Technique of Post- Operative HIPEC (Hyperthermic Intraperitoneal Chemotherapy) using Veress Needle and IVFluid Warmer In Patients With Epithelial Ovarian Cancer

Abstract

Objective: Favourable oncological outcomes have been reported with the use of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) in patients with advanced epithelial ovarian cancer (EOC). However one course of intraoperative HIPEC is complex procedure. We present the simple postoperative technique of HIPEC using Veress needle and IVFluid warmer in patients with epithelial ovarian cancer. Materials and Methods:14 patients with EOC received 74 cycles of HIPEC postoperatively. Intraperitoneal instillation of chemotherapeutic drugs was done using Veress needle and for warming the fluid IVFluid warmer device like HOTLINE Fluid warmer or enFlow were used. Results:After CRS 14 patients with EOC received 74 cycles of HIPEC postoperatively. 11 (78.57%) patients completed all 6 cycles of planned HIPEC. Complications related the procedure like pain, tenderness at procedure site, cellulitis etc. were managed conservatively.Conclusion: HIPEC using Veress needle and IVFluid warmer is simple technique for 6 cycles of hyperthermic IP therapy.