Dr.N.S.VIMALATHITHAN

Consultant Surgical Oncologist & HIPEC Specialist

Chennai

PERITONEAL SURFACE MALIGNANCY & HIPEC SURGERY

WHAT IS PERITONEAL SURFACE MALIGNANCIES?

  • If you or a loved one have been told that you have a peritoneal surface malignancy, you may wonder what that is.

  • This is any cancer that affects the peritoneum, a membrane that lines the abdomen. A peritoneal surface cancer is also called a peritoneal carcinomatosis (PC).

  • Each year, many patients worldwide are confronted with a diagnosis of “peritoneal cancer”. This includes patients with rare diseases such as malignant mesothelioma and pseudomyxoma peritonei (PMP). More often, peritoneal cancer arises from metastases from a cancer elsewhere in the body.

  • Most cancers in the peritoneum begin in another part of the body. Cancers of the appendix, colon, rectum, stomach and ovaries commonly spread to the nearby peritoneum. 

How are peritoneal tumors treated?

  • For many years, peritoneal surface malignancies were considered inoperable. This is because the peritoneum extends over a large area and also because these cancers tend to affect multiple organs.

  • Peritoneal metastases can be treated with curative intent using Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC)  as a new evolving strategy. This approach achieves cure in many patients.

What is CRS & HIPEC treatment?

  • HIPEC is a chemotherapy treatment that is performed after the patient’s surgeon has removed all visible cancer cells in a procedure called cytoreductive, or debulking, surgery. 

  • After debulking, a heated solution of chemotherapy is pumped directly into the patient’s abdominal cavity. The patient’s belly is then massaged to circulate the chemotherapy solution throughout the abdomen to reach any microscopic cancer cells that may have spread. 

You can read more by clicking this link : https://youtu.be/Ek0c5h8ls70

What cancers are treated with HIPEC?

Typically, HIPEC is used to treat advanced and recurrent malignancies of the:

  • Appendix

  • Colon

  • Fallopian tubes

  • Ovaries

  • Peritoneal carcinomatosis

  • Peritoneal mesothelioma

  • Rectum

  • Stomach


Where to go?

  • Treatment of peritoneal cancer patients, and in particular treatment with HIPEC, is complex and requires a dedicated, experienced multi-disciplinary team.

  • Treatment for peritoneal cancer should be offered only at institutions like us with sufficient knowledge and skills to achieve optimal surgical results as well as safe administration of intraperitoneal chemotherapy. 


These treatments are typically performed in dedicated hospitals like us. We are one of the Best HIPEC Centers In INDIA  with vast experience in the treatment of peritoneal cancer & CRS with HIPEC surgery and with very good results.