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Therapeutic Facilities

The hospital is having national level facilities for the complete treatment of all types of cancers. Radiotherapy, Chemotherapy (Medical Oncology), Onco Surgery and Palliative care are the main specialties for the comprehensive treatment of cancers.

 

RADIOTHERAPY

Radiotherapy is the main stay of treatment for most of the solid tumors. About 70%-80% of patients require radiotherapy either alone or in combination with surgery and /or chemotherapy. Radiotherapy can be delivered externally (Cobalt or Linear Accelerator) or internally (LDR Selectron or Micro Selectron HDR Brachytherapy Machine). Radiotherapy may be curative, adjuvant and palliative.
Linear Accelerator Cyprus 6mev
A high energy 6MV (600mu/min) along with 4-20MeV (600mu/min) electron energies linear accelerator is obviously a boon for cancer patients. This is the first equipment of its kind not only in North-East India but in Eastern India as a whole. Earlier this very costly and extremely useful equipment was available only in metropolitan cities in the country. This highly sophisticated unit is linked with high speed Spiral CT & 3-D Treatment Planning System through Various networking and thus fulfills optimum criteria for an ideal set up in Radiotherapy for best quality treatment by radiation.
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Computerized Treatment Planning System (3D & other TPS)

Once it is decided to treat the patient by radiotherapy, the treatment is planned with the help of this equipment to concentrate the optimum dose to the affected site. With the help of MLC(Multi leaf Collimator), it is possible to have 3-D conformal radiotherapy so that the surrounding areas, which are otherwise normal, are saved from getting the unwanted radiation and at the same time , higher dose can be delivered to the tumor area. As a result, the chances of cure are high with minimal complications. This computerized device also helps in accurate dose calculation and distribution. It takes much less time and enables the specialists to start the treatment at the earliest. This is the only equipment available in the eastern part of the country which can do 3-dimensional treatment planning. The unit is networked with CT Scan and Linear Accelerator through Varis Networking which is the latest networking system available in India. All cancer patients who require Radiotherapy are scanned on CT Scan unit and the images are automatically transferred to this unique planning system through networking. The tumor area and the vital organs are delineated on each CT slice. The radiation beams are planned and dose volume histograms computed by this system provide the accuracy parameters. After careful evaluation of these data, the best treatment plan is selected and its all parameters are transferred to Linear Accelerator for execution of treatment. The treatment records of all patients are stored server, which is the heart of networking. These machines are looked after by very competent and qualified Medical Physicists who had their special training at Bhabha Atomic Research Centre, Mumbai.

ORIFIT (Immobilization Devices )
Accuracy of radiation dose delivery depends upon the patient’s position during the treatment. Any shift in orientation of patient’s treatment area can lead to in-homogenous dose distribution inside the irradiated area. In order to restrict any voluntary movement of patient, the mould is prepared for individual patient. This also helps in keeping the patient’s skin free from any markings.
With availability of entire range of equipments and a well knit team of highly competent Radiotherapist , Oncologist and technicians required for full and proper treatment of cancer the institute can legitimately claim to be at par with leading hospitals in the country

HDR Brachytherapy

This mode of treatment is useful in treating cancers of various cavities such as uterus, cervix, vagina, rectum, anal canal, esophagus, nasopharynx, breast cancer, soft tissue sarcoma, , and head & neck cancer etc. This is under the process of procurement.

 

MEDICAL ONCOLOGY

(Chemotherapy)

This institute has got a separate Medical Oncology Department where Chemotherapy is administered as per international protocols. Chemotherapy is the administration of cytotoxic drugs and more recently biologicals to destroy the cancer cells. It is one of the multi- disciplinary approaches for the treatment of cancers and has become the  mainstay of treatment for almost all malignancies especially in  Leukemias (Blood Cancer), Lymphomas, Germ cell tumor and Choriocarcinoma ,Cancer Breast and  Ovary to name  a few. The department on a regular basis gives high dose chemotherapy as per the requirements.

A competent Medical is in charge of this important department. He is assisted by a team of Medical Officers. The dedicated team works for twenty four hours taking care of all cancer patients and all chemotherapy related complications.

SURGICAL ONCOLOGY

Surgery is the mainstay of treatment for solid tumors and surgeon plays a leading role in the decision making of the treatment of these solid tumors.

Cancer surgery is a complex and highly skilled discipline requiring detailed knowledge of anatomy, physiology, and reconstructive procedures. Recognizing this fact, this hospital has given a strong emphasis on surgical discipline. To provide state of the art care to these patients, the hospital has a team of three qualified, highly skilled and competent surgeons, all of them having experience of working in various prestigious institutes of India like Tata Memorial Hospital, Mumbai and All India Institute of Medical Science (AIIMS), New Delhi.

The surgeons are well trained in different subspecialties  of oncosurgery that includes head and neck, breast, thoracic surgery, gastrointestinal surgery, soft tissue surgeries, and gynecologic oncology. The department has two part- time consultants, a plastic surgeon and an orthopeacian, to assist in different reconstruction procedures and bone tumors surgeries. The neurosurgeon and the urologist are on the hospital panel and are readily available for any neurosurgical and urological procedures.  

