Medical Oncologist
CION Cancer Clinics
Where sacrectomy and hemipelvectomy should be done | CION Cancer Clinics
Sacrectomy and hemipelvectomy should be done at a centre that treats bone and soft tissue tumours regularly, with surgeons, scan and tissue specialists, intensive care and rehabilitation working as one team. Such teams are found in a limited number of specialist centres, so travel is common. This page explains what a centre needs, what to ask before you agree, and how CION can help you reach the right team. CION Cancer Clinics’ surgical oncologists in Hyderabad can talk this through with you.
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Medically reviewed by Dr. Muralidhar MuddusettyConsultant Surgical Oncologist · MBBS (AIIMS), MS (Surgery, AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh) · last reviewed September 2026, next review due September 2027
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On this page
- Where should a sacrectomy or hemipelvectomy be done?
- What should a centre for this surgery have?
- Who should be in the team?
- Is it worth travelling for this operation?
- What should you ask a centre before agreeing to surgery?
- What do families believe about choosing a centre?
- What can this page not tell you, and how can CION help?
- Common questions about where to have this surgery
The short answer
Where should a sacrectomy or hemipelvectomy be done?
These operations should be done at a centre that treats bone and soft tissue tumours regularly, not simply at the nearest large hospital. The operation is only one part. The planning before it and the care after it matter just as much.
Why these operations need a specialist team
The sacrum and pelvis sit next to the bowel, bladder, large blood vessels and the nerves to the legs. Removing a tumour here with a clear margin, meaning a rim of healthy tissue all round, often needs several surgeons in theatre together. The operation is long, blood loss can be heavy, and recovery needs intensive care and months of rehabilitation.
Why the biopsy should be planned by the same team
A biopsy takes a small piece of the tumour to find out what it is. For bone tumours, where the needle goes in can affect the later operation, because the needle track may have to be removed too. If a pelvic or sacral bone tumour is suspected, ask for the biopsy to be planned with the team that would operate.
If a biopsy has already been done elsewhere, do not panic. Bring every report and the scan discs to the specialist team.What to look for
What should a centre for this surgery have?
- A team that sees bone tumours often and meets to plan each case
- Bone, spine, bowel, urology and plastic surgeons who operate together
- Radiologists and pathologists who read bone tumour scans and slides regularly
- Intensive care and a blood bank for a long, heavy operation
- Physiotherapy, occupational therapy and access to limb fitting
- Radiotherapy and chemotherapy planning, on site or by close referral
- Wound, stoma and continence nurses
- A clear plan for follow-up scans over years
Not sure whether this applies to you?
Ask an oncologistWho is involved
Who should be in the team?
Job titles differ between hospitals. Ask who will fill each of these roles for you.
Bone tumour surgeon
Usually an orthopaedic oncologist or surgical oncologist trained in pelvic and sacral tumours. They lead the plan for removing the tumour and rebuilding the pelvis.
Spine and plastic surgeons
A spine surgeon may fix the spine to the pelvis after sacrectomy. A plastic surgeon often closes the large wound with healthy tissue to lower the chance of wound problems.
Bowel and urology surgeons
Needed when the tumour is close to the rectum or bladder, or when a stoma is part of the plan.
Scan and tissue specialists
Radiologists and pathologists who see bone tumours regularly. The tumour type decides whether surgery, radiotherapy or chemotherapy comes first.
Anaesthesia, ICU and rehabilitation
The people who keep you safe during a long operation, look after you in intensive care, and get you moving again.
Distance and travel
Is it worth travelling for this operation?
For many families in Telangana, the right team may be in Hyderabad or another city rather than in their own district. Travelling for the operation is common, and much of the care after it can happen nearer home.
What usually happens at the specialist centre
The planning scans, the biopsy if it is not yet done, the tumour board discussion, the operation, intensive care and the early weeks of rehabilitation. Major follow-up scans are usually reviewed there too.
What can often be done closer to home
Dressings, blood tests, removal of stitches, regular physiotherapy and some check-ups can often be arranged near home, as long as the local team has your discharge summary and clear written instructions.
Planning a stay
Ask how long the hospital stay usually is, whether a family member can stay nearby, and which schemes the hospital accepts, such as Aarogyasri, CGHS, ECHS, EHS or cashless insurance.
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Before you agree
What should you ask a centre before agreeing to surgery?
Ask this
Why it matters
How often does your team operate on sacral or pelvic tumours?
Regular experience matters more than the size of the hospital
Has my case been discussed at a tumour board?
It means surgeons, oncologists, radiologists and pathologists agreed the plan together
Which surgeons will be in the operating theatre?
Complex cases often need several surgical teams at once
What might I lose, such as walking, nerve or bladder function?
You need to understand the trade-offs before you decide
What are the alternatives, including radiotherapy?
Some tumours can be treated in other ways, and you should hear the options
Commonly believed
What do families believe about choosing a centre?
"Any big hospital can do this operation."
Size is not the same as experience. A hospital can be large and well equipped yet rarely treat pelvic bone tumours. Ask how often the team does these operations and who is in it.
"We should operate at the nearest hospital quickly, before it spreads."
Speed matters, but a rushed operation by a team unused to these tumours can leave cancer behind or make later surgery harder. A short wait to reach the right team is often safer. Ask your doctor how urgent your case is.
"Asking for a second opinion will offend the surgeon."
Experienced surgeons expect it before large operations. A second opinion helps you understand the plan and the options. Bring all reports and scan discs so the review is complete.
"We will have to go abroad for this."
