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Lower your risk for colorectal cancer

Dr. B Rakesh Reddy

Dr. B Rakesh Reddy

You can prevent CRC by being physically active, eating plenty of fruits and vegetables, and limiting the intake of alcohol.

In colorectal cancer (CRC), there is a malignant growth in the large intestine. In the advanced stages, cancer spreads from the intestine to the liver. Rarely does it spread to the lungs or bones, but when it does, it is known as metastatic CRC.

Globally, CRC is the 3rd most common cancer and the 4th most common cause of death. It is more common in developed countries, but its incidence has also been rising in developing countries. In India, it is the seventh most common form of cancer.

The symptoms are blood in stools, altered bowel habits, anaemia, or unexplained weight loss. The risk factors are advancing age, a family history of colon cancer, a diet high in fat and red meat but low in fibre, smoking, alcohol consumption, obesity, and sedentary lifestyle.

Detection in the early stages maximizes the chances of cure. The screening tests for CRC are fecal occult blood test (FOBT) and colonoscopy.

In the early stages (1 & 2), surgery is the form of treatment, and it is curative in more than 90% of cases. For stage 3 colon cancers, chemotherapy is given for 3-6 months after surgery. For rectal cancers, radiotherapy is also used.

For stage 4 (metastatic) CRC, the primary mode of treatment is chemotherapy. Additionally, targeted therapy significantly helps in improving the life spans of patients. The use of certain ‘biomarkers’ has enabled oncologists to select the appropriate form of targeted therapy. This is referred to as ‘personalization of treatment’.

With the advances in treatment and the advent of immunotherapy, the life span of a stage 4 CRC patient has gone up by 3 years.

You can prevent CRC by being physically active, eating plenty of fruits and vegetables, limiting the intake of fast food and alcohol, and exercising regularly.

#It’sNeverTooLate

Written by

Dr. B. Rakesh Reddy, Consultant Medical Oncologist & Hemato-oncologist,

Mahatma Gandhi Cancer Hospital & Research Center, Visakhapatnam.

Feb2019: World Cancer Day – Awareness Talk

Awareness talk at Gurajada Public School, Vizianagaram:

Early Detection of Cancer is the only way to avoid Cancer-fatalities. Awareness should begin even earlier. Hence Mahatma Gandhi Cancer Hospital, in association with rural medical practitioners of Vizianagaram, has organized a cancer awareness talk at Gurajada Public School, Dr. Venkata Krishna Reddy addressed the school-kids encouraging them to discuss with their parents and spread cancer awareness.

Awareness talk at Airport, Visakhapatnam:

We have participated in a Cancer-Awareness-event organized at Vizag-Airport in association with ‘India Turns Pink’ Organisation by Dr. Karthik Chandra addressed the Airport employees and Kendriya-Vidyalaya students on the occasion of World Cancer Day.

Awareness talk at Railway Hospital, Visakhapatnam:

Dr. Madhuri Palla, Radiation Oncologist, has addressed a gathering of patient-attendants of railway-hospital and Railway-Employees @ railway-hospital premises in Visakhapatnam today on the occasion of World Cancer Day to raise awareness on the importance of early detection.

Awareness talk at MKCG Medical College, Berhampur, Odisha:

Dr. Kanhu Charan Patro, Chief Radiation Oncologist of our hospital, has addressed the gathering of Doctors and Nurses of MKCG Medical College, Berhampur on the occasion of World Cancer Day and threw light on the cancer scenario in the country at present and the ways to tackle the menace to reduce cancer fatalities. A few of Cancer Survivors also attended the session.

Feb2019: World Cancer Day – Awareness Campaign

We have organized interactive stalls at most populated public places in the city of Visakhapatnam, to raise awareness of CANCER on the occasion of World Cancer Day and received a massive public response. The places include Visakhapatnam Railway Station, RTC Complex, Vizag Airport, CMR-Central, Andhra University, KGH, Railway Hospital and major junctions across the city. Kudos to all the staff who spread all over the city and are spreading the cancer awareness message far and wide.

Feb2019: World Cancer Day – Awareness Walk @ RK Beach

To support the World Cancer Day, our team has taken the oath, showed our support for the fight against cancer by spreading awareness. On the eve of World Cancer Day, Honorable Minister Shri Ganta Srinivasa Rao garu flagged off the massive awareness walk at RK Beach on 03-Feb, Sunday. Over 1000 enthusiastic volunteers from all walks of life participated in the awareness walk. We thank the honorable minister for gracing the occasion and also volunteers from IDA, CII-Vizag, YI, CII-IWN, social service organization and students who participated and supported this endeavor.

