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Cytoreductive Surgery
With HIPEC / PIPEC

      What is Cytoreductive Surgery with HIPEC / PIPEC?

      Cytoreductive Surgery (CRS) combined with Hyperthermic Intraperitoneal Chemotherapy (HIPEC) or Pressurized Intraperitoneal Chemotherapy (PIPEC) is an advanced, multidisciplinary treatment for cancers involving the abdominal or peritoneal cavity. This approach combines surgical removal of visible tumors with targeted, heated chemotherapy delivered directly to the abdominal cavity to eliminate microscopic cancer cells.

      How CRS with HIPEC / PIPEC Works

      • 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.
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      Advantages of CRS with HIPEC / PIPEC

      • 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

      Who Can Benefit from CRS with HIPEC / PIPEC?

      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
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      Treatment Process

      • 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.

      Safety and Technology

      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.

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      Why Choose Mar Sleeva Medicity Palai?

      • 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

      Frequently asked Questions

      Stroke rehabilitation is provided by the PMR department at Mar Sleeva Medicity Palai in Kottayam. Treatment covers weakness and loss of movement, spasticity, neurogenic bladder and bowel management, swallowing and speech difficulty, and retraining of daily activities such as dressing and feeding. Physiatry, physiotherapy, speech therapy and occupational therapy work on the same patient as one team rather than as separate referrals.
      Both. Rehabilitation at Mar Sleeva Medicity Palai begins during hospital admission and continues as outpatient treatment after discharge. Inpatients are seen on the ward from the early stage of recovery, alongside the treating physician or surgeon. The same team continues the programme in the outpatient department, so treatment does not restart when the patient goes home
      The PMR department at Mar Sleeva Medicity Palai in Kottayam treats loss of movement, function or independence caused by illness, injury or disability. It covers four services: physiatry, physiotherapy, speech therapy and occupational therapy. Conditions treated include stroke, spinal cord injury, brain injury, chronic and musculoskeletal pain, spasticity, amputation, diabetic foot and pressure ulcers, and rehabilitation after surgery, burns and cancer treatment. Children with physical and developmental disability are treated in the same department.
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      Holistic Care

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      Critical Medical Care

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