{"id":2141,"date":"2022-06-17T07:59:24","date_gmt":"2022-06-17T07:59:24","guid":{"rendered":"https:\/\/www.viamedsalud.com\/ivoqa\/hipec\/"},"modified":"2024-11-04T14:35:20","modified_gmt":"2024-11-04T14:35:20","slug":"hipec","status":"publish","type":"page","link":"https:\/\/www.viamedsalud.com\/ivoqa\/en\/hipec\/","title":{"rendered":"HIPEC"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2141\" class=\"elementor elementor-2141 elementor-844\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e808c8c elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"e808c8c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d4727c2\" data-id=\"d4727c2\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0562347 elementor--h-position-left sliderGradient elementor--v-position-middle elementor-arrows-position-inside elementor-pagination-position-inside elementor-widget elementor-widget-slides\" data-id=\"0562347\" data-element_type=\"widget\" data-settings=\"{&quot;navigation&quot;:&quot;both&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;pause_on_hover&quot;:&quot;yes&quot;,&quot;pause_on_interaction&quot;:&quot;yes&quot;,&quot;autoplay_speed&quot;:5000,&quot;infinite&quot;:&quot;yes&quot;,&quot;transition&quot;:&quot;slide&quot;,&quot;transition_speed&quot;:500}\" data-widget_type=\"slides.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-swiper\">\n\t\t\t<div class=\"elementor-slides-wrapper elementor-main-swiper swiper\" dir=\"ltr\" data-animation=\"fadeInUp\">\n\t\t\t\t<div class=\"swiper-wrapper elementor-slides\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-repeater-item-8012e48 swiper-slide\"><div class=\"swiper-slide-bg elementor-ken-burns elementor-ken-burns--in\" role=\"img\"><\/div><div class=\"swiper-slide-inner\" ><div class=\"swiper-slide-contents\"><div class=\"elementor-slide-heading\">VIAMED INSTITUTE OF ADVANCED SURGICAL ONCOLOGY<\/div><h1 class=\"elementor-slide-description\"><hr style=\"margin-bottom:20px; margin-top:25px;\">\n<p>HIPEC<\/p>\n<\/h1><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-54c3dbf order_wrap elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"54c3dbf\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-710ca6c\" data-id=\"710ca6c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-fce03bb elementor-section-full_width elementor-reverse-tablet elementor-reverse-mobile elementor-section-height-default elementor-section-height-default\" data-id=\"fce03bb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-79be7de\" data-id=\"79be7de\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4bdf439 elementor-widget elementor-widget-heading\" data-id=\"4bdf439\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What would cytoreductive surgery and HIPEC involve?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce63fbf separador elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"ce63fbf\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8eb53c1 elementor-widget elementor-widget-text-editor\" data-id=\"8eb53c1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Cytoreductive surgery is a comprehensive and meticulous type of surgery, in which we examine the entire abdomen inch by inch to remove all tumour nodules from the peritoneum. It involves a combination of peritonectomy (removal of the peritoneum) and other organs to remove all visible disease from the abdomen. This procedure can be performed via conventional open surgery or through a minimally invasive approach, by laparoscopy.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-90cbebc\" data-id=\"90cbebc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d7882f4 elementor-widget elementor-widget-image\" data-id=\"d7882f4\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"2121\" height=\"1414\" src=\"https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2022\/09\/cirugia.jpg\" class=\"attachment-full size-full wp-image-1692\" alt=\"HIPEC. Cirug\u00eda de citorreducci\u00f3n\" srcset=\"https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2022\/09\/cirugia.jpg 2121w, https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2022\/09\/cirugia-300x200.jpg 300w, https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2022\/09\/cirugia-1024x683.jpg 1024w, https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2022\/09\/cirugia-768x512.jpg 768w, https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2022\/09\/cirugia-1536x1024.jpg 1536w, https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2022\/09\/cirugia-2048x1365.jpg 2048w\" sizes=\"(max-width: 2121px) 100vw, 2121px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2c65d05 order_wrap elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2c65d05\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-be65f04\" data-id=\"be65f04\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-5741638 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"5741638\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ffc09a2\" data-id=\"ffc09a2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-029c3f5 elementor-widget