Specialist teams that treat these tumours work in India. Going abroad adds cost, distance from family and harder follow-up. Ask what a centre abroad would offer that a specialist team here cannot.
Being straight with you
What can this page not tell you, and how can CION help?
This page cannot tell you which hospital is right for you, or whether you should have surgery at all. That depends on the tumour type, where it sits, your health and what you want from treatment. It is a decision for you and your treating team.
How CION can help
If a pelvic or sacral tumour has been found, you can share your reports and scans with us. A CION oncologist will look at what has been found so far, explain it in plain words, and help you reach the right specialist team for the next step.
What to bring
Every scan report and the scan discs, the biopsy report and slides if a biopsy was done, blood test results, a list of medicines and your written questions. Bring the family member who will help make decisions.
Questions we are asked
Common questions about where to have this surgery
How do I find a specialist centre for sacrectomy in India?
Look for a centre that treats bone and soft tissue tumours regularly, holds tumour boards, and has bone, spine, bowel and plastic surgeons who work together. Ask how often they do these operations and who leads rehabilitation. We do not compare named hospitals, but we can help you ask the right questions.
Is a bone tumour service different from a general cancer hospital?
Often, yes. A specialist bone tumour service sees these rare tumours often enough to plan the biopsy correctly and choose between surgery, radiotherapy and chemotherapy. A general cancer hospital may have strong teams but see few pelvic bone tumours. Ask directly.
Can the biopsy be done near home?
For a suspected pelvic or sacral bone tumour, it is safer to have the biopsy planned by the team that would operate, because the route of the needle can affect later surgery. If it has already been done, bring the report, slides and scans to the specialist team.
Does distance from Hyderabad matter after surgery?
The early weeks of recovery usually need to be near the operating centre. After that, many checks, dressings and physiotherapy sessions can happen closer to home. Ask what must be done at the centre and what a local doctor can manage with written instructions.
How long will I need to stay near the hospital?
Usually longer than for most operations, counting the hospital stay and early follow-up visits. The exact time depends on the operation and how the wound heals. Ask the team for their usual range, and plan where a family member will stay.
Is it safe to get a second opinion before surgery?
Yes, and it is common before operations this large. Ask the first team how urgent your situation is, so the second opinion does not cause a harmful delay. Take all reports, scan discs and biopsy slides so everything can be reviewed.
Are these operations covered by Aarogyasri or insurance?
It depends on the scheme, whether the hospital is empanelled and the approved package. Aarogyasri, CGHS, ECHS, EHS and many cashless insurers may cover parts of the treatment. Ask the hospital's insurance desk for a written estimate against your own card or policy.
Can CION tell me whether I need surgery?
We can review your reports, explain what has been found in plain language, and help you reach the right specialist. The decision about surgery belongs to you and the team who will treat you, after they have examined you and discussed your case together.
Meet the Specialists
17+ senior cancer specialists. One panel for your case.
Trained at AIIMS, Tata Memorial, and leading international centres. Combined 150+ years of experience. Every complex case is reviewed by 3+ of them — together.
Medical Oncologist
Dr. C. Raghavendra Reddy
MBBS(Gold Medal), DNB(General Medicine), DM(Medical Oncology)(Gold Medal)
Medical Oncologist
Dr. Bharati Devi Gorantla
MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)
Medical Oncologist
Dr. Owais Mohammed
MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)
Medical Oncologist
Medical Oncologist
Surgical Oncologist
Dr. Muralidhar Muddusetty
MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)
Surgical Oncologist
Surgical Oncologist
Surgical Oncologist
Dr. Vinay Mamidala
MBBS, MS(General Surgery), M.Ch(Surgical Oncology), FMAS, FARIS(Ongoing)
Surgical Oncologist
Radiation Oncologist
Radiation Oncologist
Radiation Oncologist
Hematologist
Surgical Oncologist
Dr. Vajja Sandeep Kumar
MBBS, MS (General Surgery), DrNB (Surgical Oncology), FALS Oncology
Surgical Oncologist
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Accreditation and empanelment
- NABH
- NABL
- ISO 9001:2015
- ArogyaSri empanelled
- CGHS accepted
- ECHS accepted
- EHS accepted
- Major cashless insurers
Paying for it
Insurance, schemes and payment
What you actually pay usually differs a great deal from the sticker figure.
AarogyasriEmpanelled. Bring the card and a referral where you have one.
CGHS / ECHS / EHSAccepted at CION centres for eligible treatment.
Cashless insuranceMost major insurers are empanelled. Pre-authorisation is handled by our desk.
Self-payItemised estimate given before treatment starts. No EMI scheme exists.
Where to find us
Our centres in and around Hyderabad
Addressed by landmark, because that is how this city navigates. A surgical consultation can be booked at any of these centres through one helpline, and your team will tell you where the operation itself takes place.
Warangal
Vizag
Sources
- NICE — Improving outcomes for people with sarcoma (CSG9)
- American Cancer Society — Surgery for bone cancer
- Cancer Research UK — Bone cancer
- Tata Memorial Centre — Tata Memorial Centre
This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.
Keep reading
Related pages
Choosing a Surgeon and a CentreGeneral questions to ask before any cancer operationWhich Tumours Need Sacral SurgeryThe tumours these specialist teams treatDeciding on Cancer SurgeryHow to weigh surgery against the alternativesCost, Insurance and Schemes for Cancer SurgeryWhat Aarogyasri, CGHS and insurance may cover
Talk to us
Told you may need pelvic or sacral surgery?
Tell us what has been found so far. A CION oncologist will go through your reports with you and help you reach the right specialist team. One helpline serves every CION centre.