The department is well supported by modern equipments, Operation Theatre and a small ICU.

The department also has an endoscopy setup and facilities for upper GI Endoscopy, Colonoscopy, Bronchoscopy, and Laryngoscopy are available. The surgeons are trained in flexible endoscopy and are assisted by medical gastroenterologist as and when additional help is required.

The department is performing all types of breast surgery including breast reconstruction; different head and neck surgery like commando operation, laryngeoctomy, Maxilectomy, thyroid and parathyroid surgeries, salivary glands tumor surgery; all Gastrointestinal Surgeries like esophagectomy, gastrectomy, pancreaticoduodenectomy, hemicolectomy and low anterior  resections, gynecological surgeries like ovarian cancer surgeries; thoracic surgeries like chest wall resection ,lung resection; and various soft tissue sarcoma surgeries with reconstruction including micro vascular surgery routinely.  

Operation Theatre

The hospital has 2 major and 2 minor operation theater. The Operation Theatres are equipped with all the modern facilities and equipments including latest Anesthesia Administering Machines, Remote Controlled Operation Table, Shadowless Lamps, imported Electric Cautery, Invasive and Non-invasive Monitors, Ventilator, one Operating  Microscope, Micromotor with saw, mandibular plating reconstruction set and  many other sophisticated instruments and equipments.

ANESTHESIOLOGY AND CRITICAL CARE 

The discipline of Anesthesiology plays a pivotal role in a superspeciality hospital, so also in an oncology institute. Especially in oncology, this discipline plays a major supportive as well as definitive role in patient management. Apart from managing operation theatre, intensive care unit, the department extends the acute pain management services with multimodal techniques and pharmacological therapies with latest continuous infusion techniques, conduction blockade for the postoperative acute pain of complex oncosurgical procedure and chronic pain management in cancer patients with multimodal approach, comprising of interventional pain management under imaging guidance. 

Implementation of anesthesia begins with preoperative assessment, investigations and preparation for optimization of medical condition, preoperative appropriate premedication and explanation of anesthetic risk to the patients. 

In this discipline the axiom “first do no harm” holds more true than in any other discipline. Like the aim of World Federation of Societies of Anesthesiologist, our institution  also strives to be at par in achieving  and maintaining high  standard of anesthesia care in operation theatre as well for anesthesia care procedures  outside the operation theatre.

The institute is having expert experienced consultant anesthesiologists with well equipped theatre with advanced multi-channel  monitoring system, infusion pumps, defibrillators, advanced anesthesia delivery units  for preoperative and postoperative  management  of all major and supra major oncosurgeries.

 

 Intensive Care Unit 

Postoperative care remains the most important and critical aspect that determines speedy and smooth recovery of patient after a rigorous and complex cancer surgery. Presently a small 2 beded ICU/ recovery unit is  serving the purposes.

To provide highest degree of postoperative care, hospital has submitted a project to NEC for financial grant to set up a state of the art intensive care unit to be equipped with all necessary modern, sophisticated Datex and Dragger multi-channel monitors, ventilators etc.

Interventional palliative pain management will be provided through interventional techniques with nerve located and USG/CT guided nerve and plexus blocks and also by continuous epidural analgesia with elastomeric pumps.

MEDICINE

The Department of Medicine has been working since the inception of the hospital. It consists, at present , of two Consultants.  The cancer patient is not only suffering from malignancy but may have a number of other general medical problems like diabetes, hypertension, coronary artery disease, cerebrovascular disease, renal, hepatic disorders, asthma, tuberculosis etc which also require to be treated optimally to improve the quality of life.

 

A full coverage is given round-the-clock to all critical/ICU and palliative care patients for their clinical management.  Department of Medicine has also been playing a prominent role in regular Cancer Awareness and Detection programs.

Various visiting consultants are closely associated with the hospital as part time consultants or in honorary capacity. Their expertise is solicited as and when required in case of system specific acute emergencies requiring extra or additional expert support.                            

PAIN & PALLIATIVE CARE          

Pain and Palliative care is a newly emerged specialty which is extremely useful for terminally ill patients. It considerably helps in controlling the pain and various other   sufferings of such patients and also plays a key role in raising the morale of the patients and their family members to fight the disease. The hospital has a full-fledged Palliative Care Department

Palliative care services will be further strengthened as a result of this unique center. This hospital is among the few institutes in the country where Palliative Care Department is working with specialists and expert team

 

RESEARCH & DEVELOPMENT

Without a proper research nucleus no hospital can achieve higher skill in this age of ever growing frontiers of knowledge. Apart from various research projects of vital importance on hand, the research department also offers advanced research training to doctoral and post graduate students. The hospital has a future planning of establishing a full fledged research department with the support of Atomic Energy Department, Govt. of India.

Mammography

Department is equipped with a modern memography unit. Project is prepared to get a grant in aid from NEC. Presently patient required this test are to sent to a city Mammography clinic by our ambulance.