Jan2019: 70th Republic Day Celebrations

Celebrated 70th Republic Day of India at the hospital premises with enthusiasm with the unfurling of the flag by Medical Director Dr. Sitarama Swamy Voonna and saluting the flag with patriotic fervor. Speaking on the occasion, managing director Dr. Murali Voonna reminded all the sacrifices made by our freedom fighters and the effort and foresight demonstrated by our nation builders while writing the largest and most comprehensive constitution in the world that keeps the largest democratic country vibrant and dynamic all the time, becoming the symbol, to the world, of ‘Unity in Diversity‘!

ROBOTIC CANCER SURGERY

ROBOTIC CANCER SURGERY

A diagnosis of cancer could hit one hard. That is why it is important to learn the facts about the condition and the best available options for treatment before choosing the way ahead.

The surgical treatment of cancers has traditionally been by open techniques. Open surgery is associated with a large wound and delayed recovery and return to normal activities. Laparoscopic surgery has been established as a feasible, safe and sound option for certain cancers including colon, endometrial, cervical and esophageal cancer but has limitations imposed by the 2-dimensional image, instruments with limited range of motion and dependence on a trained assistant for holding the camera.

Robotic surgery with the da Vinci System, on the other hand, bestows very high definition and magnified 3-dimensional vision with the camera controlled by the surgeon. The instruments with extreme degrees of freedom (Endo-wristed), enable 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. Motion scaling which allows the surgeon to reduce the degree of instrument movement as a proportion of movement of the surgeon’s fingers enables a greater degree of precision. All these provide the ultimate flexibility and precision for exceptional surgical techniques in cancer surgery.

In cancer surgery, robotic techniques enable a radical operation to be performed with preservation of nerves and other critical structures, due to better visualization. This is particularly important in rectal, gynaecologic and prostate cancer surgeries. For example, in robotic prostate cancer surgery, every effort is made to spare the nerves. As the nerves and vessels are all magnified and it is much easier to save them and help retain potency.

Patient benefits include:

  • 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

Practically all cancers are amenable to this approach with the exception of locally advanced tumors. Specific cancers where robotic surgery is able to provide excellent outcomes include:

  • Colon and Rectal cancer
  • Endometrial [Uterine] and cervical cancer
  • Esophageal [Food pipe] and stomach cancer
  • Early cases of pancreatic cancer
  • Kidney, bladder and prostate cancer

Transoral Robotic Surgery (TORS): This is another type of minimally invasive surgery, specifically designed for patients with head and neck cancer. Here, the surgeon controls the robotic instruments that have been inserted through the mouth. No incisions are needed. In contrast, traditional open surgery requires long incisions through the throat and jaw, which often leave patients with visible scars, difficulty breathing or swallowing, and a lengthy recovery.

Trans Oral Robotic Surgery may be used to treat:

  • Throat cancer
  • Tongue cancer
  • Tonsil cancer

Undoubtedly, robotic surgical techniques have revolutionized cancer surgery and improved survival and quality of life in cancer patients, giving them real hope that cancer is conquerable.

ROBOTIC SURGERY IN GYNECOLOGY

ROBOTIC SURGERY IN GYNECOLOGY

The introduction of da Vinci robotic surgery to the field of gynecologic surgery has made minimally invasive procedures a possibility for a growing number of patients for whom open surgery was once the only option.

Indeed, conventional laparoscopy has been beneficial when compared to open surgery with advantages such as shorter hospitalization, faster recovery, less blood loss, better cosmesis and fewer complications. However, laparoscopy as well as surgical approaches via the vagina [ where the abdomen does not have to be cut open ] have limitations when there is complex surgery to be done. Both the vaginal approach for Gynecological surgeries as well as laparoscopy can also be challenging because of limited operative field visualization and the requirement for a skilled surgical assistant.

The turning point came in April 2005, once the FDA approved Robotic technology for Gynecologic surgery. Since then the adoption of robotic surgery has been rapid. Several hospitals have reported a decrease in both open hysterectomies and traditional laparoscopic surgeries while the rate of robotic surgery increased dramatically.

