Manipal Hospital Saltlake Performs 10-hour High-risk Ovarian Cancer Surgery with Zero Residual Disease

News Desk, News Nation 360 : In a stunning display of cutting-edge surgical skill, a 60-year-old patient with highly advanced ovarian cancer underwent a 10-hour, high-risk procedure at Manipal Hospital in Salt Lake. The situation was extremely complicated since the patient, Rina Ganguly (name changed), had cancer that had progressed far throughout the abdominal cavity and had even reached the lymph nodes in the chest. The third most common disease among Indian women, ovarian cancer, is known as a "silent killer" since it rarely exhibits signs in its early stages, often leading to an advanced diagnosis. The most important predictive factor in enhancing survival results in these situations is undergoing ultra-radical surgery to eradicate all visible illness. Dr. Arunava Roy, Consultant, Gynaecologic Onco-Surgery at Manipal Hospital, Salt Lake, performed a complicated surgical procedure. Dr. Arunashis Mallick and Dr. Neha Agarwal assisted him. They were backed by an experienced multidisciplinary team of anaesthetists, ICU professionals, and nurses. Clinical evaluation and approval by anaesthesia were done before the team decided on an upfront radical surgery. This was for zero residual disease. This indicates no residual tumour is left following surgery. Depending on how severe and widespread the cancer is, this procedure may entail surgery on multiple large organs. Rina Ganguly (patient name changed) had a major and extensive surgery. It included removing lymph nodes from the chest. All abdominal areas were cleared of cancerous nodules. This included the diaphragm, bowel surfaces, ovaries, uterus, pelvic peritoneum, and bladder peritoneum. A total omentectomy was also part of the surgery. This excised fatty apron-like tissue from the abdomen to clear cancer deposits. Stripping of the diaphragm excised the cancer-affected outer layer. Selective peritonectomy excised only cancer-infected areas of the abdominal lining. Recto-sigmoid resection excised the lower large intestine. Anastomosis reconnected the intestine for continuity. Tumour deposits were removed with care from all affected areas. This involved a small bowel mesenteric deposit and the right cardiophrenic node. In spite of the complexity and duration of surgery, there was a requirement of only one unit of transfusion of blood. The operation took place from 8 AM to 6 PM. The anaesthetic team monitored her all the time. They maintained her in a stable state. Postoperatively, she was shifted to the Intensive Care Unit (ICU). She was provided with critical care. She was shifted to the High Dependency Unit (HDU) within 48 hours. Her uneventful and rapid recovery was noteworthy. In six days, she was able to walk, wash herself, eat normally, and make it to the washroom by herself. She was discharged in stable condition after a complete postoperative recovery without any complications.

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