Surgical Film Library-Demonstration Of The Open And Closed Administration Techniques For Hyperthermic Intraperitoneal Chemotherapy (HIPEC) In Ovarian Cancer

Demonstration Of The Open And Closed Administration Techniques For Hyperthermic Intraperitoneal Chemotherapy (HIPEC) In Ovarian Cancer

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Video Transcription

Video Summary

This video demonstrates open and closed HIPEC techniques for ovarian cancer treatment. The 2022 SOGI consensus strongly recommends single-agent cisplatin HIPEC during interval cytoreductive surgery, with a 60-90 minute perfusion at 41-42°C and sodium thiosulfate nephroprotection. Adjuvant chemotherapy should resume within six weeks. Both open (colosseum) and closed techniques have advantages, with no proven superiority. Key factors include appropriate machine choice, adequate perfusion volume (1.5-2L saline), teamwork, and strict protocols involving multidisciplinary teams. The closed method involves skin closure with tubing connected externally, while the open uses retractors and a renal dialysis bag for exposure and perfusion.

Asset Subtitle

Claire Thompson, Ireland

Meta Tag

Route Open

Surgical Location Pelvis

Keywords

Open

Pelvis

HIPEC

ovarian cancer

cisplatin

cytoreductive surgery

sodium thiosulfate