• Cytoreductive Surgery (CRS): Surgeons remove all visible tumors from the peritoneal cavity.
• HIPEC / PIPEC: A specially formulated chemotherapy solution is heated and circulated within the abdomen (HIPEC) or delivered under pressure (PIPEC) to destroy remaining microscopic cancer cells.
• Targeted Effect: Direct delivery of chemotherapy ensures higher local concentrations, improved tumor penetration, and reduced systemic side effects compared to traditional intravenous chemotherapy.

• Maximal Tumor Removal: Surgically eliminates all visible tumors
• Targeted Chemotherapy: Direct treatment of the peritoneal cavity reduces systemic toxicity
• Improved Survival: Enhances outcomes for select abdominal and peritoneal cancers
• Reduced Recurrence Risk: HIPEC / PIPEC targets microscopic disease that surgery alone cannot remove

This treatment is suitable for patients with:

• Peritoneal carcinomatosis from colorectal, ovarian, gastric, or appendiceal cancers
• Mesothelioma of the peritoneum
• Selected cases of pseudomyxoma peritonei
• Advanced abdominal cancers with limited spread confined to the peritoneum

• Consultation: Multidisciplinary team evaluates tumor extent and patient suitability.
• Preoperative Planning: Imaging studies, lab tests, and optimization of patient health.
• Surgery and HIPEC / PIPEC: Tumor removal followed by heated or pressurized chemotherapy delivery.
• Postoperative Care: Close monitoring in ICU or specialized surgical units for recovery and supportive care.
• Follow-up: Regular imaging and assessments to monitor treatment response and detect recurrence early.

At Mar Sleeva Medicity Palai, CRS with HIPEC / PIPEC is performed using advanced surgical and chemotherapy delivery systems under strict safety protocols. The procedure is conducted by a specialized team of surgical oncologists, anesthesiologists, and oncology support staff to ensure optimal outcomes and patient safety.

• Expert multidisciplinary team of surgical oncologists, medical oncologists, and anesthesiologists
• State-of-the-art operating theaters and HIPEC/PIPEC delivery systems
• Personalized treatment plans for each patient based on tumor type and disease extent
• Comprehensive perioperative and postoperative care with continuous support