elementor-widget-image\" data-id=\"029c3f5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"724\" height=\"483\" src=\"https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2024\/04\/GettyImages-1136917902.jpg\" class=\"attachment-full size-full wp-image-3494\" alt=\"\" srcset=\"https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2024\/04\/GettyImages-1136917902.jpg 724w, https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2024\/04\/GettyImages-1136917902-300x200.jpg 300w\" sizes=\"(max-width: 724px) 100vw, 724px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-f673061\" data-id=\"f673061\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bc05ee9 elementor-widget elementor-widget-heading\" data-id=\"bc05ee9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What role does HIPEC play in the treatment of peritoneal carcinomatosis?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3b4264e separador elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3b4264e\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-832ef60 elementor-widget elementor-widget-text-editor\" data-id=\"832ef60\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>HIPEC stands for hyperthermal intraperitoneal chemotherapy. It is a treatment for patients with advanced cancer that has spread throughout the peritoneum. This treatment aims to kill the tumour and prolong the patient\u2019s survival.<\/p>\n<p>It consists of administering chemotherapy at a temperature between 40-43\u00baC for between 60-120 minutes at the end of the cytoreduction surgery procedure.<\/p>\n<p>This procedure is completed with a dose of warm chemotherapy, administered as an infusion, which is removed from the abdomen at the end of the procedure. The goal is to eliminate microscopic disease, eliminating any tumour cells that may be loose in the abdomen after surgery with that dose of chemotherapy.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-59156bb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"59156bb\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ac162fe\" data-id=\"ac162fe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-9729d40 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9729d40\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-dd3cfaa\" data-id=\"dd3cfaa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cffb094 elementor-widget elementor-widget-heading\" data-id=\"cffb094\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Which patients can be treated using cytoreductive surgery and HIPEC?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ab34da5 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"ab34da5\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f48724d elementor-widget elementor-widget-text-editor\" data-id=\"f48724d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>It is a curative treatment for patients with advanced cancer that has spread to the peritoneum. This is known as peritoneal carcinomatosis or peritoneal metastases.<\/p>\n<p>The primary tumour may be located:<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9341957 elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"9341957\" data-element_type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-83af7ae\" data-id=\"83af7ae\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f83592d elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"f83592d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-custom\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-60dfe8c\" data-id=\"60dfe8c\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bc3e45e elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"bc3e45e\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img decoding=\"async\" width=\"108\" height=\"120\" src=\"https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2024\/03\/cropped-LOGO-1.png\" class=\"attachment-full size-full wp-image-3067\" alt=\"\" \/><\/figure><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\">Abdomen<\/h3><p class=\"elementor-image-box-description\">Stomach, colon, small intestine, ovary, pancreas, endometrium, appendix (one of its variants is peritoneal pseudomyxoma), cholangiocarcinoma.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-15db92a\" data-id=\"15db92a\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ab88ade elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"ab88ade\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img decoding=\"async\" width=\"108\" height=\"120\" src=\"https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2024\/03\/cropped-LOGO-1.png\" class=\"attachment-full size-full wp-image-3067\" alt=\"\" \/><\/figure><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\">Outside the abdomen<\/h3><p class=\"elementor-image-box-description\">Lung cancer, breast cancer, melanoma.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-8a392d8\" data-id=\"8a392d8\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-210647f elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"210647f\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img decoding=\"async\" width=\"108\" height=\"120\" src=\"https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2024\/03\/cropped-LOGO-1.png\" class=\"attachment-full size-full wp-image-3067\" alt=\"\" \/><\/figure><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\">In the peritoneum itself<\/h3><p class=\"elementor-image-box-description\">Peritoneal mesothelioma, primary peritoneal cancer.