🛎 Ovarian cancer. what this disease looks like? 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-

👉 Ovarian cancer surgery is a highly complex procedure that should be performed only by a well-trained surgical team. In this manner, we are able to remove the entire tumor in the abdomen in almost all women and in this way, we can significantly prolong not only their survival but also their quality of life..

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

🔔 drlucasminig.com
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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/

✅ Eighty percent of women with ovarian cancer are diagnosed when the disease has spread beyond the ovaries. Mainly in the peritoneum, a thin membrane that lines the inside of the abdominal and pelvic cavity as well as organs such as the bowel, spleen, or liver. This is called peritoneal carcinomatosis.

✅ The most important factor of survival for women with advanced ovarian cancer is the complete removal of the disease before chemotherapy is started. And here I would like to show you what this disease really looks like in the pelvic and abdominal cavity. As you see here, the first thing we do is make a

✅ Then we widen the incision to assess the real extension of the disease throughout the pelvic and abdominal cavity. And here you can see the pelvic extension of the disease in the form of a large lump in the ovaries as you see in white, as well as the sigmoid colon involvement.

✅ To remove the entire pelvic disease, we need to make a section of the terminal part of the colon along with the uterus, ovaries, fallopian tubes, and peritoneum.
As you see here, after the complete eradication of the pelvic disease, the sigmoid colon is attached with its distal part or rectum to restore the normal intestinal transit.

✅ Here you can see small implants located over the small bowel that also need to be removed. As you can see, these are usually multiple implants of different sizes, ranging from 2 to 20 millimeters or even larger. This is a part of the surgical procedure that usually takes a lot of time and should be done with great care.

✅ We need to remove all macroscopic implants to really improve the patient's survival and to be sure that there is no macroscopic peritoneal implant left after surgery (what we call residual disease). This is the most important factor that significantly improve oncologic outcomes.

✅ Another very common location of the disease is the peritoneum of the diaphragm, usually the right part. As demonstrated, anything implanted with ovarian cancer is affected here. To remove the whole of the disease at this level, we first need to mobilize the liver properly, and then carefully detach all of the peritoneum: this thin membrane that covers the diaphragm muscle.

✅ As you can see here, both the diaphragm and the diaphragm muscle are already detached from the peritoneum covering this organ, and you can see here the right diaphragm muscle, which is completely free of a tumor that was detached from the peritoneum with malignant implants

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