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Head and neck cancer is a sign

Head and neck cancer is a significant problem in our country, accounting for about a third of all cancer cases. Many important functions are performed in the head and neck area, including swallowing, calling, and articulation by organs. The purpose of preservation surgery is to eradicate the cancerous lesion while preserving the form and function of the affected limb as much as possible. - Head and neck cancer patients suffer from a variety of problems; for example: Difficulty breathing Chewing / swallowing difficulty Difficulty speaking Pain Psychological disturbances that follow a cancer diagnosis and fear of changes in their appearance Participating in food in their normal social setting Conduct personal hygiene Verbal Communication Pursue their professional and social activities Head and neck reconstructive surgery (plastic surgery) is performed to replace missing tissue with pieces of tissue from other parts of the body. This can be in the form of a skin graft, a pedicapped flap, or a free flap. Free flap reconstruction (microvascular surgery) has gained popularity over time to become the standard of care for large head & neck defects. The benefits of a free flap reconstruction include Better mouth opening Swallowing better First recovery to normal diet Better speech quality Better cosmetic result Bone reconstruction for upper and lower jaw defects Dental implant placement to restore chewing Better shoulder and neck movement Infection and scarring incidence "The ultimate goal of reconstructive surgery is to restore as much of the removed tissue's appearance and function as possible"

Traditionally gastrointestinal

Traditionally gastrointestinal cancers that had spread to the lining of the abdominal cavity (ie the peritoneum) were considered with a nihilistic approach and were considered stage 4. Their treatment is similar to other metastatic solid donors that include intravenous chemotherapy. Treatment with IV chemotherapy for such patients has led to poor outcomes over the last decade, ranging from 6 to 9 months of average survival and improved survival of new multi-modi chemotherapeutic regimens from 12 to 15 months. We all know that the lining of the stomach has different physiology than other solid organs in the body that sell metastatic cancer. The main difference is in their blood supply. In solid organs where the blood supply is enriched and on the other hand can receive high concentrations of chemotherapeutic drugs, a plasma peritoneal barrier (Fig2) has been found in the stomach lining, which results in a low concentration of drugs at these sites across the barrier. Restricts the spread of drugs. Leading to bad results. To overcome this plasma and lining of the stomach, the concept of intra peritoneal chemotherapy came up, where chemotherapy solution is given directly inside the abdomen at the time of surgery or after surgery. Chemotherapy cells act on microscopic cancer cells present on the lining of the stomach and effectively kill plasma - the peritoneal barrier inhibits the absorption of the drug into the circulation, reducing the side effects of the drug compared to traditional intravenous chemotherapy. This gives us the benefit of using larger doses of chemotherapy inside the abdominal cavity with fewer chances of complications. Adding heat to the chemotherapy solution increases the killing power of the drug and increases the healing power. During this novel technique of heated intraperitoneal chemotherapy (HIPEC), we transmit chemotherapy at a temperature of 43 degrees for a period of 60 to 90 minutes. A recently published article in the New England Journal of Medicine showed the benefit of adding HIPEC to the standard treatment of stage 3 ovarian cancer at the time of cyto reactive surgery that increased overall survival by 12 months. Similarly several studies in peritoneal cancer of colo rectal origin have shown an improvement in all survival compared with standard intravenous chemotherapy with HIPEC. HIPEC has always been combined with cytoreactive surgery where all of the first pathologies of the abdomen are removed through open incisions or through a critical piercing technique in potential patients with low disease weight. Hot chemotherapy is operated at a temperature of 43 degrees in the stomach for a period of 60 to 90 minutes after the entire illness. The idea behind this approach is that all visible tumour is removed and any small microscopic residual disease which is not seen by the eyes is taken care by the circulating chemotherapy in the abdomen. Another form of Intra peritoneal chemotherapy is Piped aerosol form which is called as PIPEC and used for those patients who have unresectable peritoneal disease in the abdomen and the chemotherapy is given to either control the growth of the disease or reduce the volume of the disease.

