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Cancer Surgery

Cancer surgery is used to remove the tumour and tissue during an operation. It is a procedure when surgeons remove cancer from the body. A doctor who treats cancer is called a surgical oncologist. Surgery is one of the oldest and still most effective types of cancer treatment.

Reasons to have surgery:

a. Surgery is used to diagnose cancer

b. To find out where the cancer is exactly located

c. To remove all or some part of a cancer

d. To observe if the cancer has spread or is affecting the functions of other organs in the body

Before your surgery

Some steps may need to happen before surgery:

a. Checking with your insurance provider- Look whether you need to get preapproval of insurance coverage before surgery treatment

b. Meeting your surgical team- Before surgery you will meet your surgical oncologist. They will review your medical record, do a physical examination, evaluate the need for surgery procedure, talk with you about risks, benefits of surgery, give you instructions for care and for returning home

c. Giving permission for surgery- Your surgical doctor will ask you to sign an   informed consent form or letter which means: You will give written permission for treatment, Your  team will give you information on your surgery and other options, You choose to have surgery, You understand that the surgery is not guaranteed to give the intended result

d. Testing before surgery- discuss with your health care team to learn which tests you will need before surgery. It includes: Blood test which is to identify your blood type in case a blood transfusion is needed. Your oncologist may also draw your blood to store in case if it is needed during surgery treatment, Other blood and urine tests to assess your risk of bleeding or infection and check liver and kidney function, an ultrasound, bone scan.

e. Avoid certain foods and drink- Your health care team will tell you what you should or should not eat or drink during the 24 hours before surgery.

f. Taking supplements- Tell the doctor about any medications or herbal supplements you are taking. This includes any prescription drugs. Your doctor will inform if you should stop taking them before surgery.

 

Different types of surgery

1. Curative surgery- It is a surgery which removes the cancerous tumor or growth from the body. Surgeons use curative surgery when the cancerous tumor is localized to a specific part of the body. This type of surgery is often considered as the primary treatment. However, other types of cancer treatments, such as radiation, may be used before or after the surgery treatment.

2. Preventive surgery- It is used to remove tissue that does not contain cancerous cells, but may develop into a malignant tumor. For ex-polyps in the colon may be considered precancerous tissue and preventative surgery may be performed to remove them.

3. Diagnostic surgery- It is a surgery which helps to determine whether cells are cancerous. Diagnosis surgery is used to remove a sample tissue for testing and evaluation. The tissue samples help to confirm a diagnosis which helps to identify the type of cancer, or determine the stage of the cancer.

4. Debulking surgery- It is a surgery which removes a portion, of a cancerous tumor. The surgery is used in certain situations when removing an entire tumor might cause damage to an organ or the body. Other cancer treatment, such as chemotherapy and radiation therapy, may be used after debulking surgery is performed.

5. Palliative surgery- It is used to treat cancer at advanced stages. Palliative is used to relieve discomfort or to correct other problems of cancer or cancer treatment that might have created.

During Treatment

You will receive some type of anesthesia during surgery treatment. There are different types of anesthesia based on the type of surgery:

a. Local anesthesia- Local anesthesia is an injection that numbs the area that needs surgery. This is used for procedures done in a doctor’s office, such as the removal of a mole

b. Regional anesthesia- It blocks pain in a larger part of the body. This is done by numbing the nerves in and around the area that needs surgery. People who have regional anesthesia may usually receive conscious sedation. This is also called monitored anesthesia care. It helps the person to relax and sometimes sleep during the treatment procedure.

c. General anesthesia-It makes a person unconscious during a major surgery. It is given through one of the following ways: A face mask, an intravenous needle placed in a vein in your arm

During this treatment procedure, an anesthesiologist places a tube in your throat. This helps you to breathe, provides oxygen, and sometimes delivers anesthesia. It will also help you to monitor your heart rate, blood pressure, and oxygen during the operation.

After you receive anesthesia, your surgical team will clean and shave the area of your body where surgery is needed. This helps reduce the risk of infection.

After surgery

After surgery, your doctor will shift you to the recovery area. Recovery time depends on the type of surgery and the type of anesthesia used:

a. After local anesthesia, you might go home shortly after the procedure.

b. After regional anesthesia with conscious sedation, your healthcare team will observe you in a recovery room until the anesthesia wear off. This usually takes about 1 to 2 hours. You might feel groggy for some time after surgery is being done.