Diagnostic Facilities :

PATHOLOGY

Department of Pathology is one of the most important departments for a cancer hospital, as correct diagnosis depends upon accuracy of various pathological tests and competence of pathologist. All pathological diagnostic modalities required for diagnosis of cancer as well as diagnosis of other ailments are available in this broad- based set up.
Fully equipped laboratories with modern sophisticated and automated gadgets are used for various procedures. The Department of Pathology has facilities for Histopathology, Cytology ,Microbiology, Biochemistry, Haematology, Tumour Markers, Electrophoresis, Blood Bank etc. Well-qualified and trained pathologistis and technicians are looking after the work of this vital wing of the institute.

(I) Clinical Biochemistry
The department is doing routine biochemistry tests like, Liver function tests, Renal function tests, Lipid Profile etc. on a Semi Automatic Biochemistry Analyzer machine (Transasia), and Electrolyte estimation using Automatic Electrolyte Analyzer (Transasia).

(II) Hematology
All basic and specialized hematological investigations especially required for diagnosis of hematological and lymphoid malignancy like Bone Marrow Aspiration, Trephine biopsy and Cytochemistry besides routine CBP and Complete Haemogram are performed by skilled hands.

(III) Cytology
Fine Needle Aspiration Cytology (FNAC) plays a very important role in diagnosis of all type of lesions. It is a very simple, painless, cost effective and quick, outdoor procedure for which no anesthesia is required.

(IV) Histopathology
Histopathology is a gold standard for the final diagnosis. There are very good quality Microtomes, Automatic Tissue Processor (Shandon, UK) and other modern equipments required for quick tissue processing. We also have Cryostat (Shandon UK) for intraoperative diagnosis.

(V) Tumour Markers
We are routinely doing FT4, TSH, CA-125, CA 15-3 CEA, tPSA, β-HCG, AFP and IgM, IgG, antibodies for Tuberculosis on Elisa Strip Reader (Merck).

(VI) Immunochemistry
This is a very important investigation for the final diagnosis of difficult and unusual cases. Besides being of routine use in breast cancer for prognosticating the patient, it also helps to choose specific treatment modalities. At present , we are performing ER, PR and Her-2.

(VII) Blood Bank
The institution is having tie-up with a blood bank in Guwahati city under a very efficient and well-organized system. We will be starting our own blood bank within a month or so.

RADIODIAGNOSIS & IMAGING

The well equipped Radiodiagnosis and imaging department is the backbone of any modern hospital and treatment centre in present era.
The quality of treatment which any good hospital can give to the patients depends on excellence of the diagnostic and imaging department of the hospital. All the faculties of hospital , in some way or other, inevitably take the help of radiodiagnosis and imaging in order to reach the proper diagnosis so that correct treatment can be planned.
It is departments endeavor to help all the specialists in their fields to diagnose the various types of diseases with the help of conventional X-Ray, USG, Colour Doppler Mammography and CT Scan and to locate the disease and assess the extent. Interventional procedures like USG and CT guided FNAC, biopsies are also done to reach a cytological and histological diagnosis. Therapeutic aspirations are also performed under ultrasound and CT guidance.

X-Ray

The department has one 500mA X-Ray machine with Image Intensifier that function round the clock to carrying out all types of plain X rays and special investigations like Barium studies of GIT,IVP,MCU and RGU for radiography requirement of out patients and inpatients. One portable X ray Units are available for routine radiography of the immobile inpatients
USG with Colour Doppler Highly sophisticated Colour Doppler and Ultrasonography unit with four Transducers (Convex, Linear, Cardiac, and Transrectal/Vaginal ) is available for carrying out sonography of whole abdomen ,high resolution sonogram of small parts like breast, neck, orbit, scrotum, thyroid and musculoskeletal system. Transrectal and Transvaginal sonogram are also performed. Entire range of color Doppler studies including neck vessels , visceral and peripheral blood vessels are being performed to assess the abnormalities of blood vessels

CT Scan

The spiral CT Scan is available in the department on which entire range of diagnostic studies of the brain and rest of the body is performed. In addition to whole body CT imaging dual phase CT Scan of the liver, pancreas and vascular studies like spiral CT angiography of cerebral, carotid, abdominal, thoracic, and peripheral, vessels are performed with the help of pressure injector for accurate depiction
of vessels without the need for any invasive procedure. Virtual colonoscopy, endoscopy and laryngoscopy are also done in our setup. High-resolution CT study for lungs and bony abnormalities like temporal bone are performed routinely. 3D reconstruction of axial images by forming MPR and SSD is done in cases wherever required. Adequate quantity of contrast agent is given and thin sections are taken wherever required, so that image quality is maintained. The non-ionic contrast media is always used to ensure that no adverse reactions occur.
Interventional procedures Interventional procedures including diagnostic procedures like USG or CT Guided aspiration/ Biopsy are being performed routinely. Transvaginal biopsy of pelvic masses and transrectal biopsy of prostate are also performed. Therapeutic procedures like drainage of fluid collections or abscess and celiac plexus block are being performed.

Nuclear medicine & Molecular Imaging

A sophisticated PET scan has been install recently and under fully operational.For more click here..