Whipple's Procedure in Tunisia

Treatment and Cost

28

Total Days
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2 No. Travelers

12 Day in Hospital

16 Days Outside Hospital

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About the Whipple's Procedure

Among all the forms of common cancers, it has been found that pancreatic cancer has the poorest prognoses. This reason can be attributed to the cancer growing and spreading long before it starts showing any visible symptoms. A survey revealed that only 6 percent patients survive for more than five years after its diagnosis. For some patients, a very complicated surgery known as the Whipple's procedure will be able to extend life and can be counted as a potential cure. After undergoing Whipple's surgery the five-year rate of survival can be increased to 25 percent.

People who are suffering from pancreatic cancer are eligible for the Whipple’s operation. People who have tumors confined to the pancreatic head and the blood vessels, lungs, and livers or the abdominal cavities are still not affected and are recommended to undergo this procedure after intensive testing and evaluation.

People with benign tumors are also recommended to undergo the procedure. For patients who are suffering metastasis, this procedure is not recommended. Cancer in the ampulla, region where the pancreatic duct and bile duct enter, can also be treated.

Whipple's Operation

Whipple's operation is conducted in the head of the pancreas. During the surgery, a segment of the duodenum, bile duct, and the gallbladder is removed. In some cases, a portion of the stomach may also be removed. After these segments are removed, the remaining pancreas, bile duct, and even portion of the intestine will be sutured back to the main intestine to direct the secretion of the gastrointestinal segment into the gut. The Whipple& procedure for pancreatic cancer is long and has several complications associated with it.

A doctor may recommend you to undergo Whipple operation for the treatment of the following conditions:

  • Pancreatic cysts, tumors, and cancer
  • Ampullary cancer
  • Pancreatitis
  • Neuroendocrine tumors
  • Cancer of the bile duct
  • Small bowel cancer
  • Traumatic injury to the small intestine or the pancreas
  • Tumor of disorders of the bile ducts, pancreas, or duodenum

How is Whipple's Procedure performed?

  • An intravenous (IV) line is put into a vein of the arm. You may receive a medication through the IV line that will help you relax.
  • General anaesthesia is administered to put you into temporary sleep so that you do not experience any discomfort.
  • A urinary catheter will be inserted to drain urine during and after the surgery.
  • The surgeon makes a single large incision (open surgery) or multiple small incisions (laparoscopic surgery) to access the internal organs.
  • The head of the pancreas is removed along with the gallbladder, small intestine, and the bile duct.
  • Sometimes, a part of the stomach and the nearby lymph nodes may also be performed.
  • In certain cases, another pancreatic surgery for some other procedure may also be performed at this time.
  • The remaining portions of the stomach, pancreas, and intestines are reconnected after the procedure.

Recovery from Whipple's Procedure

The operation is considered quite complex and therefore, the patient is required to stay in the hospital for one or two weeks with first night spent in ICU. Fatigue is common during Whipple’s procedure recovery phase for the first two months and follow-up occurs once in a week. This is followed by chemotherapy and radiation therapy in the case of cancer.

  • Patients are encouraged for short walks initially.
  • Slowly, solid foods are incorporated into the diet while pills are given for pain management.
  • Patients are instructed on how to keep the incision area clean and bathing instructions are given.
  • Consumption of small meals are recommended and the patients are advised to avoid fatty foods completely
  • Pancreatic enzyme replacements can be given.
  • The patient is asked to increase water intake and avoid lifting heavy weights.

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of Tunisia / Why should opt for Tunisia as a destination for your medical treatment?
Hospitals in Tunisia are developing and trying to meet the international standards of healthcare. Although there is a basic set up in most of the hospitals for treatment in Tunisia, one can still expect scope for improvement. The Ministry of Health, along with the Government of Tunisia is making effective changes for the healthcare sector. The private hospitals in Tunisia are also undergoing a robust change to provide effective healthcare and treatment in Tunisia.

Like most other countries, hospitals in Tunisia have a private and public healthcare system. Hospitals in Tunisia include three levels of care: primary, with a network of 81 clinics and 2091 basic health centers; secondary, with 109 district hospitals; and tertiary, with 33 regional hospitals and 24 modern CHUs, according to MoS figures.
What are the conditions of the hospitals in Tunisia? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety.
In Tunisia, there are no JCI accredited hospitals but 4 private hospitals are certified ISO and OHSAS (Occupational Health and Safety Assessment Series).
Are the doctors/surgeons in Tunisia of the best quality?
The hospitals in Tunisia have seen a constant change in terms of development and technology. Most doctors that are trained in the country understand the needs and requirements of people and are able to diagnose and treat them well. There are various surgeons that fly in from other countries as well to treat patients. This was brought about due to the economic reforms and various expats residing there. The varying levels of health organizations provide reasonable means of treatment for any patient. There are also trained paramedical and emergency service staff in this country.
What is the process for obtaining a medical visa in Tunisia?
Patients who wish to visit Tunisia for medical purposes must contact the Embassy of Tunisia in their home country. One is required to have a valid passport. Those applicants must submit their visa application forms in person together with the following documents:
  1. A duly completed application form with one picture (within a white background).
  2. Original biometric passport and one copy. Passports should have a validity of at least one year from the date of your visa application submission.
  3. Medical certificate stating the type of illness and the treatment to be carried out. This document has to be in English or Spanish language.
  4. Letter from the hospital in Tunisia stating the appointment date and whether the treatment expenses have been already paid in full.
  5. Proof of financial means which enable the applicant to meet life needs while in Tunisia (salary certificate if working, bank statement for the last six months, property deeds, commercial license, other sorts of income).
  6. Travel insurance.
  7. Proof of accommodation (hotel reservation, etc)
  8. Applicants are advised that ALL PASSPORTS HAVE TO REMAIN at the Embassy premises while the visa application is under process (between 10 and 15 days), and therefore cannot be retrieved unless very special and urgent circumstances might arise.
  9. The Embassy has the right to require from the applicant any document that it may deem relevant in order to resolve the visa file.
What support services does MediGence provide in Tunisia?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
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    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
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  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in Tunisia for medical treatment?
Tunis is the largest country and capital of Tunisia. This country is located in the northern region of Africa and is the best city for treatment in Tunisia.

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