Hyperthermic Intraperitoneal Chemotherapy (HIPEC) Surgery

Hyperthermic intraperitoneal chemotherapy (HIPEC) surgery is a specialized procedure used to treat certain types of cancers that have spread to the peritoneal cavity, the space within the abdomen. It involves delivering heated chemotherapy directly to the abdominal cavity to target and destroy cancer cells.

Who Needs Hyperthermic intraperitoneal chemotherapy (HIPEC) surgery

HIPEC surgery is typically recommended for individuals with advanced abdominal cancers, such as colorectal cancer, ovarian cancer, or appendiceal cancer, that have spread to the peritoneal cavity. It is usually considered when traditional treatments, such as surgery or systemic chemotherapy, have not been successful in controlling the cancer.

When to See a Specialist

If you have been diagnosed with advanced abdominal cancer or if you have undergone previous cancer treatments with limited success, it may be appropriate to consult with a specialist experienced in HIPEC surgery. They can evaluate your condition, discuss treatment options, and determine if HIPEC surgery is suitable for you.

Procedure

• Surgical exploration: The surgeon makes an incision in the abdomen to access the peritoneal cavity and examines the extent of cancer spread.

• Cytoreductive surgery: The surgeon removes visible tumors and any affected organs or tissues, aiming to achieve optimal tumor debulking.

• HIPEC administration: After completing the cytoreductive surgery, a heated chemotherapy solution is infused into the abdomen. The chemotherapy drugs are circulated throughout the abdominal cavity while maintaining a controlled elevated temperature.

• Perfusion and distribution: The HIPEC solution is circulated within the peritoneal cavity for a specific duration to maximize exposure to cancer cells.

• Close incisions: Once the desired treatment time is completed, the HIPEC solution is drained, and the incisions are closed.

Road To Recovery

The recovery period after HIPEC surgery can vary depending on the individual and the extent of the procedure. It typically involves a hospital stay of several days to monitor post-operative healing and manage any potential complications. Follow-up visits, rehabilitation, and lifestyle adjustments may be necessary to optimize recovery and regain normal activities.

Risk Management

HIPEC surgery carries potential risks, including infection, bleeding, damage to surrounding organs, bowel obstructions, and complications related to chemotherapy toxicity. The surgical team takes precautions and closely monitors patients during and after the procedure to manage these risks and minimize complications.

Benefits of Hyperthermic intraperitoneal chemotherapy (HIPEC) surgery:

• Targeted treatment: HIPEC delivers chemotherapy directly to the abdominal cavity, increasing drug concentration in the affected area while reducing systemic side effects.

• Enhanced tumor control: The combination of cytoreductive surgery and HIPEC improves the chances of removing visible tumors and eliminating microscopic cancer cells.

• Potential for improved outcomes: HIPEC surgery has shown promising results in selected patients with advanced abdominal cancers, offering the potential for improved survival rates and better quality of life.

Frequently Asked Questions

1. How long does the HIPEC procedure take?

   The duration of HIPEC surgery can vary depending on the extent of cytoreductive surgery and the specific treatment plan. It can range from several hours to a full day.

2. Will I be awake during HIPEC surgery?

   No, HIPEC surgery is performed under general anesthesia, ensuring you are asleep and pain-free throughout the procedure.

3. What is the recovery time after HIPEC surgery?

   Recovery time varies for each individual, but it typically involves a hospital stay of several days. Full recovery and return to normal activities may take several weeks to months, depending on the complexity of the surgery and individual healing.

4. Are there any long-term side effects of HIPEC surgery?

   Some individuals may experience long-term side effects, such as bowel obstruction, changes in bowel function, or adhesion formation. Your surgeon will discuss potential risks and side effects specific to your situation before the procedure.

5. Are there alternative treatments to HIPEC surgery?

   Alternative treatments may be considered based on individual circumstances. Your healthcare team will evaluate the stage and characteristics of your cancer to determine the most appropriate treatment options for you.