✅ Treatment strategies in ovarian cancer. Dr. Lucas Minig. Gynecologic Oncologist. Valencia, Spain.

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07/08/23

✅ Expert gynecologist on ovarian cancer with peritoneal carcinomatosis in Valencia, Spain https://drlucasminig.com/en/ra....dical-cytoreductive-

👉 Surgery plays a fundamental role for patients with advanced ovarian cancer. The main goal is to remove all of the macroscopic diseases to significantly increase survival time. If properly trained gynecologist-oncologists operate on these women, the chances of removing the disease completely increase significantly.

✨️ Dr. Lucas Minig and his multidisciplinary team. He is specialized in high complexity surgeries for gynecological cancer and minimally invasive laparoscopic surgery
📍 Valencia, Spain.

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▷ More information about Dr. Lucas Minig:
https://drlucasminig.com/en/

▷ More information about laparoscopic and robotic surgery with Dr. Lucas Minig and his Team:
https://drlucasminig.com/en/treatment-by-mini-invasive-laparoscopic-surgery/

▷ More information regarding postoperative recomendación after surgery with Dr. Lucas Minig and his Team:
A-https://youtu.be/8hewPbs8_X0
B-https://drlucasminig.com/en/prepare-for-a-surgical-intervention/

▷ More information regarding surgical citoreduction in women with peritoneal carcinomatosis for advanced ovarian cancer with Dr. Lucas Minig and his Team:
https://drlucasminig.com/en/ra....dical-cytoreductive-

▷ More information regarding laparoscopic treatment for endometriosis with Dr. Lucas Minig and his Team:
https://drlucasminig.com/en/benign-pathologies/endometriosis/

▷ More information regarding laparoscopic hysterectomy with Dr. Lucas Minig and his Team:
https://drlucasminig.com/en/treatment-by-mini-invasive-laparoscopic-surgery/laparoscopic-hysterectomy/

▷ More information regarding laparoscopic myomectomy with Dr. Lucas Minig and his Team:
https://drlucasminig.com/en/treatment-by-mini-invasive-laparoscopic-surgery/laparoscopic-myomectomy/

✅ Nowadays, almost all women with ovarian cancer need surgery at some stage of their disease. The main goal is, on one hand, to make a correct diagnosis, but also to know the actual expansion and to remove all macroscopic implants or nodules to greatly increase the patients' chances of survival.

✅ For women with early stages of the disease, the surgery consists of removing the uterus with the ovaries and a fatty tissue called "omentum". In addition, lymph nodes in the pelvis and abdomen must be removed. In contrast, for women at an advanced stage, which is almost 80% of women diagnosed with the disease, the surgery includes procedures other than the

✅ Sometimes the peritoneum, a very thin membrane covering the diaphragm, also has to be removed, intestinal resections have to be performed, the spleen has to be removed or the liver has to be operated on. And I insist on performing all of these procedures on the same patient in a single surgical procedure.

✅ The decision about when women with advanced stages of ovarian cancer surgery should have, is multifactorial. It depends mainly on the expansion of intra-abdominal disease at the time of diagnosis. But also, related to the age of the patient and the general condition of the patient.

✅ In any case, gynecologists-oncologists make this decision in a multi-disciplined team integrated with medical oncologists, radiotherapists, specialized pathologists, and radiologists, among others.

✅ The goal is to determine the best treatment strategy for each patient; therefore to decide if the patient should start the treatment with an initial surgery followed by six cycles of chemotherapy called "primary cytoreduction". Or, on the other hand, to begin the treatment using neoadjuvant chemotherapy with three cycles of systemic treatment and perform what we call "interval cytoreduction."

✅ One estimates an average interval time of 3 to 5 months from the start of the disease to the beginning of symptoms. But in addition, once the patient starts to refer to these symptoms since they are so nonspecific, the final diagnosis of the disease usually takes about 3 months extra. So, when treatment begins earlier, there are more opportunities to remove all of the macroscopic diseases, resulting in an improvement in the patient's survival and prognosis.

✅ If no complications occur, which of course can happen depending on the size of the surgical procedures, these patients can resume their daily activities about 30 days after surgery.

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