When your condition is stable, you will be taken to your hospital room or will be allowed to return home. Make sure that you follow all recovery instructions from your health care team

Side effects of surgery

1. Pain

2. Fatigue

3. Bleeding

4. Swelling around the site of surgery

5. Numbness

Cancer Surgery Cost

Cancer Treatment Cost in India

Cancer is termed as one of the most dreaded disease. Treatment in India is ranked amongst the best cancer prevention in the world as the Cost of cancer treatment in India is comparatively low. The country offers the best in class treatment, technology, and hospitality at par with developed countries like the USA and Singapore. India is one of the best places seeking cancer treatment. Treatment of cancer and cancer tests price many times becomes a burden to those who do not have enough money. Medical Tourism India offers inclusive cancer treatment packages and best of medical facilities such as sought-after hospitals, room fees, tests and examination, technology, medicine, nutritional care, surgery and radiation therapy costs for the duration of the treatment. The patients get benefit from the services of a team of cancer specialists at an extremely affordable price. In India, a cancer patient can opt for Cyber-knife Surgery at Cancer treatment Hospitals or any other specialty hospital which is quite cheaper and beneficial in comparison to traditional radiation therapy. There is also a facility of PET scan and Da Vinci or Robotic surgery for prostate cancer, brain tumour or breast cancer

Success Rate of Cancer Treatment in India

Cost of cancer treatment in India is quite low as compared to other countries. India provides the best cancer treatment with high success rates with new techniques and technologies being developed that have helped in a better understanding of the biology of cancer.

The top hospitals in India for cancer treatment have successfully treated more than a million cancer patients from abroad.

A majority of these patients were the ones who travelled from the Middle East to seek affordable cancer treatment in India.

Why Cancer Treatment in India

There has being a significant progress in medical research for cancer cure, medicines, techniques, and medical infrastructure, especially with regards to cancer treatment. India is a hub for medical tourism which offers exclusive medical facilities, infrastructure, well-experienced specialists and treatment packages at a low cost and cancer tests price with high-class facility.  A medical tourist typically saves thousands of dollars by travelling to India such as flight bookings, hotel stay, and local travel. India has a rich background in the field of medical education and has scope for establishing new medical institutes with world-class doctors and nurses. You don’t have to wait for a long period for an appointment and treatment with your specialists. Oncologist working in India are very proficient in performing any cancer surgery because of their experience. The best oncologists in India attend several conferences, seminars, and workshops around the year and believe in continuous medical education to keep themselves aware of the changing technology. They are more acceptable towards the changes in approach to cancer treatment and adapt to the techniques that work better in favour of cancer patients. Their compassionate and professional behaviour and strong educational background are some of the factors that make them uniquely experienced in the world.

How much is the cost of Cancer Treatment in India:  Usually, the cost of radiation therapy, chemotherapy can range between Rs. 150,000 to Rs. 275,000 depending on the package. The cost of the treatment can cost approximately by Rs. 20, 00,000 to Rs. 22, 00,000.

Cure2heal will list you the range of services and costs for cancer treatment. We will provide you with the range of services, best hospitals to an estimated cost. Visit our Website to know more:

Cancer Treatment

No of Ward Days

Procedure Cost(Starting price in USD)

Procedure Cost(Starting Price in INR)

Breast Cancer Treatment- Completed Medical Evaluation

2

 

 

            1800                                        

108000

Colon Cancer Treatment- Polypectomy

Depends on the Treatment

3000

180000

Colon Cancer Treatment- Cyrosurgery

Depends on the Treatment

7500

450000

Advanced Oral Cancer Treatment- Chemotherapy, Radiation or Surgery

Depends on the Treatment

4500-8500

270000-510000

Ovarian Cancer: Radiation Therapy

Depends on the Treatment

3000

180000

Ovarian Cancer: Chemotherapy

Depends on the Treatment

4000

240000

Brain Cancer Surgery- Microsurgery

Depends on the Treatment

12000

720000

Brain Cancer Surgery - Gamma Knife Surgery

Depends on the Treatment

6600

396000

Laparoscopic Minimally Invasive Thyroid Surgery

2

6000

360000

Robotic Prostate Cancer Surgery

Depends on the Treatment

9000

540000

Advanced Esophageal Cancer Surgery

Depends on the Treatment

8000

480000

Colon Cancer Treatment - Bowel Diversion Surgery

Depends on the Treatment

6000

360000

Total Pancreatectomy for Pancreatic Cancer

Depends on the Treatment

5000

350000

Whipple Procedure for Pancreatic Cancer

Depends on the Treatment

7800

468000

Note* The Cost mentioned in the above packages are just an estimate and are subject to change, depending on the medical problem and condition of the patient.

