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At Mahapatra Hospital Cuttack , A Rare form of Cancer , the Primary peritoneal malignancy (PPC) is been treated with the Total peritonectomy with Retrograde hysterectomy .

Rare Cancer Treatment Done at Mahapatra Hospital

The appearance of specimen is most resembles a Flying Bats, as you can see in the Pictures Below. 

What is Primary peritoneal cancer ?

Primary peritoneal cancer or carcinoma is also known as serous surface papillary carcinoma(starts and develops in the peritoneum) , primary peritoneal carcinoma, extra-ovarian serous carcinoma, primary serous papillary carcinoma, psammomacarcinoma. 

It was historically classified under "carcinoma of unknown primary" (CUP). Primary peritoneal cancer (PPC, or PPCa) is a cancer of the cells lining the peritoneum, or abdominal cavity. (wikipedia)

What is Peritonectomy Surgical Procedure ?

Peritonectomy is the most common surgical procedure used with patients with this form of the disease. The purpose of the surgery is to resect the cancerous cells in the lining of the abdominal cavity. Peritonectomy is often referred as peritonectomy and cytoredutive. During the surgery, the surgeon makes an incision in the abdomen to gain access to the cavity and observe the cancerous growth. It is a complex procedure that can last 10 to 12 hours and parts of the bowels, gall bladder, liver, pancreas, spleen and stomach may be removed.

A Very good Reference is a Book by Yuji Hiramatsu, MD, PhD under the Category Precision Surgery in Obstetrics and Gynecology.

You can Read the Article here : https://www.thieme-connect.com/products/ejournals/pdf/10.1055/s-0039-1683919.pdf

  • Retrograde Abdominal Hysterectomy
  • Yuji Hiramatsu, MD, PhD
  • Okayama City General Medical Center, Okayama, Japan
  • Precision Surgery in Obstetrics and Gynecology


Total Hysterectomy is a surgical procedure to remove  the uterus.

  • Type of procedure: It Can be a open Surgery or minimally invasive (Laparoscopy)
  • Recovery time: Can take several weeks
  • Duration of the Surgery : It takes About 1-3 hours, Depending upon the Complexity .
  • Hospital stay:  The Patient Could Typically stay for a few days 


What to expect before The Total Hysterectomy procedure

  • The doctor explains the details of the procedure, its benefits, and risks/complications.
  • Various Blood and urine tests are performed.
  • An intravenous (IV) line is placed in the arm to deliver fluids and medicines.
  • Hair in the pelvis area is clipped.

What to expect during procedure

  • A local anesthesia that numbs the lower body or a general anesthesia that affects the entire body is given.
  • An abdominal open surgery involves making a 5 to 7 inch horizontal or vertical incision through the abdominal wall and removal of uterus.
  • Minimally invasive procedures include vaginal surgery and laparoscopic surgery.
  • Vaginal surgery is where the uterus is removed through a cut at the top of the vagina leaving no visible scar.
  • Laparoscopic surgery (keyhole surgery) involves removal of the uterus through several small cuts in the abdomen.

What to expect after procedure

  • After the surgery, the hospital stay might last up to 5 days.
  • Do not lift anything heavy, such as shopping bags or babies/toddlers for at least 6 weeks or as long as the doctor instructs.
  • Abstain from sex for 6 weeks after the surgery.
  • If the ovaries are also removed, the woman enters menopause.

Risks and Complications

Complications are rare and may include:

  • Adverse reaction to the anesthetic
  • Infection
  • Bleeding
  • Injury to neighboring organs/tissues such as the bladder, intestines and blood vessels
  • There is a risk of urinary incontinence, vaginal prolapse, fistula formation and chronic pain.
  • Hysterectomy cannot be performed in patients who want to have children

As a Surgeon Doctor , the daily routine is full of busy schedules and in those busy times their are moments of appreciations that comes straight from the Patients. 

Yesterday I was again blessed with the Blessings Of A Patient  Cured From Cancer Cervix after Laparoscopic operation. Its a real pleasure for me.  -  Dr Mahapatra.


As John Robert Wooden an American basketball player and coach once said

"Be true to yourself, help others, make each day your masterpiece, make friendship a fine art, drink deeply from good books - especially the Bible, build a shelter against a rainy day, give thanks for your blessings and pray for guidance every day."

Dr. Manoranjan Mahapatra is One of the best Gynecologist (Gynec Doctor ) in Cuttack Odisha , Who is Pioneer in Laparoscopic Surgery and Gynaecologic oncology.

With the Trust and Good Patient Services , Many of the Patients from States like Uttar Pradesh, West Bengal, Bihar, Jharkhand, Chhattisgarh are visiting for Medical Consultation with Dr. Mahapatra. 

During the Covid-19 Pandemic Period , People from remote Uttar Pradesh came down to Cuttack for the Gynaecological operation . Satisfied with the treatment for Long standing problem. 


Dr Manoranjan Mahapatra Onco Gynecologist Odisha with Patient

Scenario of Uterine Cancer  effect through out the World

Uterine cancer effects approximately 3.1% of women during their lifetime. Uterine cancer resulted in 45,000 deaths worldwide in 1990, with this number increasing to 58,000 deaths in 2010.

North America and Northern Europe have the highest rates of uterine cancer. Asia, Southern Europe, Australia and South America have moderate rates, with the lowest rates in Africa and Eastern Asia.

About 81% of women with uterine cancer surviving for five years. This rate is higher with more localized cancer at 95% survival rate for five years and lower for a distant spread of the cancer, at a 16.8% survival rate for five years

Reference from : https://en.wikipedia.org/wiki/Uterine_cancer
Causes Of Uterine Cancer 

It is not known with certainty what the causes for uterine cancer may be, though hormone imbalance is speculated as a risk factor. Estrogen receptors, known to be present on the surfaces of the cells of this type of cancer, are thought to interact with the hormone causing increased cell growth, which can then result in cancer. The exact mechanism of how this occurs is not understood 

This is a Video Testimonial from a successfully treated patient from Sundargarh during this COVID pandemic.


She express her satisfaction in the treatment Provided at Mahapatra Hospital , Cuttack.


Cancer fallopian Tube operated successfully on a patient from Sundargarh at Mahapatra Hospital , Cuttack under the Expert Guidance of Dr. Manoranjan Mahapatra.

The Surgical Method adopted was high skilled International quality adhering all precaution & safety measures for care provider & patient during COVID pandemic.

According to WebMD

Fallopian tube cancer is very rare. Only about 1% of all reproductive cancers in women start in the fallopian tubes.

This type of cancer is treatable. If you're diagnosed with it, your doctor can help you understand your options.

You can see details on Fallopian tube cancer at the WebMD Official Website here.

In this Time of COVID Pandemic , the Whole team of Mahapatra Hospital , Cuttack joins Dr. Manoranjan Mahapatra's initiative to serve those in need , with the Medical Assistance .

This week a Large uterus tumor operated in a poor women from Balasore, Odisha,


Thanks to whole team during this COVID pandemic for providing care to needy people,  with  their desire, passion and commitment to serve .