The diagnosis and treatment of cancer has undergone many changes in recent years. Early detection brought about by increased awareness and advanced diagnostic methods have ensured a high rate of survival. At Manipal Hospitals, one of the best cancer hospitals in Bangalore, the department of oncology recognizes and encourages the need for early detection. It provides a complete range of solutions for cancer care and to that end works in tandem with other super specialty departments like neurosurgery, plastic & reconstructive surgery, urology and many others for all round support and care under one roof. The department of Oncology has the latest amenities which help in correct and accurate diagnosis with the help of CT Scans, X-rays, blood tests, endoscopes, pap smears and biopsies. Cancer treatment is carried out by an expert team of oncologists who are among the finest cancer specialists in the country. Depending on the nature and stage, a wide range of therapies are used for the cancer treatment. Besides conventional cancer treatments like chemotherapy, radiotherapy and hormone therapy, the department of oncology also excels in the newer fields of nuclear medicine and stem cell transplants. The nurses and other support staff at the department of Oncology are known to provide utmost cancer care and compassion to the patients, especially during the post-operative phase. Patients are also made aware of the clinical trials available for newer drugs in case they are interested. At Manipal Hospitals, the major thrust is on 'maximum patient comfort' in all its efforts on cancer care.
Few of the major cancer types for which treatments are available at the department are: Breast cancer, colorectal cancer, prostate cancer and lung cancer.
Special features of the Oncology Department
- Multi-disciplinary Tumor Board
- Protocol based treatment
- Quaternary care hospital
- Team of multi-specialists
- Affiliations with University of Minnesota physicians for Bone Marrow Transplant
- Palliative care (includes cancer pain relief, nutritional support et al in advanced cancers)
- Preventive care (includes various screening procedures for early detection of cancer as well as organising lectures & interactive sessions to educate public on cancer prevention)
- Robotic assisted onco-surgery
Treatment & Procedures:
- Medical Oncology
- Radiation Oncology
- Clinical Haematology
- Bone Marrow Transplant
- Nuclear Medicine & Therapy
Types Of Cancer:
- Bladder Cancer
- Breast Cancer
- Cervical Cancer
- Colon Cancer
- Endometrial Cancer
- Lung Cancer
- Ovarian Cancer
- Prostate Cancer
- Skin Cancer
- Testicular Cancer
- Thyroid Cancer
HIPEC (Hyperthermic Intraperitoneal Chemotherapy)
Advanced Cytoreductive Surgery and Hyperthermic intraperitoneal chemotherapy (HIPEC)
THE LARGEST CENTER IN INDIA AND ENTIRE ASIA AND PIPAC
Manipal comprehensive cancer centre, Manipal hospitals Bangalore , India , has an established HIPEC program since 2005 and is the number one referral centre for peritoneal cancer treatment in Asia. Has largest number of HIPEC done in entire Asia and member of ISPSM society too The HIPEC trained super specialist surgeons and surgical oncology team of Dr Somashekhar SP, Dr Shabber Zaveri and Dr Ashwin Rajagopal are experts in performing complex abdominal surgery for peritoneal cancers and have performed over 300 surgeries. We have a highly experienced staff as well, including medical oncologists, seasoned nurses and other clinicians who are familiar with the needs of patients undergoing Cytoreductive surgery and HIPEC. This center used advanced state of art high quality approved dedicated HIPEC machine from Europe and USA ( unlike other center which did make shift heart lung machines , not recommended by regulatory authorities) Both HIPEC and PIPAC programme at India
Peritoneal surface malignancies are serious cancers that develop on the lining of the abdomen, called the peritoneum. They often develop when tumours from the appendix, rectum, colon, stomach, ovaries or other organs spread to peritoneal surfaces. Cytoreductive Surgery and Hyperthermic intraperitoneal chemotherapy (HIPEC) is a treatment option for these patients where extensive surgery is performed to remove all visible cancer tissue followed by chemotherapy drug, heated to 42 degrees Celsius is pumped through the abdominal cavity using a specialized HIPEC machine. This multimodality treatment considerably increases life expectancy and reduces the rate of cancer recurrence.
What is Cytoreductive Surgery?
The surgical management of advanced ovarian, primary peritoneal, colorectal and gastric cancers has evolved from the performance of basic debulking procedures to the incorporation of more comprehensive surgical procedures. This surgery aims for the complete removal of all visible tumors affecting the protective lining of the abdomen. Cytoreduction is complex and can last for an extended period of time, only an experienced specialist can perform the procedure effectively.
During cytoreductive surgery, the surgeon uses a tool called an electrosurgical hand piece to remove tumors. It generates an intense amount of heat via high-voltage electricity and burns diseased tissue at the edges of incision.These complex procedures involving multi-organ resections are generally long and require excellent knowledge of abdominal anatomy.
What is HIPEC?
Hyperthermic intraperitoneal chemotherapy (HIPEC) is a highly concentrated, heated chemotherapy treatment that is delivered directly to the abdomen during surgery. Unlike systemic chemotherapy delivery, which circulates throughout the body, HIPEC delivers chemotherapy directly to cancer cells in the abdomen. This allows for higher doses of chemotherapy treatment. Heating the solution may also improve the absorption of chemotherapy drugs by tumors and destroy microscopic cancer cells that remain in the abdomen after surgery.
How it works
Before patients receive HIPEC treatment, doctors perform cytoreductive surgery to remove visible tumors within the abdomen. Cytoreductive surgery is accomplished using various surgical techniques. Once as many tumors as possible have been removed, the heated, sterilized chemotherapy solution is delivered to the abdomen to penetrate and destroy remaining cancer cells. The solution is 41 to 42 degrees Celsius, about the temperature of a warm bath. It’s circulated throughout the abdomen for approximately 1 ½ hours. The solution is then drained from the abdomen and the incision is closed. After the procedure, patients are required spend an average of 2 weeks in the hospital. Nurses monitor vital signs throughout the patient’s stay and make sure that no post-surgical complications occur.
- Allows for high doses of chemotherapy
- Enhances and concentrates chemotherapy within the abdomen
- Minimizes the rest of the body’s exposure to the chemotherapy
- Improves chemotherapy absorption and susceptibility of cancer cellsy
- Reduces chemotherapy side effects