Cancer treatment in India

Cancer has become a big threat to all human beings globally and the booming rate of cancer in India is very stressful. As per Indian Population census data, the rate of mortality due to cancer in India is very high. Every year 1300 people approximate die every day in India and the numbers are stretching throughout the period. Breast Cancer is currently the most common cancer among Indian women. Fighting with cancer can be draining- physically, emotionally, and financially. People from all around the world are affected by this life-threatening disease and seeking cancer treatment. That is why many cancer patients from different parts of the world come to India in search of the best cancer treatment. A lot of Indian Hospitals come with accreditations like NABH, JCI to provide top quality services to all cancer patients. These hospitals are equipped with modern and latest technology that tends to deal with any kind of cancer problem

Why choose India for Cancer Treatment?

Cancer Treatment in India is quite different as compared to abroad. Cancer Hospitals in India have set a significant benchmark in clinical and service excellence in cancer care treatment. Facilities and services provided by these hospitals are excellent using the latest and modern technology with advanced and highly trained healthcare experts for offering cancer treatment in India. The Indian government issues a medical visa for you with much longer validity.

Cure2heal will help you provide Medical Visa to India, just send us your details we will issue a visa invitation letter.

Advantages

The success rate of cancer in India is quite high as compared to the US and Australia. Cancer Hospitals in India provide better treatment with high success rates for Lung Cancer Treatment. New techniques and technologies are being developed that have helped in a better understanding of the biology of cancer. It is a threatening disease but is durable and has a good ratio of survival

Qualifications of Top Oncologist in India:

a. A qualified Oncologist should have the following qualifications:

b. M.C.h- Surgical Oncology

c. D.M- Medical Oncology

d. MD- Internal Medicine

e. FACP

f. International Fellowships and Training

Oncologist teamwork in coordination delivering highest quality cancer care in a safe environment based on the latest and advanced technology. Oncologists are those surgeons who believe in providing the best treatment to their cancer patients.

Cancer Treatment Hospitals in India:

Cancer Hospitals in India work according to the international benchmark by the global medical fraternity and also provide a first-class level of medical services with all protocols of ambience and quality. Hospitals are internationally acclaimed having accreditations like NABH and JCI and are equipped with the technology required to deal with any kind of cancer. Research and treatment provided by these hospitals are excellent.

List of few top cancer hospitals in India are:

1. BLK Super Specialty Hospital New Delhi

2. Medanta- The Medicity

3. Artemis Hospital

4. Fortis Malar Hospital Chennai

5. Kokilaben Dhirubhai Ambani hospital

6. Nanavati Super Specialty Hospital

7. Max Super Specialty Hospital

Some of the Top Oncologists in India are:

1. Dr. Ashok Vaid- Medanta The Medicity Gurgaon

2. Dr. Suresh Advani- Fortis Hospital Bangalore

3. Dr. Bellarmine Vincent Lawrence- Fortis Malar Hospital Chennai

4. Dr. Sandeep Nayak- Fortis Hospital Bangalore

5. Dr. Amit Agarwal- BLK Super Specialty Hospital

6. Dr. Harit Chaturvedi- Max Super Specialty Hospital

7. Dr. PP Bapsy- Fortis Hospital, Bangalore

Procedure to get Medical Treatment in India:

Many people still don’t understand or know what medical tourism is about. Before you go on a medical trip in India, you should be well-informed about your procedure first and the coverage of your treatment and care

Steps you should take before applying for medical visa:

It is important to consult your local primary physician first and discuss the details and reasons why you need to seek medical attention elsewhere. Your doctor will help you in providing you with a list of choices regarding the best hospitals and cancer treatment in India.

Looking for Top Hospitals or Doctors in India:

Indian Hospitals and doctors excel in Oncology, therefore one should search for best hospitals and doctors to know about procedures, bills, Surgeries.

