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DEPARTMENT OF SURGICAL ONCOLOGY

Bone Cancer Surgery

Bone cancer surgeries are complex procedures aimed at removing cancerous tissues from the bone. These surgeries are performed by skilled orthopedic oncologists and are tailored to the specific type and stage of cancer.

Bone Cancer Surgeries at Kolhapur Cancer Centre

At Kolhapur Cancer Centre (KCC), we provide comprehensive care for patients diagnosed with bone cancer. Our approach to bone cancer surgery is patient-centered, employing advanced surgical techniques to ensure effective treatment while maintaining quality of life. This page offers an informational overview for patients considering or preparing for bone cancer surgery.

Understanding Bone Cancer Surgeries

Bone cancer surgeries are complex procedures aimed at removing cancerous tissues from the bone. These surgeries are performed by skilled orthopedic oncologists and are tailored to the specific type and stage of cancer. The primary goal is the complete removal of cancer while preserving as much bone and function as possible. The surgeries are meticulously planned, often using imaging technology for precision.

When and Why Surgery is Recommended

Surgery is recommended in cases where the tumor is localized and operable. It is often the preferred choice when immediate removal of the cancerous tissue is feasible and vital for preventing the spread of cancer. It may also be combined with chemotherapy or radiation therapy for a holistic approach, enhancing treatment effectiveness and reducing recurrence.

Types of Surgeries

  • Limb-Sparing Surgery: This surgery aims to remove the cancerous lesion while preserving the limb’s functionality. Advanced techniques often reconstruct the bone using grafts or prosthetics.
  • Amputation: In certain cases, to entirely ensure cancer removal and patient safety, amputation may be required. Our team provides thorough support and options for prosthetics, contributing to post-operative rehabilitation.
  • Pelvic Resection Surgery: Applied when the cancer is located in the pelvis, this complex surgery might involve bone grafting or the use of special prosthetics.

Reconstructive Surgeries

Reconstructive surgeries play a critical role post-tumor removal, especially in limb-sparing surgeries. These include bone grafts or the insertion of prosthetic materials to restore appearance and function. Our multi-disciplinary team assesses each patient to offer optimal reconstruction solutions.

Key Facts

  • Surgical advancements have improved survival rates and quality of life for bone cancer patients.
  • Pre-operative imaging and testing are essential for precise surgery planning.
  • Recovery and rehabilitation are integral parts of the surgical process, focusing on restoring mobility and strength.

Designing Your Cancer Treatment Plan

The treatment plan at KCC is carefully tailored to each patient’s individual needs and is influenced by factors like cancer type, stage, location, and the patient’s overall health. Our expert team of oncologists, surgeons, and support staff work together to formulate a plan that maximizes treatment efficacy while minimizing side effects.

As we prepare to delve into “pre-surgical preparations,” it is crucial that patients are equipped with knowledge about what to expect, ensuring they are ready physically and mentally for the journey ahead.

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Pre-surgical Preparations 

Preparing for surgery is an essential step in ensuring the success of the procedure and the patient’s swift recovery. At KCC, our comprehensive pre-surgical preparation involves several key components:

  • Medical Evaluations: Patients undergo a series of evaluations to determine their overall health status. This includes blood tests, imaging scans, and any relevant specialist consultations. These evaluations help in identifying any underlying conditions that could impact the surgery.
  • Patient Education: Understanding the surgical process and what to expect helps alleviate anxiety. Our team provides detailed information about the procedure, post-surgical care, and recovery timelines. Patients are encouraged to ask questions to fully understand the process.
  • Nutritional Guidance: Proper nutrition plays a pivotal role in recovery. Patients may meet with dieticians to establish a pre-surgery nutritional plan that boosts their immune system and enhances their healing capabilities.
  • Physical Conditioning: Depending on the patient’s condition and the surgery type, a tailored exercise regimen might be recommended. Strengthening the body pre-surgery can aid in faster recovery post-surgery.
  • Mental Preparation: Emotional resilience is as important as physical readiness. Patients are offered support through counseling services, allowing them to address any psychological concerns and build a positive mindset as they approach their surgery.

Taking these steps equips patients with the best opportunity for a successful surgical outcome and a smooth return to daily life.

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What to Expect and What Happens During Surgery?

Bone cancer surgery is a critical procedure aimed at removing cancerous tissues while preserving as much of the patient’s healthy bone and function as possible. Patients can expect the following:

  • Pre-operative Planning: Surgeons will carefully plan the surgery using advanced imaging techniques to map out the precise areas for resection. This helps in ensuring maximum removal of cancerous tissue while minimizing damage to surrounding healthy structures.
  • Type of Surgery: Depending on the location and extent of the cancer, different surgical approaches may be used. Limb-sparing surgery is often possible, which involves removing the cancerous section of bone and reconstructing the limb using metal implants or bone grafts. In more severe cases, amputation might be necessary to completely remove the tumor.
  • Anesthesia: The surgery will be performed under general anesthesia, ensuring the patient is asleep and pain-free throughout the operation.
  • Intraoperative Monitoring: During surgery, a team of specialists will monitor vital signs and use various technologies to ensure the patient’s safety and the accuracy of the surgery.
  • Post-operative Care: After surgery, patients will be closely monitored in a recovery room before being transferred to a hospital floor. Pain management and monitoring for any complications such as infection or bleeding are crucial during this time.
  • Rehabilitation: Physical therapy will be an integral part of recovery, helping patients regain mobility and strength in the affected area. The specific rehabilitation program will be tailored to the surgery type and patient’s condition, promoting optimal recovery outcomes.

