Is HIPEC A Cure For Abdominal Cancers?

HIPEC surgery in India - CUSP Surgons

HIPEC stands for hyperthermic intraperitoneal chemotherapy, which can be defined as a highly concentrated, heated chemotherapy treatment that is delivered directly to the abdomen during surgery. The main objective of the procedure is to treat tumours in the abdominal (peritoneal) lining that stem from the colon, gastric, ovarian, appendix tumours, mesothelioma and other cancers.

However, it is very much different from systemic chemotherapy delivery as HIPEC delivers chemotherapy directly to cancer cells in the abdomen which allows for higher doses of chemotherapy treatment. So, by heating the solution can augment the improvement in the absorption of chemotherapy drugs and destroy the microscopic cancer cells that can remain in the abdomen after surgery. The operation involves the use of general anaesthesia which lasts for about 6-9 hours depending on its complexity.

Being a novel technique treats those abdominal malignancies which were previously thought to be untreatable and were only offered palliative care. The requirement of HIPEC is therefore very specific and it is meant for those suffering from abdominal cancer in which the disease has spread only inside the abdomen and not through the blood or lymphatic. So, here it becomes imperative to get proper treatment from HIPEC specialists in Delhi as the city involves some good options.

6 type of spread which is usually seen in the following cancers:

  1. Primary peritoneal cancer
  2. Appendicular cancer
  3. Ovarian cancer
  4. Colorectal malignancy
  5. Pseudomyxoma peritonei
  6. Some of pancreatic and Gastric cancers

However, HIPEC being an effective palliative therapy works for people with malignant ascites, or an accumulation of fluid build-up in the abdomen. However, a one-time HIPEC treatment can replace repeated visits for paracentesis for some patients.

Why choose HIPEC treatment?

5 advantages of opting for HIPEC treatment;

  1. Reduces certain systemic side effects of chemotherapy
  2. Allows for high doses of chemotherapy
  3. Enhances and concentrates chemotherapy in abdominal cavity locally
  4. Improves chemotherapy absorption and susceptibility of cancer cells
  5. Overall has potential betterment of survival

Difference between HIPEC and traditional chemotherapy

However, there are a few types of cancer that are difficult to treat particularly the ones located in the abdominal cavity. These cancers are not cured with intravenous chemotherapy as with intraperitoneal chemotherapy. The involvement of heat in the HIPEC treatment makes it more effective to kill the cancer cells.

8 things that differ:

  1. Enhances and concentrates chemotherapy within the abdomen
  2. Minimizes the rest of the body’s exposure to the chemotherapy
  3. Minimizes the rest of the body’s exposure to the chemotherapy
  4. Improves chemotherapy absorption and susceptibility of cancer cells
  5. Improves overall survival significantly if done after an appropriate patient
  6. Reduces some chemotherapy side effects
  7. Allows for high doses of chemotherapy
  8. Reduces some chemotherapy side effects

What after HIPEC surgery?

Any surgery or treatments involve some of the preventive measures which if followed properly can lead to better results.

  • Hospital stay

It involves a procedure called cytoreductive surgery that lasts an average of 8-14 hours, depending on the extent of disease. So, the patient remains in the hospital for 10-12 days following surgery.

  • Recovery process

The success of the surgery usually depends on the precautionary measures taken. So, it is important to rest during this period of recovery, it is also important to get up, move around, and remain as active as possible. Remaining active and maintain a healthy lifestyle will help in combating fatigue as well as prevent possible complications of the surgery, such as blood clots forming in the legs and pneumonia.

  • Diet during recovery

Diet plays a significant role in maintaining health and wound healing. Pre and post-surgical procedure it is imperative to evaluate the patient’s nutritional status to ensure their caloric needs are being met. Here the dietician works with patients to ensure they receive the correct formulation.

Due to the sea change in the medical technology HIPEC surgery in India has become quite common at the same time more cases of abdominal cancer has been observed.

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