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Maximal Removal, Meaningful Survival 
Ultra-Radical Debulking Surgery 

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What is Ultra-Radical Debulking Surgery 
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Ultra-Radical Debulking Surgery is an advanced and highly specialized surgical procedure used in the treatment of advanced-stage ovarian cancer and other gynecological malignancies that have extensively spread within the abdominal cavity. The primary goal of this surgery is to remove all visible cancer, even when it involves multiple organs or deep-seated tumor deposits.

This procedure goes beyond standard cytoreductive (debulking) surgery and is considered when optimal tumor removal cannot be achieved through conventional approaches. It is typically recommended for stage III or IV ovarian cancer, recurrent ovarian cancer where disease is still surgically resectable, peritoneal carcinomatosis, and patients who are fit enough for an extensive, multi-organ surgery and whose cancer is otherwise chemotherapy-sensitive.

Ultra-radical debulking is a cornerstone of aggressive disease control and may significantly improve survival outcomes when performed by experienced surgical teams at Apollo Athenaa.

How the Procedure
 is Performed
At Apollo Athenaa, every surgical step is carefully planned and performed by experienced surgeons with a focus on safety, precision, and recovery.
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  • It is performed under general anesthesia.
  • The procedure may involve total hysterectomy and bilateral salpingo-oophorectomy (removal of the fallopian tubes and ovaries), omentectomy (removal of the omentum, the fatty layer that drapes over the intestines), peritonectomy (removal of affected peritoneum, which is the lining of the abdominal cavity), bowel resection (partial removal of the intestine), diaphragmatic stripping or resection (removal of peritoneum from the diaphragm), splenectomy (removal of spleen), bladder or ureteric resection with reconstruction, or resection of liver surface metastases.
  • Every effort is made to remove all visible tumor tissue, which is the most important predictor of improved survival in advanced ovarian cancer.
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Recovery 
Healing at Apollo Athenaa is supported through structured post-operative care, 
counselling, and rehabilitation support.
Hospital Stay

Typically 10–14 days, depending on surgical extent and recovery progress.

Comprehensive Care

Includes pain control, nutritional support, physiotherapy, early ambulation, and bowel monitoring.

Home Recovery

Recovery at home usually takes 6–8 weeks, with close monitoring for complications.

Treatment Continuation

Chemotherapy is resumed or initiated after recovery to control microscopic disease.

Key 
Advantages
At Apollo Athenaa, surgery is thoughtfully planned with a personalized approach, ensuring safety, precision, and optimal outcomes.
Maximal Resection
Maximizes tumor removal, even in extensive abdominal or pelvic disease.
Survival Benefit
Strongly associated with improved progression-free and overall survival in ovarian cancer.
Chemo Sensitization
Enhances chemotherapy response by significantly reducing tumor burden.
Curative Potential
May convert previously inoperable disease into candidates for curative-intent treatment.
Continuum of Care
At Apollo Athenaa, our teams remain involved at every stage, ensuring that recovery is not only physical, but also emotional and empowering. Each woman is supported through
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Post-operative care is coordinated by a specialized gynec-oncology nursing team.

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Medical oncologists plan adjuvant chemotherapy in a timely manner.

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Survivorship support, including stoma care, fertility counselling (if applicable), and mental health support, is integrated.

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Psychological and emotional support, including counselling and patient education, to help women cope with treatment and recovery.

Frequently Asked Questions
What is ultra-radical debulking surgery?
01

It is an advanced cancer surgery aimed at removing all visible tumor deposits, even when disease is extensive and involves multiple abdominal or pelvic organs.

How is it different from standard debulking surgery?
02

Ultra-radical debulking involves more extensive procedures, such as bowel, diaphragm, or organ surface resections, to achieve maximal tumor removal.

Who is suitable for this surgery?
03

Patients are carefully selected based on disease spread, overall health, response to chemotherapy, and ability to tolerate major surgery, following detailed imaging and team evaluation.

Why is this surgery important in ovarian cancer?
04

Complete tumor removal is strongly linked to improved survival and better response to chemotherapy in advanced ovarian cancer.

What is recovery like after surgery?
05

Hospital stay is usually around 10–14 days, with full recovery taking several weeks, supported by structured post-operative care and rehabilitation.

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