Peritoneal Surface Malignancy (HIPEC Surgery)
Cytoreductive Surgery (CRS): is a procedure to remove the cancerous tissues from the abdomen. This is a major surgery which removes all visible evidence of disease from the abdomen. It involves removal of disease from peritoneum, omentum and abdominal viscera. This systemic procedure may also involve resection and reanastomosis of part of bowel for complete removal of disease. This adequacy of long cytoreductive surgery is the decisive factor to further proceed with HIPEC. When as many tumors as possible have been removed, a heated, sterilized chemotherapy solution is delivered to the abdomen to penetrate and destroy remaining cancer cells. The solution is 41 to 42 degrees Celsius, about the temperature of a warm bath. It’s circulated throughout the abdomen for approximately 90 minutes. The solution is then drained from the abdomen, and the incision is closed.
Hyperthermic Intraperitoneal Chemotherapy (HIPEC) is a surgical procedure that’s giving new hope to patients with abdominal cancers. Immediately after removing visible tumors a heated, sterilized highly concentrated dose of chemotherapy solution is circulated inside the abdominal cavity at a temperature of around 42 degree Celsius. The drug penetrate and destroy microscopic cancer cells directly.
Advantages of CRS - HIPEC Surgery
- Deeper penetration of the medicine direcly.
- Greater effectiveness at killing cancer cells in the abdomen.
- Allows for high doses of chemotherapy.
- Enhances and concentrates chemotherapy within the abdomen.
- Reduces the rest of the body’s exposure to the chemotherapy.
- Improves chemotherapy absorption and susceptibility of cancer cells.
- Reduces some chemotherapy side effects.
What Patients should know?
Cytoreductive Surgery is a very long and challenging surgery. Depending on site of tumors to be removed, operation can take as many as eight or nine hours, and chemotherapy application takes another two hours. There are requirements of blood products and post surgery ICU care and procedure associated complication rate. Patient may need nutritional support.
Cancers Treated by CRS+HIPEC Surgery
- Colon and rectum cancers with peritoneal metastasis- abdomen only spread.
- Appendix tumors such as
- Pseudomyxoma peritonei
- Low-grade appendiceal mucinous neoplasm ● Advance ovarian cancer with peritoneal metastasis
- Primary Peritoneal Cancer
- Peritoneal mesothelioma
- Desmoplastic small round cell tumors
- Select cases of endometrial cancers with peritoneal metastases, stomach cancer with peritoneal metastases, and other rarer peritoneal surface malignancies.
Request an appointment with expert in HIPEC Surgery
You can make an appointment with Dr Kaushal Yadav by:
● Scheduling an Online Consultation.
● Requesting an online second opinion from our specialists by sharing reports
● Writing on email id: arogyamcare123@gmail.com
To speak to someone directly, please call on +91 87505 87489 If you have symptoms of an urgent nature, please go to the emergency room immediately
To Book Appointment for Cancer Surgery :
Got some questions
- If all relavant examination and investigations has been done than plan of treatment is finalized with colon cancer surgeon
- After deciding surgical procedure cost estimate can be taken from billing department or hospital. Clinic or hospital department coordinator will assist in case any help required. +918750587489,
- you can visit nearby hospital for colonoscopy screening as advised in our screening section or you can read various society guidelines like American cancer society, USPTF.
- You can consult us through our online consultation link. https://api.whatsapp.com/send/?phone=918750587489&text=I+am+Looking+for+an+appointment+with+Dr.+Kaushal+Yadav.+Please+Help&type=phone_number&app_absent=0
