HIPEC or Hyperthermic intraperitoneal chemotherapy is the procedure of heating chemotherapy medications and delivering directly them into the abdominal cavity during surgery. This treatment is usually combined with cytoreductive surgery and is an effective approach for cancers that affects the inning of the abdominal.HIPEC delivers chemotherapy to cancer cells in the abdomen directly. This enables higher doses of chemotherapy treatment. Heating the solution might also advance the incorporation of chemotherapy medications by tumors and wipe out microscopic cancer cells that stay in the stomach after surgical procedure.
Not all patients are eligible for HIPEC treatments, as this is an aggressive treatment. The patient undergoing this treatment should:
- Not have had any serious chronic conditions. Be healthy enough for surgery
- Have a less peritoneal cancer index score (which calculates tumor development and tumor reach)
- Not have over one bowel obstacle or partial obstacle
- Have an epithelial cell category (other cell types are considered cautiously)
Medical Test Diagnosis
Before patients get HIPEC treatment, doctors carry out cytoreductive surgery a process to reduce or debulk the size of a cancerous tumor—in the abdomen. When as many tumors as feasible have been removed, a heated, uncontaminated chemotherapy solution is offered to the stomach to go through and obliterate the remaining cancer cells. The resolution is 41 to 42° Celsius, about the warmth of a warm bath. It is circulated all through the abdomen for around 90 minutes. The solution is then depleted from the stomach, and the cut is sealed. HIPEC is a treatment option for people who have cancer spread over the surface in the abdomen, and not outside the abdomen,
Preparations and Post-Surgery Recovery
The entire procedure of surgery and HIPEC takes approx six to eighteen hours. The more cancer has extended in the stomach, the longer time the surgery will take. After HIPEC, you must expect a recovery time of numerous months. Your treatment panel will go over the whole thing you must know about the recovery procedure, including how to look after your slit wounds and support healing. The most demanding aspect of recovery is exhaustion. To feel usual, it will take two to three months. Until then, it is essential to stay active and maintain proper nutrition.
The doctors put in catheters into the abdominal cavity and join it to the perfusion system, which heats the chemotherapy solution and pumps it to and from the body. As the solution runs through the machine, a heating element raises it to 105 and 109 F. Cancer cells start to expire when heated to around 104°F, while normal cells can stay alive up to 111°F. A doctor then massages the abdomen by hand to make sure the solution is thoroughly mixed. This step helps the drugs reach the residual cancer cells.