Peritoneal Cancer Specialist in Pune, Dr. Rahul Wagh
Peritoneal cancer, or peritoneal carcinomatosis, refers to the spread of cancer to the peritoneum, the thin membrane lining the abdominal cavity and covering the abdominal organs. It most commonly arises as a spread from ovarian, colorectal, gastric, or appendiceal cancers. Primary peritoneal mesothelioma is rare. Historically considered untreatable, peritoneal carcinomatosis can now be managed with curative or life-prolonging intent through cytoreductive surgery (CRS) combined with HIPEC.
Peritoneal cancer, or peritoneal carcinomatosis, refers to the spread of cancer to the peritoneum, the thin membrane lining the abdominal cavity and covering the abdominal organs. It most commonly arises as a spread from ovarian, colorectal, gastric, or appendiceal cancers. Primary peritoneal mesothelioma is rare. Historically considered untreatable, peritoneal carcinomatosis can now be managed with curative or life-prolonging intent through cytoreductive surgery (CRS) combined with HIPEC.
Dr. Rahul Wagh is a specialist in peritoneal surface oncology in Pune, offering cytoreductive surgery with HIPEC (Hyperthermic Intraperitoneal Chemotherapy), a combined surgical and chemotherapy procedure that removes all visible peritoneal disease and delivers heated chemotherapy directly into the abdomen. He is one of the few surgeons in Pune with expertise in this highly specialised procedure.
The Peritoneal Cancer Index (PCI) is used to assess the extent of peritoneal disease before surgery. At his Baner clinics, Dr. Wagh conducts thorough pre-operative staging including staging laparoscopy to determine whether a patient is suitable for CRS + HIPEC, a complex procedure that requires meticulous surgical planning and multidisciplinary post-operative care.
Warning Signs to Watch For
Peritoneal Cancer in its early stages may not cause obvious symptoms, which is why recognising these warning signs and seeking prompt evaluation in Pune is critical:
1. Progressive abdominal bloating or distension
2. Ascites (fluid accumulation in the abdomen)
3. Abdominal pain or discomfort
4. Unexplained weight loss
5. Change in bowel habits
6. Nausea and loss of appetite
7. New-onset hernia
8. A known primary cancer with abdominal spread
Why Choose Dr. Rahul Wagh for Peritoneal Cancer in Pune?
MCH Surgical Oncology
Highest qualification in surgical oncology with specialised fellowship training in robotic-assisted and laparoscopic cancer surgery, rare expertise available in Pune.
Oncoplastic Techniques
Breast-conserving surgeries that combine tumour removal with immediate aesthetic reconstruction, prioritising both oncological safety and quality of life.
Robotic Precision
Robotic-assisted surgery provides greater accuracy, smaller incisions, reduced blood loss and a significantly faster recovery compared to open surgery.
5000+ Proven Surgeries
A track record of successful outcomes across 5000+ cancer surgeries. Trusted by patients from Baner, Aundh, Wakad, Hinjewadi and across Pune.
Peritoneal Cancer Surgical Treatment Options in Pune
Dr. Rahul Wagh offers the following surgical treatment options at his clinics in Baner, Pune:
Cytoreductive Surgery (CRS)
Complete surgical removal of all visible peritoneal tumour deposits from the abdominal cavity
HIPEC (Hyperthermic Intraperitoneal Chemotherapy)
Heated chemotherapy at 42°C delivered directly into the abdominal cavity at the time of CRS surgery
Peritonectomy
Surgical stripping of the peritoneal lining involved by tumour
Multi-Visceral Resection
Removal of involved organs (colon, small bowel, spleen, ovaries) as required to achieve complete cytoreduction PIPAC (Pressurised Intraperitoneal Aerosol
Chemotherapy)
Laparoscopic delivery of aerosolised chemotherapy for palliative management of peritoneal disease
Pseudomyxoma Peritonei (PMP) Surgery
Specialised mucin debulking combined with HIPEC for appendiceal-origin peritoneal mucinous tumours
Your Peritoneal Cancer Treatment Journey in Pune
1
PCI Staging at Baner Clinic
CT abdomen/pelvis, staging laparoscopy, and PCI (Peritoneal Cancer Index) calculation.
2
Patient Optimisation
Nutritional optimisation, cardiorespiratory fitness, and MDT discussion before CRS+HIPEC.
3
CRS + HIPEC at Manipal Hospital Baner
Complete cytoreduction followed by 60–90 minute heated intraperitoneal chemotherapy.
4
ICU Recovery & Adjuvant Therapy
Post-operative ICU care, systemic chemotherapy, and surveillance imaging.
Other Cancer Types Treated by Dr. Rahul Wagh in Pune
In addition to breast cancer, Dr. Wagh provides expert surgical oncology care for the following cancer types in Pune:
Frequently Asked Questions, Peritoneal Cancer in Pune
HIPEC (Hyperthermic Intraperitoneal Chemotherapy) involves circulating heated chemotherapy drugs (at 42°C) inside the abdomen for 60–90 minutes at the end of cytoreductive surgery, to kill any remaining microscopic cancer cells that cannot be surgically removed.
Yes. With cytoreductive surgery + HIPEC, selected patients with peritoneal carcinomatosis from colorectal, ovarian, or appendiceal cancers can achieve long-term survival or cure.
Patients with limited peritoneal disease (PCI ≤ 20), good performance status, and resectable disease who have not received multiple prior lines of chemotherapy are potentially suitable. Dr. Wagh assesses each case individually.
Pseudomyxoma peritonei (PMP) is a rare condition where the abdomen fills with mucin secreted by a tumour, usually originating from the appendix. CRS + HIPEC is the definitive treatment and can be curative.
Dr. Rahul Wagh at Manipal Hospital, Baner is one of the few specialists in Pune offering cytoreductive surgery with HIPEC. Call +91 8956002781 to book a consultation.
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