In fact it would not be wrong to say that Robotic surgery has completely revolutionized surgical care of women. Technologic advances such as EndoWrist instruments that mimic natural hand and wrist motions intuitively, much like open surgery, not only offer an ergonomic advantage to the surgeon, but the increased precision of surgery because of three-dimensional vision and EndoWrist instrumentation reduces complications and overall surgical time.

The surgeon’s proficiency, the efficiency of the operating room, and surgical outcomes have all certainly been positively impacted by robotics.

Some Gynecological surgeries that are performed using Robotic technology are:

  • Hysterectomy, an operation to remove the uterus. A woman may have a hysterectomy for different reasons, including:
    • Uterine fibroids that cause pain, bleeding, or other problems
    • Uterine prolapse, which is a sliding of the uterus from its normal position into the vaginal canal
    • Endometriosis
    • Abnormal vaginal bleeding
    • Chronic pelvic pain
    • Adenomyosis, or a thickening of the uterus
  • Myomectomy, a surgical procedure to remove uterine fibroids. The surgeon’s goal during myomectomy is to take out only the fibroids and reconstruct the uterus. Unlike hysterectomy, which removes the entire uterus, myomectomy removes only the fibroids and leaves the uterus intact.
  • Sacrocolpopexy, is surgery done to correct Pelvic prolapse, a condition that occurs when muscles and ligaments that support the pelvic organs such as the uterus, vagina, cervix, bladder, urethra, or rectum weaken and make these organs slip from their normal position.
  • Radical hysterectomy, for cancer of the cervix or endometrium where the surgeon removes the whole uterus, tissue on the sides of the uterus, the cervix, and the top part of the vagina.
  • Surgery for complex endometriosis, Endometriosis is a disorder in which the tissue that forms the lining of the uterus grows outside the uterine cavity.
  • Tubal anastomosis, a procedure to restore fertility after a woman has had a tubal ligation – a procedure that cuts or blocks the fallopian tubes to prevent pregnancy.

ROBOTIC UROLOGY

Urinary System - Female Organs - Human Anatomy

Urology is the surgical speciality that focuses on the urinary tract and on the reproductive system of males. and on the reproductive system of males. Medical professionals specialising in the field of urology are called urologists and are trained to diagnose, treat, and manage patients with urological disorders. The organs covered by urology include the kidneys, ureter, urinary bladder, urethra, and the male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate and penis). Both Urologists and General Surgeons operate on the adrenal glands. In men, the urinary system overlaps with the reproductive system, and in women, the urinary tract opens into the vulva. In both sexes, the urinary and reproductive tracts are close together, and disorders of one often affect the other. Urology combines management of medical (i.e. non-surgical) problems such as urinary tract infections and benign prostatic hyperplasia, as well as surgical problems such as the surgical management of cancers, the correction of congenital abnormalities, and correcting stress incontinence.

ROBOTICS IN COLORECTAL SURGERY

robotic-inner2

Robotic surgery is now an extremely useful option in Colorectal surgery.

If medicine or lifestyle changes do not help a colorectal condition, the doctor may suggest surgery.

Thanks to a breakthrough surgical technology, there is a new category of minimally invasive surgery, an effective, minimally invasive alternative to both open surgery and laparoscopy. This is the da Vinci® Robotic Surgical System, which enables surgeons to offer a minimally invasive option for complex surgical procedures. The da Vinci System gives surgeons:

  • A 3D HD view inside the body
  • Wristed instruments that bend and rotate far greater than the human hand
  • Enhanced vision, precision, and control

Common colorectal conditions that may need surgery include:

  • Diverticulitis
  • Inflammatory Bowel Disease (ulcerative colitis and Crohn’s disease)
  • Colon Cancer
  • Rectal Cancer

Surgery to remove all or part of the colon is known as a colectomy, and rectal cancer surgery to remove part or all or the rectum is known as a rectal resection. Minimally invasive surgery can be done using traditional laparoscopy or robotic-assisted da Vinci Surgery.

Dec2018: Free Cancer Awareness Talk at Inspiredge

We have organized Cancer Awareness Talk by our Gynaec Oncologist Dr. Jyoti Doki, followed by an interactive discussion with the enthusiastic participants, at Inspiredge IT Solutions to make young women employees aware of the importance of Self-Breast-Examinations and vaccination against HPV to keep cancer away.