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Why choose Fortis Ludhiana?

Our Strengths

  • Multidisciplinary Tumor Board for personalized treatment planning
  • Experienced Medical, Surgical & Radiation Oncology specialists
  • Comprehensive cancer screening and diagnostics
  • Advanced chemotherapy, immunotherapy & targeted therapy
  • Organ-preserving surgical techniques wherever possible
  • Day-care chemotherapy services
  • Dedicated oncology nursing team
  • Nutritional, psychological and palliative care support
  • Modern operation theatres and critical care backup
  • Patient-centric treatment approach

Our Oncology Services

Medical Oncology

Comprehensive treatment using chemotherapy, immunotherapy, targeted therapy, hormonal therapy and supportive care for both solid tumors and blood cancers.

Surgical Oncology

Advanced surgical treatment for various cancers with emphasis on minimally invasive and organ-preserving procedures whenever clinically appropriate.

Radiation Oncology

Precision radiation therapies designed to maximize treatment effectiveness while protecting healthy tissues.

Preventive Oncology

Cancer screening programs aimed at early detection and improved treatment outcomes.

Cancers We Treat

Our specialists manage a wide spectrum of cancers including:

  • Breast Cancer
  • Lung Cancer
  • Oral Cancer
  • Head & Neck Cancer
  • Colorectal Cancer
  • Liver Cancer
  • Pancreatic Cancer
  • Stomach Cancer
  • Oesophageal Cancer
  • Cervical Cancer
  • Ovarian Cancer
  • Uterine Cancer
  • Prostate Cancer
  • Kidney Cancer
  • Bladder Cancer
  • Thyroid Cancer
  • Brain Tumours

Our Cancer Treatment Approach

Early Diagnosis

Timely evaluation with advanced imaging, laboratory investigations and biopsy services.

Personalized Treatment Planning

Every patient is discussed in a multidisciplinary tumor board to develop an individualized treatment plan.

 

HIPEC: HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY

Overview

HIPEC (Hyperthermic Intraperitoneal Chemotherapy) is a powerful, two-step treatment for advanced abdominal cancers that have spread to the peritoneal surface. This procedure combines aggressive surgery with heated chemotherapy to improve outcomes in carefully selected patients.

How HIPEC Works

Step 1: Cytoreductive Surgery (CRS)
Removal of all visible tumors from the abdominal cavity, including:
• Tumor deposits from the peritoneal lining
• Involved organ segments (intestine, spleen, gallbladder, etc.)
• Tumor from diaphragm or abdominal wall
Goal: Complete removal of all visible disease

Step 2: Heated Intraperitoneal Chemotherapy
Immediately after CRS:
• Heated chemotherapy (41-43°C / 106-109°F) is circulated for 60–90 minutes
• Internal surfaces are bathed to kill microscopic cancer cells
• Heat is drained and incisions are closed

Why HIPEC Is Effective
  1. Direct Drug Delivery
    • High-dose chemotherapy reaches tumor surfaces directly
    • 20–1000x concentration vs. IV chemotherapy
    • Low systemic toxicity
  2. Heat Makes Chemotherapy More Potent
    • Cancer cells become 2–4x more sensitive
    • Heat damages membranes
    • Better drug penetration
  3. Proven Survival Benefits in Select Cancers
    • Appendiceal Cancer
    • Ovarian Cancer
    • Colorectal Peritoneal Metastases
    • Gastric Cancer (selected cases)
    • Peritoneal Mesothelioma

HIPEC Candidate Profile

HIPEC benefits patients with:
• Limited peritoneal disease
• Good performance status
• No major disease outside the abdomen
• Responsive cancer types (appendiceal, ovarian, colorectal, mesothelioma)

HIPEC Patient Expectations

Surgery Duration: 6–12 hours
Hospital stay - 7 to 10 days 

Recovery 

Return to light activity = 2-3 weeks 

Full recovery = 6 to 8 weeks 

Side Effects: Temporary ileus, fluid accumulation, infection risk, chemotherapy-related effects

PIPAC: PRESSURIZED INTRAPERITONEAL AEROSOL CHEMOTHERAPY

Overview

PIPAC (Pressurized Intraperitoneal Aerosol Chemotherapy) is a minimally invasive technique for patients with peritoneal metastases where standard treatment is limited. It offers disease control with faster recovery.

How PIPAC Works

Performed laparoscopically:

  • Small incisions (keyhole access)
  • Chemotherapy converted into fine aerosol
  • Aerosol sprayed under controlled pressure
  • Pressure enables deeper tumor penetration
  • Aerosol evacuated after 30 minutes
  • Patients discharged same or next day
Why PIPAC Helps

Better Tumor Penetration
• Reaches hidden tumors 3–4x more effectively
• Penetrates avascular tumor tissue
• Covers surfaces conventional methods miss

Lower Physical Burden
• Low systemic toxicity
• Quick recovery
• No major incisions
• Suitable for frail patients

Repeatable Treatment
• Every 4–8 weeks
• Allows reassessment
• Improves quality of life

Clinical Evidence Shows
• Tumor shrinkage in ovarian, colorectal, gastric cancers
• Stabilization after failed systemic therapy
• Improved quality of life
• Possible bridge to HIPEC in selected patients

PIPAC Is Useful For:

• Unresectable peritoneal metastases
• Chemotherapy-resistant disease
• Frail patients unfit for major surgery
• Malignant ascites control
• Downstaging before curative surgery
• Ovarian, gastric, colorectal, appendiceal disease

PIPAC Patient Expectations

Procedure Duration: 60–90 minutes
Hospital Stay: Same day to 1 night
Recovery: 3–7 days
Course: 3–6 sessions based on response
Side Effects: Mild discomfort, nausea, low-grade fever

 

 

Why Choose Us

  • Advanced Technology. Expert Doctors. Compassionate Care.

Our Team of Experts

  • Dr. Davinder Paul
    Additional Director Medical Oncology
    Oncology
  • Dr. Anish Bhatia
    Consultant Surgical Oncology
    Oncology
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