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-081cf70 order_wrap elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"081cf70\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0257829\" data-id=\"0257829\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-37de867 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"37de867\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4a5b3af\" data-id=\"4a5b3af\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6a44622 elementor-widget elementor-widget-image\" data-id=\"6a44622\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"787\" height=\"443\" src=\"https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2024\/05\/hipec.jpg\" class=\"attachment-full size-full wp-image-4396\" alt=\"\" srcset=\"https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2024\/05\/hipec.jpg 787w, https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2024\/05\/hipec-300x169.jpg 300w, https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2024\/05\/hipec-768x432.jpg 768w\" sizes=\"(max-width: 787px) 100vw, 787px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-93b7316\" data-id=\"93b7316\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7cf8f50 elementor-widget elementor-widget-heading\" data-id=\"7cf8f50\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Are all patients with peritoneal carcinomatosis candidates for treatment with cytoreductive surgery and HIPEC?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7fd2fb2 separador elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"7fd2fb2\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f8daad elementor-widget elementor-widget-text-editor\" data-id=\"6f8daad\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>The aim of cytoreductive surgery or peritonectomy and HIPEC is curative.<\/p>\n<p>To explain which patients are candidates for this treatment we must first understand what PCI (peritoneal cancer index) means.<\/p>\n<p>PCI is the amount of tumour inside the abdomen. It is an index that indicates the degree of disease, and which is very important for surgical oncologists, since it tells us a lot about the patient\u2019s prognosis and the best treatment sequence for each individual.<\/p>\n<p>It is a number between 0 and 39, calculated by dividing the abdomen into 12 regions and assigning a score of 0 to 3 according to the number of peritoneal implants and the size at that location.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-85120fb order_wrap elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"85120fb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6b46d88\" data-id=\"6b46d88\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-fe82102 elementor-section-full_width elementor-reverse-tablet elementor-reverse-mobile elementor-section-height-default elementor-section-height-default\" data-id=\"fe82102\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-34574f4\" data-id=\"34574f4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-13a12fb elementor-widget elementor-widget-heading\" data-id=\"13a12fb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How is peritoneal carcinomatosis treated?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd954df separador elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"dd954df\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6b739d4 elementor-widget elementor-widget-text-editor\" data-id=\"6b739d4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Currently, treatments for peritoneal carcinomatosis remain limited and have a conservative prognosis.<\/p>\n<p>Standard palliative chemotherapy often provides only modest improvement in prognosis with low tumour response rates. In addition, this treatment is associated with a significant risk of harmful side effects.<\/p>\n<p>Multimodal management combining systemic chemotherapy, complete cytoreductive surgery, which can be combined with the administration of hot intraperitoneal chemotherapy (HIPEC), is an effective alternative for patients where spread of the disease is limited and does not affect areas known to be unresectable (for example when the disease has spread to a large area of the small intestine, the liver hilum\u2026).<\/p>\n<p>This surgery, with or without HIPEC, can be performed in our facility using conventional open surgery,<\/p>\n<p>but for selected patients we also offer the possibility of performing this surgery through minimally invasive means (laparoscopy).