Surgery treatments in IVO
Extensive casuistry and experience working on a wide variety of tumours, the technical quality professionals, technological and structural means have all help make the IVO a reference cancer centre in numerous surgical techniques to treat tumours, including most notably the following:
- The Gastrointestinal Tract Surgery the full range of pathologies relating to the gastrointestinal tract (oesophagus, stomach, colon and rectum) tumours, as well as the surgical treatment of tumours of the liver, páncreas and bile ducts. The gastrointestinal tract surgery section makes use of the latest technical innovations such as laparoscopic surgery, tha they have ample experience in. The CRS+ HIPEC technique (Cito- Reductive Surgery + Hiperthermic Intra-Peritoneal Chemotherapy) has recently been added to the range of treatments available at the IVO for the treatment of aggressive tumors that have spread through the abdominal cavity.
- Oncoplastic breast surgery. A number of professionals visit us to be trained by our specialists in these techniques.
- The multidisciplinary care centre provides treatment for urological cancer offering multiple therapeutic options for prostate cancer: open or laparoscopic surgery (cryotherapy). The IVO has performed more radical prostatectomies than any other centre in the Valencian community. The Urology Service is a pioneer in the development of new surgical techniques for bladder and kidney cancer. They are experts in bladder reconstruction and neurological function preservation as well as vesicle preservation techniques.
- Surgery for gynaecological cancer. Extensive experience in ultra-radical surgery for ovarian cancer with the aim of removing all visible disease in the abdominal and pelvic cavity. This is crucial to control of disease progression. The team performs 70% of surgical procedures for early-stage cervical, endometrial or ovarian cancer through minimally-invasive laparoscopic surgery.
- MOHS micrographic surgery is used for skin cancer. The IVO was the first centre to perform MOHS micrographic surgery. It is a successful technique for the treatment of skin cancer and allows a minimal amount of tissue to be removed while making sure that all the cancer cells are removed. The IVO has performed MOHS surgery for the treatment of dermafibrosarcoma more than any other centre.
- Microvascular free flaps in head and neck reconstruction surgery is another area of specialization. The otolaryngology service has extensive experience in this reconstructive technique. This procedure consists in obtaining tissue from another part of the patient’s body and using it on the area where the tumour was removed, minimizing the negative aesthetic aspects and improving the patient’s ability to breathe, eat and speak.
- The sentinel lymph node biopsy procedure is used in evaluating breast, melanoma and prostate cancer. It is the first centre in the Valencian Community to apply this detection technique in vulvar cancer. It is the first node in the lymphatic chain of node to drain the lesion. If the result is positive following excision and analysis, it will indicate that a lymph node dissection is necessary.
Classification of surgery
Surgeries are classified based on the purpose of performing surgery:
- Diagnostic surgery: a sample of the tumour is taken to confirm or discard malignancy.
- Surgical staging: performed to determine the extent and spread of the disease.
- Preventative surgery: used to remove precancerous lesions which can develop into cancer.
- Cytoreductive surgery: shrinks the size of tumours that cannot be completely removed by surgery because of their location.
- Palliative surgery: resolves problems caused by the disease, such as intestinal blockage caused by colon cancer.
- Curative surgery: is performed to remove the tumour and a rim of healthy tissue to prevent recurrences. The aim is to provide results of the effectiveness of other treatments such as chemotherapy.