue (axillary, supraclavicular, inguinal) sampling
  • Removal of palpable nodes in the mammary gland (for example, fibroadenoma enucleation)
  • Treatment of abscesses ( in the breast, genital organs)
  • Implantation of Port-a-Cath system (provision of permanent central venous access for intravenous administration of drugs, such as chemotherapy, antibodies, bisphosphonates)
Other diseases, diagnostic and therapeutic options

Curriculum vitae

Education

  • 1976 - 1978 Medical School at the University of Göttingen (preclinical part).
  • 1978 - 1983 Medical School at the Technical University of Munich (clinical part).
  • 1982 - 1983 Medical internship.
  • 1983 Doctoral degree (Doctor of Medicine).
  • 1989 Dr. med. thesis (Supervisor: Prof. Dr. med. H. J. Möller), Department of Psychiatry, Technical University of Munich.
  • 1998 Lecturer’s thesis (PD) at the Faculty of Medicine of the University of Hamburg.
  • 2001 University Professor for Obstetrics and Gynecology at the University of Hamburg.
  • 2004 University Professor for Obstetrics and Gynecology at the Martin Luther University of Halle-Wittenberg (Ordinarius).

Professional Career

  • 1984 - 1986 Residency in the Department of Obstetrics and Gynecology at the District Hospital Fürstenfeldbruck (Head: Dr. med. Sixtus Keck).
  • 1986 - 1996 Residency and Fellowship in the Department of Obstetrics and Gynecology of the Technical University of Munich (Head: Prof. Dr. med. Henner Graeff).
  • 1991 Board certification in Obstetrics and Gynecology (German National Board Examination).
  • 1992 Senior Physician at the Department of Obstetrics and Gynecology of the Technical University of Munich.
  • 1996 Senior Physician and Deputy Head of the Department of Obstetrics and Gynecology, University of Hamburg (Head: Prof. Dr. med. Fritz Jänicke).
  • 2003 Acting Head of the Department of Gynecology and Mammology at the University Hospital Halle (Saale).
  • 2004 Head of the Department of Gynecology and Mammology at the University Hospital Halle (Saale).

Subjects of Research

  • Clinical Oncology
    • Breast cancer (treatment of primary diseases and recurrence): adjuvant and palliative therapy, prognostic and predictive factors, endocrine therapy, chemotherapy, including dose-intense chemotherapy, axillary dissection, quality of life.
    • Ovarian Cancer: secondary surgery.
    • Cervical Cancer: neoadjuvant chemotherapy, surgery.
    • Clinical trials: participation in the development of design and coordination of 12 clinical trials; participation in more than 35 trials.
  • Obstetrics: prenatal diagnostics, Doppler sonography.

Membership in Professional Societies

  • American Association of Cancer Research (AACR).
  • German Cancer Society (DKG).
  • German Society of Gynecology and Obstetrics (DGGG).
  • Working Group on Gynecological Oncology (AGO).
  • EORTC Biomarker and Receptor Study Group (RBSG).
  • EORTC Breast Cancer Cooperative Group (BCCG).
  • Cancer Center Munich (Project Teams: "Endometrial cancer/cervical cancer", "Breast cancer", "Ovarian cancer").
  • Cancer Center Hamburg (AKOG).
  • North Eastern German Society of Gynecologic Oncology (NOGGO).
  • Scientific and Practical Society of Gynecologists and Obstetricians Saxony-Anhalt.

Photo of the doctor: (c) Universitätsklinikum Halle (Saale)

Sources:

Universitätsklinikum Halle (Saale)

NANOPDF

PubMed, National Library of Medicine


About hospital

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities!

The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a specialized medical facility for the treatment of very severe and rare diseases and injuries. It provides medical care for patients of all age groups in accordance with the very latest scientific achievements. It is worth noting that the hospital is characterized by its successful research activities, especially in the field of cardiovascular diseases and oncopathology. The specialists of these fields have made a significant contribution to the development of new diagnostic methods and therapeutic approaches.

The hospital diagnoses and treats more than 40,000 inpatients and about 120,000 outpatients every year. Such a large number of patients indicates the reliability and effectiveness of medical services.

Some structural units of the hospital deserve special attention. For example, the Central Department of Emergency Medical Care (the largest in Saxony-Anhalt), modern dental rooms, the Perinatal Center and the Transplant Center with a history of more than 40 years.

Thanks to the use of the cutting-edge medical technology and the availability of advanced equipment, many operations and procedures, which previously could entail a lot of risks and consequences, are currently performed in the hospital with the help of sparing techniques. In this context, it is worth noting hybrid heart interventions, robotic interventions in urology (da Vinci surgical system), etc.

In addition, the key to successful clinical practice is the availability in the hospital of experienced and competent medical staff. The total number of medical staff includes more than 4,000 medical employees. Many doctors are known far beyond the borders of Germany, they regularly carry out significant researches, which allow them to develop modern medicine. In addition, the hospital specializes in training of medical students, therefore the qualified doctors and professors are willing to pass on their experience to the younger generation.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Hospital Halle (Saale) live in comfortable single, double and triple patient rooms made in a modern design. All patient rooms are equipped with an ensuite bath with toilet and shower. The standard room includes a comfortable, automatically adjustable bed, a bedside table, a wardrobe, a table and chairs for receiving visitors and a TV. There is access to Wi-Fi. For security reasons, in some places, including in Intensive Care Units, it is forbidden to use laptops and mobile phones. In addition, the hospital offers enhanced-comfort patient rooms.

Meals and Menus

The patient and his accompanying person have a daily choice of three menus. If for any reason you do not eat all the food, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment. Children are offered a special menu with healthy and tasty dishes, rich in nutrients necessary for the growing body.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

Religious services are available upon request.

Accompanying person

During the inpatient program, an accompanying person may stay with you in a patient room or hotel of your choice.

Hotel

During the outpatient program, you may stay in a hotel of your choice. Managers will help you choose the most suitable options.