Mandaya Royal Hospital Puri is the first and only hospital in Indonesia to provide HIPEC (Hyperthermic Intraperitoneal Chemotherapy) for treating advanced-stage colon cancer and ovarian cancer that has metastasized to the abdominal cavity. This innovative cancer therapy has also been implemented in several leading hospitals in Singapore and Malaysia.
Compared to conventional chemotherapy, HIPEC offers several distinct advantages. Moreover, the procedure is performed in a single session, unlike systemic chemotherapy that requires multiple treatment cycles.
Understanding HIPEC Chemotherapy and Its Procedure at Mandaya Royal Hospital Puri
HIPEC is an advanced cancer treatment specifically designed to target tumors growing inside the abdominal cavity (peritoneum)—the area that protects vital organs such as the liver, stomach, and intestines.
During the procedure, surgeons first remove any visible tumors. Then, a heated chemotherapy solution is circulated within the abdominal cavity. The combination of heat and direct exposure to chemotherapy drugs effectively destroys microscopic cancer cells that may remain after surgery.
The HIPEC procedure consists of two main stages performed within one surgical session: cytoreductive surgery and HIPEC chemotherapy itself.
1. Cytoreductive Surgery Stage
In this stage, the surgeon removes as much visible tumor tissue as possible from the abdominal cavity.
Under general anesthesia, the surgeon opens the abdominal area to examine the extent of cancer spread. Any infected tissues or organs are carefully removed to minimize tumor burden. This step ensures that the heated chemotherapy administered afterward can work more effectively to eliminate remaining cancer cells.
2. HIPEC Chemotherapy Stage
After all visible tumors are removed, the procedure continues with high-temperature intraperitoneal chemotherapy. A special catheter is inserted into the abdominal cavity and connected to a perfusion machine that heats the chemotherapy solution to around 40–50°C. The heated solution is then circulated for 1–2 hours, allowing even exposure throughout the peritoneal cavity to kill microscopic cancer cells that may not be visible during surgery.
Once circulation is complete, the chemotherapy fluid is drained, and the abdominal cavity is rinsed with a sterile saline solution. The surgery then concludes with the careful closure of the incision by the surgical team.
Advantages of HIPEC Chemotherapy
HIPEC chemotherapy provides numerous benefits for patients with advanced colon or ovarian cancer that has spread to the abdominal cavity:
- Reaches areas that systemic chemotherapy cannot, as the heated drugs are delivered directly into the peritoneal cavity.
- Targets and destroys microscopic cancer cells more precisely and effectively.
- Uses high-temperature chemotherapy (40–50°C) to enhance drug penetration without increasing side effects on other organs.
- Performed in a single surgical session, making it more efficient than systemic chemotherapy, which requires multiple treatment cycles.
- Causes fewer side effects since the drugs act locally in the abdominal cavity and are minimally absorbed into the bloodstream.
- Improves survival rates and reduces recurrence risk for patients with advanced-stage cancers that have spread within the peritoneal cavity.
Specialist Doctors Performing HIPEC Chemotherapy at Mandaya Royal Hospital Puri
The HIPEC chemotherapy procedure for colon and ovarian cancer at Mandaya Royal Hospital Puri is performed by a team of expert digestive and oncologic surgeons, including:
1. dr. Ocsyavina, Sp.B. Subsp.BD (K)
dr. Ocsyavina, Sp.B. Subsp.BD (K) is a Digestive Surgery Specialist at Mandaya Royal Hospital Puri. She has extensive expertise in treating various gastrointestinal conditions, including stomach, intestinal, gallbladder disorders, as well as complex cases such as colorectal cancer and abdominal tumors.
Known for her precision, communication, and patient-centered care, dr. Ocsyavina prioritizes both safety and comfort in every surgical procedure.