Cure2heal will help you find with Top Cancer Hospitals and Top Oncologists in India.

a. Apply for your Passport and Medical Visa

b. Prepare for visa documents based on your country requirements

c. You can apply online and fill all the information they require

d. After getting the visa, contact your agent and send him all the information about your flight boarding

Taking Proper Follow-Up

Remember your treatment is not completed with your surgery.You need to follow the aftercare rituals as important as your surgery. Prepare yourself for home and focus more on your recovery after surgery.

Chemotherapy

What is Chemotherapy?

Chemotherapy is a form of chemical drug therapy that is used to destroy rapidly growing cells in the body. It is used to treat cancer. Chemotherapy is also used in combination with other therapies such as surgery, radiation or hormone therapy. It can kill cancer cells that have developed to other parts of the body far off from the original tumor. It usually depends on:

a. The stage and cancer you have

b. Your overall health

c. Previous cancer treatments you had

d. Your treatment preferences

Chemotherapy

Why Chemotherapy is used?

Chemotherapy is used to:

a. To cure cancer disease without other treatments. Chemotherapy is used as the only primary treatment for cancer.

b. After other treatments, to kill hidden invisible cells. Chemotherapy is used after other treatments, such as surgery, to kill other cancer cells that might remain in the body. Doctors call this adjuvant therapy.

c. To prepare you for other treatments. Chemotherapy is used to make a tumor in smaller size so that other treatments, such as radiation and surgery, are possible. Doctors call this as neo-adjuvant therapy.

d. To relieve signs and symptoms. Chemotherapy may help in relieving signs and symptoms of cancer by killing some of the cancer cells present in the body. Doctors call this palliative chemotherapy.

 

Types of Chemotherapy

1. Plant Alkaloids- This is used to stop the cells from growing and dividing.

2. Antitumor antibiotics: These are type of anticancer drug that blocks cell growth by interfering with DNA.

3. Antimetabolites-These are the mimic proteins that the cells need to survive. When the cells consume them, they offer no benefit, and the cells starve.

 

Options Available

1. Clinical Trials

2. Hematologic Oncology

3. Interventional Oncology

4. Radiation Therapy

5. Surgery

 

Risks Involved During Chemotherapy Procedure

1. Hair Loss

2. Constipation

3. Fatigue

4. Vomiting

5. Nausea

6. Loss of Appetite

 

How to Prepare for Chemotherapy Process

a. Prepare for your first treatment-Ask your doctor how to prepare for chemotherapy. It may be helpful for you to arrive for the first chemotherapy treatment well-rested. You might wish to eat a light meal before treatment

b. Have a device surgically placed before intravenous chemotherapy-If you are receiving your chemotherapy drip into a vein your doctor may recommend a device, such as port or pump. The port or pump is surgically injected into a large vein, usually in your chest. Chemotherapy drugs can be given through this device.

c. Go Through tests and procedures to make sure your body is ready to take chemotherapy.-Blood tests is taken to check kidney and liver function and heart tests are taken to check heart health to determine whether your body is ready to begin chemotherapy. If there is a problem, your doctor may postpone your treatment or select a different chemotherapy drug and dosage that is safer for you.

d. Consult your dentist-Treating infections which are existing may reduce the risk of complications during chemotherapy treatment.

e. Be prepared for side effects-Ask your doctor what risks are involved during and after chemotherapy and make suitable arrangements. If your chemotherapy treatment causes infertility, you may wish to decide for preserving your sperm or eggs for future use. If your chemotherapy cause hair fall, consider planning for a head covering.

f. Make arrangements for help at home and work-Usually chemotherapy treatments are given in hospitals, which means most people are not able to continue their work and their usual activities during chemotherapy.

 

Chemotherapy Procedure

a. Chemotherapy can be given directly into the tumour, depending on the tumor’s location. If you go through a surgery to remove the tumor, your surgeon can implant slow-dissolving discs that release medications over time

b. Chemotherapy can also be given to a specific part of the body through localized treatment, such as directly into the abdomen, chest or into the bladder through the urethra

c. Liquid chemotherapy drugs can be given in single shots, or you can have a port installed where a needle is inserted for each treatment. The infusion method with a port only involves pain at the injection site during the first visit, but the port needle can loosen depending on your level of activity.

Where you receive treatment depends on your preferred delivery method. For example, if you use creams or pills, you can give yourself treatments at home. Other procedures are usually performed at a hospital or a cancer treatment center.

