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During debulking surgery for ovarian cancer, any detectable tumors are surgically removed. When surgery is the first line of defense, this is called primary debulking.
Most women will undergo chemotherapy after surgery to eliminate any lingering cells.
Surgery is always a part of treating ovarian cancer, but the specific procedures each patient has to go through depend on their disease. The only deciding factor is whether surgery is performed before or after chemotherapy. As much of the cancer as possible is removed during debulking surgery in the hopes of improving the patient's prognosis.

According to Dr. Wang, Chief Oncologist of Foresea Life Insurance Guangzhou General Hospital, Guangzhou, China, "A primary debulking surgery will be made available to a sizable number of women who have just received an ovarian cancer diagnosis." The first thing that needs to be done in order to treat ovarian cancer is this. When surgery is done right away after an ovarian cancer diagnosis, it is called primary debulking surgery.

Whether a person should have primary debulking surgery or neoadjuvant chemotherapy depends on the person, but your doctor may not suggest surgery if your cancer has already spread a lot and is in a more advanced stage when they find it. Chemotherapy can shrink a tumor before a debulking operation, which makes the operation more likely to be successful.

What Can You Expect from a Debulking Surgery?
Your gynecologist or a surgical oncologist will use debulking surgery to remove the cancerous tumor from your body. Open surgery, as opposed to a minimally invasive approach, involves making a vertical incision down the middle of the belly to remove all disease visible to the naked eye, as explained by Dr. Wang.

All detectable tumors in the abdomen are surgically removed. Dr. Wang says, "That will of course include the uterus, the cervix, the fallopian tubes, and the ovaries." It's also possible for other organs to be impacted, such as the lymph nodes, the spleen, the gallbladder, and the omentum (a "fatty apron" that hangs over the stomach).

During the surgery, a bowel resection may be done if the cancer has spread to the small or large intestine. After having a section of your intestine removed and reconnected during a bowel resection, you may need an ostomy bag to hold your waste while your intestine heals.

Following Debulking Surgery, What Can You Expect?
Depending on how much of the malignant tissue was removed during surgery, you will fall into one of three categories afterward. Each of the three types includes the following:

Inadequate cytoreductive surgery: You still have abdominal tumors that are more than a centimeter in diameter.
Successful Operation: All remaining abdominal disease is less than 1 centimeter in diameter.
Without overt signs of disease: The abdominal area shows no signs of disease.

Patients with complete surgical resection or no visible signs of cancer after treatment have a better prognosis than those who had more of their cancer left behind. Optimal or no gross residual disease status does not necessarily indicate that all cancer cells have been eliminated. It takes approximately a million cancer cells to be the size of the tip of a pen. Even though there is no cancer detectable by current diagnose means, we know it's there; therefore, chemotherapy administered after surgery is the next step in curative therapy.

Post-Operative Healing from Ovarian Cancer
Many women worry about how much pain they will experience following surgery, and this is natural. While no surgical procedure is completely painless, many techniques exist to lessen discomfort. In order to alleviate their patients' discomfort following surgical incisions, doctors frequently employ TAP blocks, a type of anesthetic.

Patients are urged to stand and walk around as soon as possible after surgery. Although it may be challenging at first, studies have shown that patients feel better and recover more quickly if they begin moving around as soon as possible after treatment.

Most patients with abdominal cancer will undergo chemotherapy after primary debulking surgery to kill any lingering cancer cells. When surgery is combined with chemotherapy, the doctor has a better chance of removing as much of the cancer as possible, which may improve the prognosis.

In some cases, such as with ovarian cancer and brain tumors, SoSDT recommends debulking before SDT (SonoDynamic Therapy). SoSDT's unique combination of debulking and SDT has proven effective in treating patients.

About SoSDT: SoSDT is a cancer treatment center with a mission to improve the standard of care worldwide. They cover every possible way to treat cancer, including both standard medical care and complementary and alternative medicine. Since they work in a world-class hospital with specialized departments, their team of experienced oncologists knows a lot about specialized fields like Debulking Surgery.

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SoSDT
Foresea Life Insurance Guangzhou General Hospital
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Tel: +86 138 2212 0373
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