Clinical expertise

Subspecialised surgical care

Comprehensive expertise across the most complex areas of surgical oncology, backed by fellowship training and over 15 years of practice.

01

Peritoneal Surface Malignancies

Peritoneal carcinomatosis was once considered an untreatable end-stage disease. Today, with cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC), selected patients can achieve long-term survival and even cure.

Key procedures

  • Complete cytoreductive surgery (CRS)
  • Hyperthermic intraperitoneal chemotherapy (HIPEC)
  • Peritonectomy procedures
  • Multivisceral resections

Patient outcomes

15 years of experience in peritoneal carcinomatosis management. The first group for this disease founded in Madrid, at Hospital General Universitario Gregorio Marañón. 50–60 cases per year.

Peritoneal carcinomatosis: survival, HIPEC surgery and who is a candidate →

02

Retroperitoneal Sarcoma

Retroperitoneal sarcomas are rare and challenging tumours that require subspecialised surgical expertise. A well-planned, complete surgical resection remains the cornerstone of treatment, often involving compartmental resection of adjacent organs.

Key procedures

  • En-bloc compartmental resection
  • Multivisceral resections
  • Vascular reconstruction when required
  • Multidisciplinary sarcoma board planning

Patient outcomes

Dedicated multidisciplinary sarcoma programme with international collaboration, including active participation in major clinical trials.

Retroperitoneal sarcoma: symptoms, surgery and prognosis →

03

CRS + HIPEC

CRS+HIPEC combines radical removal of all visible tumour deposits in the abdomen (cytoreduction) with the direct application of heated chemotherapy to the peritoneal cavity to destroy residual microscopic disease.

Key procedures

  • Colorectal peritoneal metastases
  • Appendiceal neoplasms (PMP)
  • Ovarian peritoneal dissemination
  • Gastric peritoneal carcinomatosis
  • Peritoneal mesothelioma

Patient outcomes

Standardised HIPEC protocols using the latest evidence-based regimens. Perioperative morbidity consistently below national benchmarks.

04

Palliative Surgical Oncology

When curative treatment is not possible, palliative surgery plays a vital role in quality of life. The approach focuses on relieving symptoms, restoring function, and maximising time with meaningful quality of life in advanced disease.

Key procedures

  • Intestinal obstruction relief (bypass, stoma)
  • Palliative debulking for symptomatic disease
  • Bleeding and perforation management
  • Nutritional access procedures
  • Multidisciplinary palliative care coordination

Patient outcomes

Integrated approach with palliative care, medical oncology, and supportive teams to ensure patient-centred decision-making at every stage.

05

Complex Pelvic Surgery

Locally advanced and recurrent pelvic tumours often require extensive procedures. The team is experienced in pelvic exenterations and complex reconstructions to achieve oncologically adequate margins.

Key procedures

  • Total and partial pelvic exenteration
  • Lateral extended pelvic resections
  • Sacrectomy for locally advanced rectal cancer
  • Pelvic reconstruction
  • Intraoperative radiation therapy (IORT) when indicated

Patient outcomes

A multidisciplinary pelvic tumour board ensures optimal patient selection and surgical planning for these challenging cases.

Start from your diagnosis

What have you been diagnosed with?

Each page explains the disease in the patient's language, with published results and their sources, and ends by saying when a second opinion is worth seeking.

Peritoneum

Peritoneal carcinomatosis

What it means that cancer has spread to the peritoneum, when surgery is done with curative intent, and how candidacy is decided.

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Colorectal origin

Peritoneal metastases from colon or rectal cancer: what complete cytoreduction changes and what PRODIGE 7 actually showed.

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Ovarian origin

Advanced ovarian cancer: why surgery to no visible residual disease matters most, and where HIPEC fits.

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Gastric origin

Stomach cancer with peritoneal involvement: what is proven, what is not, and what PIPAC adds.

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Appendix cancer

You had an appendicectomy and the report mentions a tumour: what each type means and when a peritoneal specialist is needed.

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Pseudomyxoma peritonei

The jelly-belly disease: why volume alone does not rule surgery out, and what survival has been published.

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Peritoneal mesothelioma

Not the lung mesothelioma: why the subtype decides the operation and what the international registries show.

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Sarcoma

Retroperitoneal sarcoma

A mass at the back of the abdomen: why the first operation is the one that decides, and why not to operate without a biopsy.

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Soft tissue sarcoma

A growing lump in a limb, the trunk or the pelvis: how to diagnose it properly and why it must not be removed without a plan.

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Before deciding

Need a specialist opinion?

First visits, second opinions, and international consultations available.

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