<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-1e212b5\" data-id=\"1e212b5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-70adbc0 elementor-widget elementor-widget-image\" data-id=\"70adbc0\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"448\" height=\"380\" src=\"https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2022\/09\/carcinomatosis.png\" class=\"attachment-full size-full wp-image-1605\" alt=\"\" srcset=\"https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2022\/09\/carcinomatosis.png 448w, https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2022\/09\/carcinomatosis-300x254.png 300w\" sizes=\"(max-width: 448px) 100vw, 448px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-69de04df elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"69de04df\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5d4d001e\" data-id=\"5d4d001e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-69c6c550 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"69c6c550\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5b25e53\" data-id=\"5b25e53\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2284177 elementor-vertical-align-top elementor-widget elementor-widget-icon-box\" data-id=\"2284177\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<a href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/minimally-invasive-surgery\/\" >\n\t\t\t\t\t\t\tCan this treatment be performed using minimally invasive techniques?\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7be58476\" data-id=\"7be58476\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-43d7d0e0 elementor-vertical-align-top elementor-widget elementor-widget-icon-box\" data-id=\"43d7d0e0\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<a href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/contact\/\" >\n\t\t\t\t\t\t\tRequest your appointment for a face-to-face consultation or online assessment\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c6af20c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c6af20c\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8c80850\" data-id=\"8c80850\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-eb841f4 faq elementor-widget elementor-widget-toggle\" data-id=\"eb841f4\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-2461\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2461\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-angle-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">In which cases is treatment with cytoreductive surgery and HIPEC recommended?<\/a>\n\t\t\t\t\t<\/h3>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2461\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2461\"><p>Depending on the origin of the primary tumour and the PCI, we can offer treatment with cytoreductive surgery and HIPEC in the following scenarios:<\/p>\n<ul class=\"icono-ul-ivoca\">\n<li>Peritoneal metastases of gastric origin: PCI less than or equal to 9<\/li>\n<li>Peritoneal metastases originating in colon cancer: PCI less than or equal to 17<\/li>\n<li>Peritoneal metastases originating in cancer of the appendix, the ovaries, primary peritoneal, mesothelioma peritoneal, pseudomyxoma\u2026In these cases we are not limited by the PCI, provided that the whole disease is operable, we can offer cytoreductive surgery and HIPEC<\/li>\n<\/ul>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-2462\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2462\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-angle-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">How many days will I have to stay in hospital following cytoreductive surgery and HIPEC?<\/a>\n\t\t\t\t\t<\/h3>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2462\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2462\"><p>It depends on many factors, but usually between 7 and 20 days.<\/p>\n<p>The first 24 \u2013 48 hours are usually spent in the ICU for close monitoring, although the patient is awake, carrying out physical and respiratory rehabilitation exercises\u2026 and later on the ward, until they are in a fit state to return home, where they will continue with their postoperative recovery programme at home.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-2463\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2463\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-angle-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">What complications can occur after cytoreductive surgery and HIPEC?<\/a>\n\t\t\t\t\t<\/h3>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2463\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2463\"><p>The performance of this surgery by expert teams and in accordance with a pre-operative prehabilitation and ERAS programme (early postoperative recovery) are important to reduce complications or their impact.<\/p>\n<p>After this surgery, complications can appear from major abdominal surgery such as infection, bleeding, anastomotic leak, respiratory and urinary tract infections\u2026 and complications derived from chemotherapy (such as a drop in white blood cells, platelets, impaired renal function)\u2026<\/p>\n<p>At IVOQA, our protocols seek to reduce these complications and to detect them early.complicaciones, as\u00ed como una detecci\u00f3n precoz de las mismas.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-2464\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2464\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-angle-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Are patients with metastases in the peritoneum and other locations suitable candidates for cytoreductive surgery and HIPEC?