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Percutaneous Hepatic Perfusion PHP with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
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Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy, Part II: Implementation.

Debra Dunn, Eileen Ciccarelli, Nina Moltzen

    AORN Journal
    |November 28, 2019
    PubMed
    Summary
    This summary is machine-generated.

    Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) offers improved outcomes for peritoneal carcinomatosis. This article details the perioperative nursing considerations for implementing this extensive cancer treatment.

    Keywords:
    chemoperfusatecytoreductive surgery (CRS)hyperthermia perfusion pumphyperthermic intraperitoneal chemotherapy (HIPEC)peritoneal carcinomatosis

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    Area of Science:

    • Oncology
    • Surgical Oncology
    • Gastroenterology

    Background:

    • Peritoneal carcinomatosis, originating from primary or metastatic cancers (e.g., ovarian, colorectal, appendiceal), presents a significant treatment challenge.
    • Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) has emerged as a complex but effective treatment modality.
    • Improvements in morbidity, mortality, and quality of life have been observed in patients undergoing CRS with HIPEC.

    Purpose of the Study:

    • To explore the perioperative aspects of implementing CRS with HIPEC.
    • To discuss patient care during CRS with HIPEC, emphasizing nursing considerations.
    • To highlight the establishment of an interdisciplinary team and protocol development for this procedure.

    Main Methods:

    • Development of a written protocol by an interdisciplinary team at Holy Name Medical Center.
    • Coordination of the surgical procedure within the operating room (OR).
    • Focus on the perioperative care pathway for patients undergoing CRS with HIPEC.

    Main Results:

    • The implementation of CRS with HIPEC requires careful planning and coordination.
    • A structured protocol is essential for the successful execution of the procedure.
    • Perioperative nursing plays a critical role in managing patients undergoing CRS with HIPEC.

    Conclusions:

    • CRS with HIPEC is a viable and improving treatment option for peritoneal carcinomatosis.
    • Effective implementation relies on multidisciplinary collaboration and standardized protocols.
    • Specialized perioperative nursing care is paramount for optimizing patient outcomes.