Steps to be followed during the Procedure

a. Before you begin your chemotherapy treatment you will go through a series of tests to help determine if you are healthy enough for chemotherapy. This part will include an examination of your heart and blood tests to determine the health of your liver. These tests can also help guide your doctor in deciding which types of chemotherapy can be used in your treatment.

b. Your doctor may also recommend that you visit your dentist before starting your treatment. As chemotherapy affects your body’s ability to heal, any infection in your gums or teeth would likely to spread all over your body.

c. Your doctor may install a port if you are getting chemotherapy through an intravenous (IV) line. A port is a device that is injected in your body, typically in your chest near your shoulder. This allows for easy access to your veins and is less painful. During every treatment process, the IV will be inserted into your port.

 

Post Procedure

Your Oncologist and cancer department team will regularly monitor the effectiveness of your treatment. This will include imaging techniques, blood tests. Your doctor can modify your treatment process at any time.The more you share with your consultant about how chemotherapy is affecting you, the better your treatment experience will be. You can also tell them about any side effects or treatment-related problems you are having so that they can make adjustments to your treatment if required. 

Radiation Therapy

Radiation Therapy

Radiation Therapy is a type of cancer treatment procedure that uses waves of energy such as light or heat, to treat cancer and works by damaging the DNA within cancer cells and destroying their ability to reproduce. When the damaged cancer cells are destroyed by radiation, the body naturally gets rid of them. Normal cells can be affected by radiation treatment, but they can repair themselves. Sometimes radiation therapy is the only cancer treatment process a patient needs.

 Radiation Therapy

Why Radiation Therapy is used?

    Radiation Therapy is used for two different reasons:

1. To cure cancer

Destroy tumor that has not grown on other body parts.

Reduces the possibility that cancer will return after chemotherapy or surgery.

2. To Reduce Symptoms

Relieve pain by reducing the size of a tumour.

Shrink tumour can affect the quality of your life cycle.

 

How Radiation Therapy Works?

Radiation therapy is given in a high dose to kill cancer cells or slows down their growth by damaging their DNA. Cancer cells whose DNA is damaged beyond repair stops separating or die. When the damaged cells die, they are broken down and are removed from the body. Radiation therapy does not kill cancer cells right away it takes a few weeks or months after the treatment.

Radiation Therapy

Types of Radiation Therapy

1. External Radiation Therapy- External Beam Radiation therapy delivers radiation using a linear accelerator

2. Internal Radiation Therapy- Internal Radiation called brachytherapy or seeds implants involves placing radioactive sources inside the patient.

radiation therapy

 

Planning Radiation Therapy- Stimulation

Each Treatment procedure is mapped out in detail using  planning software

Radiation Therapy must be focused on the same target every time. Doctors use different tools or devices to do this: skin markings or tattoos, Immobilization devices- casts.

 

How Radiation Therapy is performed?

Radiation Therapy is performed using a machine (external radiation)during external radiotherapy procedure, you need to lie down on a table and a machine is used to reflect beams of radiation at cancer. The machine is operated from outside the room, but you will be watched throughout the procedure through a window or a camera. There will be an intercom if you need to speak to the person treating you. The treatment procedure usually takes a few minutes and is completely painless.

1. Intensity-modulated radiation therapy (IMRT) – where the shape and strength of the radiation beams are varied to closely fit the area of the cancer

2. Image-guided radiation therapy (IGRT) – where scans are done before and during each treatment session to ensure that the cancer is targeted correctly

3. Stereotactic radiosurgery (SRS) – where lots of tiny beams of radiation are focused exactly  at cancer so that a high dose can be given at once (usually in a single treatment)

4. Stereotactic body radiation therapy (SBRT) – where several beams of radiation are reflected at cancer from different directions

 

Radiation Therapy using implants (Brachytherapy)

a. Places radioactive material into tumour or surrounding tissue

b. Allows minimal radiation exposure to normal tissue

c. Radioactive devices used are capsules, thin wires, seeds

d. These can either placed permanently or temporarily in the body

radiation therapy

Side Effects of Radiation Therapy

a. Skin changes

b. Fatigue

c. Hair Los

d. Nausea & Vomiting

 

Post Procedure

Once your treatment ends, you will have a consultation appointment with the radiation specialist. This involves:

1. Checking on your recovery method

2. Watching for treatment aspects, which cannot happen directly

As your body heals, you will need fewer follow-ups. Ask your consultant for a written record of treatment. This may be a useful resource as you will be able to manage your long-term health care.