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HIPEC, edgy operation

HIPEC, edgy operation

Top Doctors
Top Doctors editorial
Top Doctors
Created by: Top Doctors editorial Sources: Top Doctors CO
Edited by: TOP DOCTORS® at 28/02/2022

The operation HIPEC is a novel intervention that makes it possible to eradicate many tumor nodules scattered visceral and abdominal wall surfaces. To carry it out requires an experienced team and technology necessary for a highly complex surgery.

Dr. Edgar Guillermo Flores Ayala

The doctor. Paul Sugarbaker changed the classical concept of peritoneal carcinomatosis was considered terminal metastatic disease distance to be considered a disease of an anatomical region, or what is the same, loco-regional.

He designed a series of surgical strategies through which it was possible to eradicate many tumor nodules scattered visceral and abdominal wall surfaces. Technically they called peritonectomies; after achieving the primary objective of eradicating all visible disease posed act on microscopic disease (free tumor cells in the peritoneal cavity). We proceed to the infusion of high-dose chemotherapy with hyperthermia (41-43 °) for 60 to 90 minutes. the latter element is added as it is known tumoricidal heat capacity.

It is important that the amount of tumor is removed as possible, the goal will always be zero residual disease, and that the less amount of tumor remains at the time of applying chemotherapy, the better the results of the procedure.

Requirements for carrying out the operation HIPEC

Capacity, quality and training of human resources, commitment, fitness for procedures 8-12 hours and of course, the necessary technology for a highly complex surgery, specifically a machine perfusion able to raise the required temperature 47 ° C, surgical retractor specially designed for this procedure, electrosurgical equipment, blood bank, ICU, since you are working with chemotherapy, should be stored a number of security measures for staff from the surgical site and patient .

Peritoneal carcinomatosis followed by HIPEC

This is a consolidated technical reference centers, and there is a high level of physical evidence of its contribution to certain types of abdominal tumors.

Obviously still many avenues of research worldwide on the different variables in this complex procedure intercurren open. At this time, by its nature, it must be carried out in specialized centers and after careful selection of candidates for her patients.

Does it cause side effects chemotherapy and the hot solution during the operation?

So, the management and control of fluids before, during and after surgery are literally vital. So we have a team of proven ability and experience in the management of these patients.

Risk operation

There is a morbidity and mortality associated with this procedure, but in experienced centers this is comparable to that obtained in any highly complex surgery (stomach or pancreas, to quote). By combining major surgery with chemotherapy know that complications can occur in varying degrees and close monitoring will allow us to identify if present and act accordingly.

Surgical Oncology