Indigenous way of hyperthermic intraperitoneal chemotherapy
Introduction: Hyperthermic Intraperitoneal ChemotherapyÂ (HIPEC) is a form of highly concentrated, heated chemotherapyÂ that is delivered directly to the abdomen intra-operatively.Â Currently for peritoneal surface malignancy (PSM), either primaryÂ or secondary from gastrointestinal (GI) or gynecologic cancers,Â cytoreductive surgery (CRS) combined with peri-operativeÂ HIPEC therapy is recommended. Aims & objectives: The primaryÂ objective of this case report is to show that in the current eraÂ of malignancy, resource poor centers can adopt our innovativeÂ way of HIPEC therapy and can treat peritoneal neoplasms whichÂ were considered to have only palliative treatment. Methods: AfterÂ proper pre-operative work up, 61 year old lady diagnosed withÂ adenocarcinoma of the sigmoid colon with peritoneal deposits wasÂ taken up for cytoreductive surgery and HIPEC. In the absence ofÂ a proper HIPEC machine, we used the hotline fluid warmer usedÂ by Anesthesiologists to heat the chemotherapy solution which wasÂ then re-circulated manually. Results: The patient had an excellentÂ post-operative recovery and was discharged in a hemodynamicallyÂ stable condition on post-operative day (POD) 6. She has completedÂ 18 months of follow-up and has no signs of recurrence.Â Conclusions: To treat cancer like peritoneal neoplasm inÂ resource-poor centers, the hotline machine can be a good option.
Keywords:Hyperthermic intraperitoneal chemotherapy (HIPEC), case report.
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Copyright (c) 2019 Rishin Dutta, Soumen Das, Makhan Lal Saha
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