Laparoscopic Cancer Surgery us

Laparoscopic Cancer Surgery uses approximately 4 to 5 small incisions of 0.5–1cm in size. Each incision is called a "port". At the beginning of the procedure, the stomach is inflated with carbon dioxide gas to provide work and viewing space for the surgeon. A tubular device, known as a trocar, is inserted at each port. Special instruments and a special camera, known as a laparoscope, pass through trocars during the process. The laparoscope transmits images from the abdominal cavity to the high-resolution video monitor in the operating room. During the operation the surgeon sees detailed images of the abdomen on the monitor. This system allows the surgeon to perform an operation similar to traditional surgery but with smaller incisions. While Laparoscopic Surgery approaches are used for many abdominal procedures, such as removal of the appendix, repair of the gall bladder and hernia that allow the patient to recover faster due to less pain and quicker mobilization, laparoscopic for cancer surgery / The use of minimally invasive approaches is still very little and sometimes a matter of debate. For cancer patients, questions remain regarding the adequacy of tumor removal, the risk for recurrence of the disease, and the effect on their survival. Myth 1: Complete tumors cannot be removed via laparoscopic approach Truth: Laparoscopic cancer surgery is performed in the same technique as open surgery, but with the help of specialized equipment that allows careful dissection and surgery through small incisions. Myth 2: Laparoscopic approach increases tumor spread Truth: Various clinical trials have shown that laparoscopic cancer surgery is comparable to open surgery in terms of oncological results. The use of wound protectors during tumor recovery as well as low manipulation tumors during laparoscopic surgery for cancer is safe and does not allow the tumor to spread. Several comparative tests prove that laparoscopic cancer surgery is safe and equal to its open counterpart and is beneficial to the patient and improves quality of life by eliminating large abdominal scars as well as post-operative pain . At the same time you must remember that laparoscopic approaches cannot be used for all types of cancer. Those who are advanced or stuck to other structures in the abdomen may require an open approach or a hybrid approach to a small abdominal scar to remove the cancer. The Following Cancer Conditions Can Be Operated By Laparoscopic Approach : - Gastrointestinal Cancers: Stomach Esophagus Small Intestine Colon Rectum Anal Canal Pancreas Liver - Gynaecological Cancers: Uterine Ovary Cervix - Urological Cancers: Kidney Urinary Bladder Prostate - Thoracic Cancers: Lung Cancer Thymic Tumors Mediastenal Tumors - Others: Retroperitoneal Sarcomas Thyroid Cancers

The Surgical Treatment For Can

The Surgical Treatment For Cancers Has Traditionally Been Done By Open Techniques. An Open Surgery Is Associated With A Large Wound, Greater Pain & Delayed Recovery And Return To Normal Activities. Laparoscopic Surgery/Minimal Invasive Surgery Has Now Been Established As A Feasible, Safe And Sound Option For Certain Cancers Including Which Include Colon, Endometrial, Stomach And Esophageal Cancer.​ Laparoscopic Surgery/Minimal Invasive Surgery Has Now Been Established As A Feasible, Safe And Sound Option For Certain Cancers Including Which Include Colon, Endometrial, Stomach And Esophageal Cancer. Robotic Cancer Surgery On The Other Hand Has The Following Advantages: - High Definition And Magnified 3-Dimensional Vision With The Camera Controlled By The Surgeon. - Endo Wristed Instruments With Extreme Degrees Of Freedom Somewhere Between 3600 To 7200 Enables The Surgeon To Use Instruments In Narrow Confined Spaces, To Access Difficult To Reach Cancers, And At Angles That Are Impossible With Open Or Laparoscopic Instruments. - Precise Energy Source To Cut And Coagulate Tissues. All of these provide the ultimate flexibility and precision for exceptional surgical techniques in cancer surgery. In Robotic Cancer Surgery, Robotic Technology enables a radical operation to be performed with preservation of nerves and other critical structures, due to improved visualization. This is especially important in Rectal, Gynecologic Robotic Surgery and Robotic Operation for Prostate Cancer. For example, in robotic prostate cancer surgery, every effort is made to remove the nerves. As the veins and vessels are all magnified and it is very easy to protect and help them. Patient Benefits Of Robotic Assisted Surgery: Precise Removal Of Cancerous Tissue Significantly Reduced Pain Less Blood Loss Less Scarring Shorter Hospital Stay Faster Return To Normal Daily Activities Equivalent Cancer Cure Rates As Open Surgery

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