<\/a>\n\t\t\t\t\t<\/h3>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2464\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2464\"><p>This is a complex case but one we see frequently in our consultations. Unfortunately, in many facilities, these patients are offered palliative care only.<\/p>\n<p>We have many years of experience treating patients with metastases in several sites, requiring a thorough study by the tumours committee.<\/p>\n<p>We always begin with intravenous chemotherapy and, depending on how the cancer responds, we evaluate whether to take a radical approach to remove the whole disease in accordance with very strict parameters<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"In which cases is treatment with cytoreductive surgery and HIPEC recommended?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Depending on the origin of the primary tumour and the PCI, we can offer treatment with cytoreductive surgery and HIPEC in the following scenarios:<\\\/p>\\n<ul class=\\\"icono-ul-ivoca\\\">\\n<li>Peritoneal metastases of gastric origin: PCI less than or equal to 9<\\\/li>\\n<li>Peritoneal metastases originating in colon cancer: PCI less than or equal to 17<\\\/li>\\n<li>Peritoneal metastases originating in cancer of the appendix, the ovaries, primary peritoneal, mesothelioma peritoneal, pseudomyxoma\\u2026In these cases we are not limited by the PCI, provided that the whole disease is operable, we can offer cytoreductive surgery and HIPEC<\\\/li>\\n<\\\/ul>\\n\"}},{\"@type\":\"Question\",\"name\":\"How many days will I have to stay in hospital following cytoreductive surgery and HIPEC?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>It depends on many factors, but usually between 7 and 20 days.<\\\/p>\\n<p>The first 24 \\u2013 48 hours are usually spent in the ICU for close monitoring, although the patient is awake, carrying out physical and respiratory rehabilitation exercises\\u2026 and later on the ward, until they are in a fit state to return home, where they will continue with their postoperative recovery programme at home.<\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"What complications can occur after cytoreductive surgery and HIPEC?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>The performance of this surgery by expert teams and in accordance with a pre-operative prehabilitation and ERAS programme (early postoperative recovery) are important to reduce complications or their impact.<\\\/p>\\n<p>After this surgery, complications can appear from major abdominal surgery such as infection, bleeding, anastomotic leak, respiratory and urinary tract infections\\u2026 and complications derived from chemotherapy (such as a drop in white blood cells, platelets, impaired renal function)\\u2026<\\\/p>\\n<p>At IVOQA, our protocols seek to reduce these complications and to detect them early.complicaciones, as\\u00ed como una detecci\\u00f3n precoz de las mismas.<\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"Are patients with metastases in the peritoneum and other locations suitable candidates for cytoreductive surgery and HIPEC?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>This is a complex case but one we see frequently in our consultations. Unfortunately, in many facilities, these patients are offered palliative care only.<\\\/p>\\n<p>We have many years of experience treating patients with metastases in several sites, requiring a thorough study by the tumours committee.<\\\/p>\\n<p>We always begin with intravenous chemotherapy and, depending on how the cancer responds, we evaluate whether to take a radical approach to remove the whole disease in accordance with very strict parameters<\\\/p>\\n\"}}]}<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fb490fa order_wrap elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fb490fa\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0adf04c\" data-id=\"0adf04c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-08b007f elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"08b007f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-e82391d\" data-id=\"e82391d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b011a6a elementor-widget elementor-widget-image\" data-id=\"b011a6a\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"724\" height=\"483\" src=\"https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2024\/05\/paciente.jpg\" class=\"attachment-full size-full wp-image-4421\" alt=\"\" srcset=\"https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2024\/05\/paciente.jpg 724w, https:\/\/www.viamedsalud.com\/ivoqa\/wp-content\/uploads\/2024\/05\/paciente-300x200.jpg 300w\" sizes=\"(max-width: 724px) 100vw, 724px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-12b9ec9\" data-id=\"12b9ec9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fdb1eb7 elementor-widget elementor-widget-text-editor\" data-id=\"fdb1eb7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>All patients with peritoneal disease should be evaluated in a peritoneal surgery unit, by a committee of experts in peritoneal pathology, even patients with liver metastases, inoperable disease and high PCI, since we now have multiple treatment options for all of them<\/p>\n<p>What about patients with a high PCI or unresectable disease and\/or non-response, or disease progression despite systemic chemotherapy?