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Hyperthermic Intraperitoneal Chemotherapy (HIPEC)

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What is Hyperthermic Intraperitoneal Chemotherapy (HIPEC)?

Hyperthermic Intraperitoneal Chemotherapy (HIPEC) is an innovative cancer treatment that combines heated chemotherapy with surgical intervention to target advanced abdominal cancers.

 

This method is particularly effective for cancers that have spread to the peritoneal cavity, such as:

Ovarian cancer

Colorectal cancer

Peritoneal cancer

Appendiceal cancer

Gastric Cancer

How does HIPEC work?

The HIPEC process typically follows cytoreductive surgery (CRS), where surgeons remove as much of the visible tumour as possible.
After this surgical step, HIPEC is administered. During the procedure, warmed chemotherapy drugs are infused into the abdominal cavity.
The infusion is usually circulated within the peritoneal cavity for a specific period, often around 60 to 90 minutes. This localised approach allows for a higher concentration of the chemotherapy drugs directly at the tumour site, which can significantly improve treatment outcomes.
After the HIPEC treatment completed , the abdominal cavity infusion is drained, and the patient is monitored for recovery.

Benefits of HIPEC

Hyperthermic Intraperitoneal Chemotherapy (HIPEC) offers several significant advantages, particularly for patients with cancers that have spread to the abdominal cavity.

The heat used during HIPEC not only helps in killing cancer cells but also improves the absorption of the chemotherapy drugs. This localized delivery allows for a much higher dose of medication to be administered compared to traditional systemic chemotherapy, which is distributed throughout the entire body. The direct application ensures that the cancer cells receive a potent dose, increasing the likelihood of effective treatment.

Some studies suggest that HIPEC can improve overall survival rates for certain patients, especially those with an advanced abdominal cancers that has spread, particularly ovarian cancer and peritoneal carcinomatosis. This offers hope to patients who may have fewer treatment options. The combination of surgery and heated chemotherapy has been linked to prolonged survival.

HIPEC delivers chemotherapy directly to the area where the cancer is located. This means that the treatment goes straight to the source, which can be more effective than standard chemotherapy that circulates throughout the entire body thus minimises the exposure of healthy tissues to the toxic effects of the drugs.

Since HIPEC targets only the abdominal wall area, fewer systemic side effects compared to traditional chemotherapy.

The combination of heat and chemotherapy enhances the susceptibility of cancer cells to the drugs. Cancer cells are generally more sensitive to elevated temperatures, which means that the heated chemotherapy can be more effective in killing these cells. This synergistic effect can lead to better treatment outcomes, particularly for tumours that are difficult to treat with standard chemotherapy.

HIPEC used in conjunction with surgery to remove visible tumours. This flexibility allows for a more personalized treatment plan that can address the unique characteristics of each patient’s cancer as well as help eliminate any remaining cancer cells, potentially reducing the chances of recurrence.
HIPEC represents a significant advancement in cancer treatment, offering hope for improved outcomes in patients facing challenging diagnoses. If you or someone you know is considering HIPEC, it's crucial to consult with an oncologist or healthcare professional who specialises in this treatment to understand the potential benefits and risks tailored to individual circumstances.

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