Cytoreductive surgeries (CRS) combined with hyperthermic intraperitoneal chemotherapy
(HIPEC) has become a multimodal treatment option for patients with peritoneal carcinomatosis.
A 56-year-old female diagnosed with ovarian mucinous cystadenoma+appendicular
neoplasm was posted for CRS and HIPEC. The patient a diabetic; a central venous catheter
was cited to the right internal jugular vein; an epidural catheter was cited. Anaesthesia
was performed according to institutional guidelines; the arterial line was secured, and an
oesophageal thermometer was placed intra-operatively.
Successive blood gas analysis was done in the intraoperative period for correction of
metabolic and electrolyte disturbances; blood sugars were monitored regularly; and adequate
volume replacement was done with crystalloids and blood products.
HIPEC involves the administration of chemoactive drugs; personal protective equipment
was worn by all those in the operation theater as a safety measure.
Temperature management is of utmost importance; warmed fluid infusion, warming
blankets, and warmers were used.
The total duration of the procedure was 8 hours. Post-operatively, the patient was shifted to
the ICU with an endotracheal tube for elective ventilation, closely monitored in the acute care
unit, and extubated the next day.