<\/p>\n<p><strong>In these cases, <span style=\"color: #000d8c;\"><a style=\"color: #000d8c;\" href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/pipac\/\"><span style=\"text-decoration: underline;\">PIPAC<\/span><\/a><\/span> can be a great alternative<\/strong><\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4536af9e elementor-section-content-middle elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4536af9e\" data-element_type=\"section\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-40beabd8\" data-id=\"40beabd8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4d2fee18 elementor-widget elementor-widget-icon-box\" data-id=\"4d2fee18\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tAll patients with peritoneal disease should be evaluated in a peritoneal surgery unit, by a committee of experts in peritoneal pathology, even patients with liver metastases, inoperable disease and high PCI, since we now have multiple treatment options for all of them\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e537b9a\" data-id=\"e537b9a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e492ebc elementor-widget elementor-widget-icon-box\" data-id=\"e492ebc\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tWhat about patients with high PCI or with unresectable disease and\/or non-response or disease progression despite systemic chemotherapy?\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d85d543 elementor-widget-divider--separator-type-pattern elementor-widget-divider--no-spacing elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"d85d543\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\" style=\"--divider-pattern-url: url(&quot;data:image\/svg+xml,%3Csvg xmlns=&#039;http:\/\/www.w3.org\/2000\/svg&#039; preserveAspectRatio=&#039;xMidYMid meet&#039; overflow=&#039;visible&#039; height=&#039;100%&#039; viewBox=&#039;0 0 126 26&#039; fill=&#039;black&#039; stroke=&#039;none&#039;%3E%3Cpath d=&#039;M10.7,6l2.5,2.6l-4,4.3l4,5.4l-2.5,1.9l-4.5-5.2l-3.9,4.2L0.7,17L4,13.1L0,8.6l2.3-1.3l3.9,3.9L10.7,6z M23.9,6.6l4.2,4.5L32,7.2l2.3,1.3l-4,4.5l3.2,3.9L32,19.1l-3.9-3.3l-4.5,4.3l-2.5-1.9l4.4-5.1l-4.2-3.9L23.9,6.6zM73.5,6L76,8.6l-4,4.3l4,5.4l-2.5,1.9l-4.5-5.2l-3.9,4.2L63.5,17l4.1-4.7L63.5,8l2.3-1.3l4.1,3.6L73.5,6z M94,6l2.5,2.6l-4,4.3l4,5.4L94,20.1l-3.9-5l-3.9,4.2L84,17l3.2-3.9L84,8.6l2.3-1.3l3.2,3.9L94,6z M106.9,6l4.5,5.1l3.9-3.9l2.3,1.3l-4,4.5l3.2,3.9l-1.6,2.1l-3.9-4.2l-4.5,5.2l-2.5-1.9l4-5.4l-4-4.3L106.9,6z M53.1,6l2.5,2.6l-4,4.3l4,4.6l-2.5,1.9l-4.5-4.5l-3.5,4.5L43.1,17l3.2-3.9l-4-4.5l2.3-1.3l3.9,3.9L53.1,6z&#039;\/%3E%3C\/svg%3E&quot;);\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f2f93f elementor-widget elementor-widget-text-editor\" data-id=\"9f2f93f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"color: #000d8c;\"><a style=\"color: #000d8c;\" href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/pipac\/\">In these cases <span style=\"text-decoration: underline;\">PIPAC<\/span> can be a great alternative.<\/a><\/span><\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1c39b9b elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"1c39b9b\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b426362\" data-id=\"b426362\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8c24964 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"8c24964\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Do not hesitate to request an appointment with our specialists<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fd7c3b8 elementor-align-center elementor-mobile-align-justify elementor-widget__width-initial elementor-widget elementor-widget-button\" data-id=\"fd7c3b8\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-hang\" href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/contact\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Get to know us<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>VIAMED INSTITUTE OF ADVANCED SURGICAL ONCOLOGY HIPEC What would cytoreductive surgery and HIPEC involve? Cytoreductive surgery is a comprehensive and meticulous type of surgery, in which we examine the entire abdomen inch by inch to remove all tumour nodules from the peritoneum. It involves a combination of peritonectomy (removal of the peritoneum) and other organs [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2018,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-2141","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cytoreduction surgery and HIPEC - IVOQA<\/title>\n<meta name=\"description\" content=\"HIPEC is a treatment with curative intent for patients with peritoneal carcinomatosis or peritoneal metastases.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/hipec\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cytoreduction surgery and HIPEC - 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