Understanding these steps helps patients and their families prepare for the journey of bone cancer surgery, easing concerns and facilitating a smoother recovery process.

 

Potential Risks & Complications

While bone cancer surgery is often necessary for treatment, it carries potential risks and complications that patients should be aware of.

Common surgical risks include infection, bleeding, and blood clots. Infection may occur at the wound site, requiring antibiotics or, in severe cases, further intervention.

Bleeding, either during or post-surgery, can sometimes necessitate blood transfusions. Blood clots pose another risk, particularly in the legs, and may require medications to facilitate blood flow.

Nerve damage is another potential complication, potentially leading to numbness, tingling, or weakness in the affected limb. In some cases, more complex reconstructive techniques may be required if significant bone or tissue has been removed, posing additional surgical challenges.

When to See Specialists?

It is crucial to contact orthopaedic cancer surgeon if any signs of complications arise. Indicators such as persistent fever, unusual pain or swelling, drainage of pus from the incision site, or a sudden worsening of symptoms should prompt immediate medical attention.

Additionally, experiencing shortness of breath or chest pain may indicate the presence of a blood clot or other serious condition, requiring urgent evaluation.

Regular communication with the surgical and oncology team ensures prompt intervention to address complications and supports overall recovery.

Post-Operative Care

Effective post-operative care is a critical component of the recovery process following bone cancer surgery. Initially, patients will be placed in a recovery room where their vital signs, such as heart rate, blood pressure, and oxygen levels, will be closely monitored. Pain management is a priority, with medications provided to alleviate discomfort and facilitate healing.

Preventing complications is another crucial aspect. Patients are observed for signs of infection, bleeding, or other surgical complications. Measures are taken to prevent these issues, such as maintaining sterility and applying dressings to surgical wounds.

Nutrition and hydration are also important, as a balanced diet supports the body’s healing process. Patients will be encouraged to gradually resume eating and drinking post-surgery, ensuring they receive adequate nutrients and fluids.

Additionally, guidance on wound care, mobility, and other home-care instructions will be provided before discharge. Regular follow-up appointments are essential to monitor recovery progress and address any concerns that may arise. Through comprehensive post-operative care, patients can achieve the best possible outcomes and return to their daily activities more swiftly.

Prognosis After Surgery in Each Type of Bone Cancers

The prognosis after surgery for bone cancers varies significantly depending on the specific type of cancer involved.

For osteosarcoma, which is the most common type of bone cancer, the prognosis has improved considerably with advances in chemotherapy and surgical techniques.

If the cancer is localized and successfully removed, the five-year survival rate is around 70%. However, if the cancer has metastasized, particularly to the lungs, the prognosis becomes poorer.

Ewing sarcoma typically affects children and young adults. The outlook for patients with this type of cancer is influenced by the extent of the disease at the time of diagnosis. With aggressive treatment including surgery, chemotherapy, and radiotherapy, the five-year survival rate can approach 70% when the disease is localized.

Chondrosarcoma presents a different scenario, as it is generally resistant to chemotherapy and radiotherapy. Surgical removal is therefore essential for a promising prognosis. The outcome often depends on the grade of the tumour, with low-grade variants having a much better prognosis than their high-grade counterparts. Patients with low-grade chondrosarcoma have a 90% to 95% chance of survival over five years post-surgery.

It’s important for patients and families to discuss individual prognoses with their medical team, as factors like age, overall health, and the cancer’s response to treatment can greatly influence outcomes. Regular follow-up care is essential to monitor for any recurrence and to address any further complications promptly.

Consult Us for the Best Bone Cancer Treatment in Kolhapur

If you or a loved one is facing a diagnosis of bone cancer, it is crucial to seek expert care to ensure the best possible outcome. Our dedicated team in Kolhapur offers comprehensive treatment plans tailored to each patient’s unique needs.

With a focus on the latest advancements in medical technology, our specialists work collaboratively to provide personalized care that encompasses surgery, chemotherapy, and supportive therapies.

Contact us today to learn more about our state-of-the-art facilities and compassionate approach to bone cancer treatment. Your journey to recovery is our priority.

 

Key Facts About Surgery

  • Bone cancer surgery often removes the tumor while saving the limb.
  • Amputation may be needed if the cancer is severe.
  • Imaging like MRI or CT scans helps plan surgery accurately.
  • After surgery, rehab helps patients regain strength and movement.

For any cancer related query, concern or help, just call us

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