HIPEC is a treatment for selected cancers that have spread across the lining of the abdomen, such as some cancers of the appendix, colon, ovary and peritoneal lining. After the surgeon removes all visible tumour (cytoreductive surgery), a heated chemotherapy solution is circulated inside the abdomen for about an hour or more, then drained.

Only carefully selected patients qualify. Tests show how widespread the disease is and whether the patient is fit for a long operation. Intensive care monitoring is needed afterwards.

How the Procedure Can Help

It targets tiny cancer cells left on abdominal surfaces and may improve control in selected patients.

Risks and Considerations

Risks include those of major surgery, bowel leakage, infection, low blood counts and kidney effects. Recovery is long, and patients are counselled thoroughly.