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Cancer-free duration depends on stage, residual disease and chemotherapy response; recurrence is common in advanced disease, so long-term surveillance is needed.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Unplanned return to theatre within 30 days, e.g. for bleeding, leak or wound dehiscence."},"scars":"Midline vertical abdominal incision scar is typical for open surgery; smaller port scars if minimally invasive approach is used in selected early-stage cases.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single primary operation (staging/cytoreduction); interval surgery after neoadjuvant chemotherapy is a separate protocol."},"stages":[{"code":"surgery","label":"Staging or cytoreductive surgery (hysterectomy, bilateral salpingo-oophorectomy, omentectomy, as indicated)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at first session."}}],"qualifier":"Primary surgery protocol; adjuvant chemotherapy is separate treatment."},"success":{"metric":"Complete gross resection (no residual disease) at primary cytoreduction","value":65,"unit":"percent of patients","horizon":"at surgery","population":"Adults with advanced epithelial ovarian cancer at experienced gynecologic oncology centers","evidence_status":"limited"},"techniques":[{"name":"Open comprehensive staging / primary cytoreductive surgery (TAH-BSO, omentectomy, peritoneal biopsies, lymph node assessment, tumor debulking)","suits_whom":"Suspected or confirmed ovarian cancer, including advanced disease amenable to maximal resection.","recovery":"Hospital stay about 4-7 nights; return to usual activity about 6-12 weeks."},{"name":"Fertility-sparing unilateral salpingo-oophorectomy with staging","suits_whom":"Selected young patients with early-stage, low-risk disease wishing to preserve fertility.","recovery":"Often shorter recovery, especially if minimally invasive."},{"name":"Interval cytoreductive surgery after neoadjuvant chemotherapy","suits_whom":"Advanced disease not initially resectable or patient unfit for primary surgery.","recovery":"Similar to primary open surgery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Open staging/cytoreductive laparotomy; longer for extensive multivisceral resection."},"initial_assessment_documents":["Pelvic and abdominal CT or MRI report","Pelvic ultrasound report","CA-125 and other tumor marker results","Biopsy or cytology report (if available)","Recent preoperative blood test results","PET-CT report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay 2-3 weeks including hospital nights and wound check. Second trip only for adjuvant chemotherapy or follow-up."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the medical team’s qualifications","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask the medical team questions about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check whether the clinic or hospital’s facilities and standards satisfy you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Discuss treatment options and necessity with a doctor for a second opinion","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"A doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ensure you understand possible complications and side effects","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Ensure aftercare coordination is clear","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"You cannot ask the treatment team questions before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"You are not satisfied with the clinic or hospital’s facilities and standards","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The clinic cannot explain how aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy bleeding after surgery","urgency":"emergency","general":false,"source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/surgery-for-ovarian-cancer/","host":"gatesheadhealth.nhs.uk","quote":"Bleeding (haemorrhage) – This may occur during the surgery or rarely afterwards.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Pain and swelling in one leg","urgency":"emergency","general":false,"source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/surgery-for-ovarian-cancer/","host":"gatesheadhealth.nhs.uk","quote":"This will normally cause pain and swelling in the affected leg and is relatively simply to treat using blood thinning drugs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Sudden difficulty breathing or chest pain","urgency":"emergency","general":true,"source":{"url":"https://www.nhs.uk/conditions/pulmonary-embolism/","host":"nhs.uk","quote":"difficulty breathing that comes on suddenly, chest pain that's worse when you breathe in","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure 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primary cytoreductive surgery (TAH-BSO, omentectomy, peritoneal biopsies, lymph node assessment, tumor debulking)","how_it_works":{"text":"Surgeons remove most or all of the cancerous tumor","source":{"url":"https://my.clevelandclinic.org/health/procedures/debulking-surgery","host":"my.clevelandclinic.org","quote":"Debulking (cytoreduction) surgery is cancer surgery to remove most or all of a cancerous tumor.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"fertility-sparing-unilateral-salpingo","name":"Fertility-sparing unilateral salpingo-oophorectomy with staging","how_it_works":{"text":"One ovary and tube are removed with complete staging","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6299391/","host":"pmc.ncbi.nlm.nih.gov","quote":"Patients with stage IA and Grade 1 tumors are treated with unilateral salpingoophorectomy and complete staging (including peritoneal washing and omental biopsy).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"interval-cytoreductive-surgery-after","name":"Interval cytoreductive surgery after neoadjuvant chemotherapy","how_it_works":{"text":"Surgery follows chemotherapy when cancer responds or remains stable","source":{"url":"https://experts.umn.edu/en/publications/neoadjuvant-chemotherapy-for-newly-diagnosed-advanced-ovarian-can/","host":"experts.umn.edu","quote":"Interval cytoreductive surgery (ICS) should be performed after ≤four cycles of NACT for patients with a response to chemotherapy or stable disease.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":12,"unit":"weeks","label":"6–12 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