City doctor performs rare cancer surgery

A team of doctors from the Columbia Asia Hospital has successfully performed a rare cancer surgery on a 62-year-old man who was diagnosed with Pseudomyxoma peritonei.

This abdomen cancer fills the appendix with cancerous mucin. The only symptom for such a rare case is when the enlarged appendix ruptures and spills all the cancerous mucin all over the abdominal cavity.

The GI surgery team of Columbia Asia lead by Dr Vasudeva Pai performed the surgery along with an expert team of anesthetists under the leadership of Dr Balasubramanyam. After an eight-hour long procedure the doctors could get an excellent clearance of the tumour and the surgery was successful, said Dr Viju Rajan General Manager, Columbia Asia Mysore.

“This rare cancer requires an extensive surgery which involves removal of the right half of large intestine (right hemicolectomy), removal of a curtain like layer of fat next to large intestine called omentum (omentectomy), stripping of almost the entire inner lining of abdominal cavity called peritoneum (radical peritonectomy), removal of spleen (splenectomy),”with HIPEC said Dr Vasudeva Pai H, Consultant surgical gastroenterologist.

Hyperthermic intraperitoneal chemotherapy (HIPEC) is a highly concentrated, heated chemotherapy treatment that is delivered directly to the abdomen during surgery. Unlike systemic chemotherapy delivery, which circulates throughout the body, HIPEC delivers chemotherapy directly to cancer cells in the abdomen which helps to gives best clinical outcome, in Mysore this special equipment is only available in Columbia Asia said Dr Viju Rajan.

The patient recovered gradually and was discharged from the hospital. He visits the hospital regularly for a follow-up with the doctor. This is the second time Dr. Vasudeva Pai has performed this surgery in Mysuru.

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