Oncology & Oncho Surgery
The department of Surgical Oncology was formally started from 2021 at Hayat center for cancer care, Guwahati. Since then we have grown and expanded our department day by day and we have been privileged to operate most challenging cases of wide variety of cancers.
Unfortunately, North-eastern part of India constitutes major Cancer burden of our country and many patients had to travel to other states and have been still travelling in hope of better treatment. Dr.Srinivas Bannoth, Chief consultant in department of Surgical Oncology feel proud to offer people with cancer, the most effective treatment with highest quality of care at affordable cost at Hayat Hospital.
Me and my team are highly skilled in performing complex cancer surgeries with skilled team of surgeons, along with trained nursing staff, technicians, operation theatres equipped with latest technology and trained nursing staff dedicated for better ICU and post-operative care till the discharge of patient.
With diverse expertise the department provides specialised care focusing on following areas-
- Breast cancer
- Bone and soft tissue tumours
- Oesophageal cancer
- Lung Cancer and other thoracic tumors
- Stomach cancer
- Gall bladder, Liver and cancer for pancreas
- Colo-rectal cancers
- Head and neck cancers
- Ovarian, uterine and cervical cancers
- Cancers of Uro-Genital tract
With multidisciplinary approach we aim at providing best possible cancer care with better post-operative quality of life.
Sarcoma is an uncommon cancer type that is mostly found in the bones, muscles, cartilage, nerves, tendons and blood vessels of your arms and legs. They grow in connective tissue cells that support other tissues in the human body. Sarcoma surgery is performed to remove the tumour out of the body.
Surgery in children can be more complicated than that in adults. We offer the best pediatric surgical services and comprehensive care to our patients. The highly experienced and dedicated team of paediatric surgeons manage and treat the health of children including neonates.
Melanoma affects the melanocytes cells in your skin and is one of the most serious types of cancers. Exposure to UV radiation is considered to be one of the leading causes of melanoma. If melanoma spreads beyond the skin, surgery is suggested to remove the affected lymph nodes.
Hepato-pancreato- Biliary (Hpb) Surgery
Hepato-pancreato- biliary cancers are the cancers that affect the pancreas, liver, gallbladder and the bile ducts. A surgery procedure is performed to remove the malignant cells from the body. The treatment is combined with other cancer treatment options like internal radiation therapy or regional chemotherapy.
HIPEC is an alternative method for providing chemotherapy. In this particular method, chemotherapy is offered directly into the abdomen. For gastric cancers, this is one of the most effective and recommended treatment options.
Apart from radiation therapy, endocrine cancer treatment also includes surgery to remove the cancerous tumour. Those diagnosed with endocrine cancers are also offered hormonal therapy to balance hormone levels.
Colorectal surgery is a discipline of medicine that manages conditions of the rectum, anus and colon. Surgery is performed to remove cancer and tissues from the wall of the rectum.
Acute Care General And Palliative Surgical Oncology
These sections provide diagnosis, suitable treatment and surgical services to cancer patients to improve survival, shorten recovery times and minimize treatment-related side effects.
Treatments & Procedures
The treatment option can be surgery alone or surgery along with other treatment options. Surgery is performed to remove the formed tumour. In some cases, surgery isn’t helpful like in leukaemia (blood cancer), there is no mass to be removed.
Surgery in cancer treatment is mostly used
– To perform a diagnostic procedure to ascertain the stage of cancer
– Remove the tumour or cancer
– Remove a part of the tumour
– Palliative surgery is performed to ease the symptoms of cancer
– Reconstructive or restorative surgery to change the condition of the body post-surgery.
Surgical Oncology – types of surgeries
In surgical oncology, there are different procedures carried out that depend on the objective of treatment. The types of surgeries carried out depending on the treatment goals are:
Tumors and masses can be formed in the body. In most cases, these may be benign or harmless. Doctors would like to avoid risks and may want to test the masses before deciding. As a result, a sample of the mass needs to be collected and sent for testing to determine if it is cancerous or not. This procedure is referred to as diagnostic surgery. It may involve cutting out a small area of the tissue (incisional biopsy) or removing an entire mass (excisional biopsy). A biopsy may be done without an incision by inserting a fine needle to withdraw the tissue.
This is also known as prophylactic surgery and the goal is to prevent cancer. It’s possible that polyps or precancerous tissues are detected during diagnosis. While these are not cancerous tumors, a surgical oncologist may decide to remove these tissues as a preventive measure. Related treatments include mastectomy where the breast is removed in high-risk cases to prevent breast cancer. Similarly, in those who are at risk of developing ovarian cancer, the ovary and fallopian tubes may be surgically removed as a preventive measure.
This is a surgical procedure done by a surgical oncologist to determine the stage of cancer. Treatment for cancer depends on how much cancer cells have spread. A staging surgery may be done to open up the affected parts and find out the extent of cancer. This may be done using laparoscopy where small incisions are done and a laparoscope inserted to investigate the cancer. This is generally not a very invasive form of surgery.
This is the actual treatment done by a surgical oncologist. Once the presence of cancer is confirmed and the stage decided, a surgery is done to remove cancer cells and other affected body tissues. Surgery involves removing cancer cells and lymph nodes that are affected. Sometimes a part of an organ or the entire organ may have to be removed as a part of treatment. Surgery can be used along with chemotherapy, where a port and catheter is surgically inserted to allow medicines to be delivered to the blood.
When surgery is carried out, a part of an organ may be removed. It would be required to reconstruct the body to restore body parts, this is known as reconstructive surgery. For instance, when surgery for head and neck cancer is done, facial reconstruction is needed to reconstruct the face, which otherwise is affected because of removal of tissues. Microvascular surgery is generally used to stitch together small blood vessels to reconstruct body parts.
When cancer is at an advanced stage, curing it may not be possible. However, quality of life needs to be improved through various means. Palliative surgery provides relief from the symptoms of cancer. If a tumor is pressing on a nerve and causing pain, then the tumor is removed to provide relief from symptoms, even though the surgery may not treat the cancer.