ESSO Hannover Fellowship లో specifically train అయిన HIPEC. Hyderabad లో CRS+HIPEC మరియు PIPAC రెండూ offer చేస్తున్నాను. PCI scoring, patient selection, complete cytoreduction.I trained specifically in HIPEC during my ESSO Hannover Fellowship. I offer both CRS+HIPEC and PIPAC in Hyderabad. PCI scoring, patient selection and complete cytoreduction.
HIPEC globally rare specialty. India లో dedicated peritoneal surface malignancy fellowship ఉన్న surgeons limited. నా ESSO Fellowship specifically University Hospital Hannover లో Prof. Dr. Beate Rau దగ్గర. ఈ training Hyderabad లో rare.
నేను patients కి honest గా చెప్తాను: HIPEC "inoperable" cases కి automatic solution కాదు. PCI (Peritoneal Carcinomatosis Index) score, disease biology, patient fitness అన్నీ assess చేసిన తరువాత మాత్రమే recommend చేస్తాను. About 30% of referred peritoneal cases are not surgical candidates — ఆ patients కి honest గా చెప్పి better options వైపు guide చేస్తాను.
HIPEC is a globally rare specialty. In India, surgeons with dedicated peritoneal surface malignancy fellowship training are few. My ESSO Fellowship was specifically at University Hospital Hannover under Prof. Dr. Beate Rau. This training is rare in Hyderabad.
I tell patients honestly: HIPEC is not an automatic solution for "inoperable" cases. I only recommend it after assessing PCI score, disease biology and patient fitness. About 30% of referred peritoneal cases are not surgical candidates — I tell those patients honestly and guide them toward better options.
Standard of care. Best outcomes among peritoneal surface malignancies.
Appendix-origin. Potentially curative with complete cytoreduction.
PCI below 20. PRODIGE 7 trial evidence.
Interval debulking + HIPEC. OVHIPEC trial NEJM 2018.