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Related Concept Videos

Methods of reducing fever01:22

Methods of reducing fever

The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:

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Thermal Ablation for the Treatment of Abdominal Tumors
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Hyperthermic Intraperitoneal Chemotherapy and Recirculation with CO2: A Safe Technique.

Remedios Gómez-Sanz1,2, Enrique Ovejero-Merino1,2, Inmaculada Lasa-Unzúe1

  • 1Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain.

Journal of Clinical Medicine
|October 27, 2022
PubMed
Summary

This study found that closed Hyperthermic IntraPEritoneal Chemotherapy (HIPEC) with CO2 agitation offers comparable safety and survival rates to traditional methods for peritoneal carcinomatosis. The technique demonstrated low mortality and reduced morbidity, making it a viable option post-cytoreductive surgery.

Keywords:
Spanish PRS Groupcytoreductive surgeryintraoperative intraperitoneal chemotherapyintraperitoneal chemotherapyperitoneal carcinomatosis

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Gastroenterology

Background:

  • Hyperthermic IntraPEritoneal Chemotherapy (HIPEC) is a key treatment for peritoneal carcinomatosis following cytoreductive surgery.
  • HIPEC has shown improved survival outcomes compared to traditional therapies.
  • Evaluating novel HIPEC delivery systems is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To assess the safety, efficacy, and survival rates of a closed HIPEC technique using the CO2-agitation system Combat PRS®.
  • To compare these outcomes against traditional open and closed HIPEC methods.

Main Methods:

  • A retrospective study involving 482 patients across 11 Spanish hospitals.
  • HIPEC was administered using the closed Combat PRS® system with CO2 recirculation.
  • Outcomes analyzed included overall survival (OS), disease-free survival (DFS), morbidity, and mortality.

Main Results:

  • Mortality rate was 1.66%, comparable to other HIPEC techniques.
  • Morbidity rate of Clavien-Dindo (CD) III/IV complications was 9.96%, lower than reported for other series.
  • Survival rates were 86% 1-year OS, 54% 3-year OS, 77% 1-year DFS, and 31% 3-year DFS.

Conclusions:

  • The closed HIPEC technique with CO2 agitation (Combat PRS®) is as safe as standard open and closed procedures.
  • This method achieves similar, very low mortality (1.66%) and reduced morbidity (9.96% CD III/IV complications).
  • It offers comparable survival outcomes, representing a safe and effective option for HIPEC delivery.