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29.Anaesthetic implications for a patient posted for HIPEC -Dr. Saurabh.pptx

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  ANAESTHETIC IMPLICATIONS OF HIPEC SURGERY MODERATOR  – Dr. Rakesh Garg.  HISTORY ã Dr. Paul Sugarbaker  -director of the Center for Surgical Oncology at the Washington Cancer Institute, Washington Hospital Center. ã In the 1980s, developed his signature treatment method, known as the Sugarbaker Procedure ã Radical method of applying heated chemotherapy drugs directly to the abdomen after surgically removing any visible tumors. ã First developed for -  peritoneal mesothelioma .  INTRODUCTION ã Peritoneal dissemination of gastrointestinal (GI) or gynecologic cancers or primary peritoneal neoplasms constitute a difficult challenge for the for the oncosurgeon and the oncoanaesthetist. ã Cytoreductivesurgery combined with perioperative intraperitoneal chemotherapy is currently a valid treatment option for selected cases diagnosed with these diseases. ã HIPEC  is delivered in the operating room once the cytoreductivesurgical procedure is finalized and constitutes the most common form of administration of perioperative intraperitoneal chemotherapy   ã The acronym HIPEC, coined by the group from the Netherlands Cancer Institute , became the standardized nomenclature for this procedure as a result of the e    xperts’ consensus achieved during the Fourth International Worksho    p on Peritoneal Surface Malignancy (Madrid, 2004). ã HIPEC PLUS -concurrent intravenous chemotherapy administration (bidirectional chemotherapy), with an aim to further enhance the cytotoxic potential of HIPEC.

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Sep 22, 2019
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