Clinic Hours:
- Monday: 16.00 – 18.00 WIB
- Tuesday: 16.00 – 18.00 WIB
- Wednesday: 16.00 – 18.00 WIB
- Thursday: 16.00 – 18.00 WIB
- Friday: 16.00 – 18.00 WIB
- Saturday: 10.00 – 12.00 WIB
2. dr. Emerson Budiarman Masli, Sp.B. Subsp.BD (K)
dr. Emerson Budiarman Masli, Sp.B. Subsp.BD (K) is a Digestive Surgery Specialist at Mandaya Royal Hospital Puri with extensive experience in managing various digestive system conditions.
He is skilled in performing surgeries for gallstones, appendicitis, hernias, liver cancer, and colorectal cancer, with a focus on precision and patient safety.
Clinic Hours:
- Monday: 10.00 – 13.00 WIB
- Wednesday: 10.00 – 13.00 WIB
3. Prof. Dr. dr. Toar Jean Maurice Lalisang, Sp.B. Subsp.BD (K)
Prof. Dr. dr. Toar Jean Maurice Lalisang, Sp.B. Subsp.BD (K) is a highly respected Digestive Surgery Specialist in Indonesia. With decades of experience and an outstanding reputation, he specializes in complex gastrointestinal surgery and liver transplantation.
As a leading figure in the field, Prof. Toar has made significant contributions to the advancement of digestive surgery in Indonesia through clinical practice, research, and education. He is known for his dedication, precision, and mentorship to many young surgeons across the country.
Clinic Hours:
- Tuesday: 15.30 – 17.30 WIB
- Thursday: 15.30 – 17.30 WIB
- Saturday: 11.00 – 13.00 WIB
4. dr. Ong Tjandra, M.Kes, Sp.OG (K), Subsp. Onk
dr. Ong Tjandra, M.Kes, Sp.OG (K), Subsp. Onk is an Obstetrics and Gynecology Specialist with a subspecialty in oncology, practicing at Mandaya Royal Hospital Puri. He has extensive experience in treating various gynecologic cancers, including advanced ovarian cancer that has spread to the abdominal cavity.
dr. Ong is also skilled in performing gynecologic oncology surgeries, such as tumor removal, cancer tissue excision, and minimally invasive (laparoscopic) procedures for myoma, cysts, and hysterectomy (uterus removal).
As part of Mandaya Royal Hospital Puri’s multidisciplinary team, he plays a key role in performing HIPEC chemotherapy procedures to improve treatment outcomes and survival rates for advanced-stage ovarian cancer patients.
Clinic Hours:
- Monday: 10.00 – 17.00 WIB
- Thursday: 16.00 – 20.00 WIB
5. Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk
Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk is an Obstetrics and Gynecology Specialist with a subspecialty in oncology who also practices at Mandaya Royal Hospital Puri.
He completed his medical education at Universitas Sriwijaya, pursued his Specialist in Obstetrics and Gynecology at Universitas Sebelas Maret, and earned his Doctoral degree and Oncology Gynecology Consultant from Universitas Indonesia.
Dr. Unedo has extensive experience in managing gynecologic cancers such as ovarian, uterine, vulvar, and vaginal cancers, as well as benign tumors like myomas and uterine polyps.
As part of Mandaya’s oncology surgical team, he is actively involved in performing HIPEC procedures for metastatic ovarian cancer, using precision surgical techniques to ensure optimal recovery and long-term outcomes for patients.
Clinic Hours:
- Tuesday: 16.00 – 20.00 WIB
- Thursday: 16.00 – 20.00 WIB
- Saturday: 13.00 – 16.00 WIB
Consult About HIPEC Chemotherapy at Mandaya Royal Hospital Puri
If you would like to learn more about the HIPEC chemotherapy procedure for advanced colon or ovarian cancer that has spread to the abdominal cavity, visit Mandaya Royal Hospital Puri.
To make your visit easier, you can use our Chat via WhatsApp, Book Appointment, or download the Care Dokter App on Google Play and App Store to check queue numbers, schedule visits, and access more information conveniently.
