Area of care 10
पेरिटोनियल सतह के कैंसर (CRS और HIPEC)
01Overview
- Peritoneal surface cancers
- Cytoreductive surgery (CRS)
- HIPEC, where indicated
The peritoneum is the thin lining inside the belly. It covers the belly wall and the organs. Some cancers of the bowel, ovary, stomach and appendix can spread to this lining. Some start in it.
For selected patients, a treatment may be considered that has two parts. The first is cytoreductive surgery (CRS), an operation to remove all the visible disease. The second is HIPEC, which is heated chemotherapy (cancer medicine) washed inside the belly during the operation. It is not suitable for everyone. It is advised only after careful selection.
02Warning signs
Peritoneal surface cancers (CRS & HIPEC):
when to see a doctor.
These can also have other causes, but they are worth showing to a doctor.
Heavy bleeding, trouble breathing, chest pain or fainting: go to the nearest emergency department now.
- Swelling or bloating of the belly that keeps increasing
- Fluid in the belly (ascites), seen as a tight, swollen belly
- Belly pain or discomfort that stays
- Feeling full quickly, or loss of appetite
- Changes in bowel habits, or vomiting
- Weight loss with no clear reason
03Where surgery fits
Peritoneal surface cancers (CRS & HIPEC) in Bikaner:
surgery in plain words.
- 01
Careful selection
Scans help to decide if this surgery is right. Sometimes a look inside the belly with a camera (laparoscopy) is done too.
- 02
Cytoreductive surgery (CRS)
In CRS, the surgeon removes all visible disease from the belly lining. Any affected organs, or parts of organs, are removed too. It is long, major surgery.
- 03
HIPEC, where indicated
HIPEC is heated chemotherapy given inside the belly during the operation. It aims to reach any cells that are too small to see.
- 04
Recovery
Recovery can take time. Support for food and rehabilitation is part of the plan.
- 05
When it is not the right choice
If it is not suitable, other treatments are discussed. Honest talk about the options is part of the visit.
04How the plan is made
Decided together,
step by step.
- 01
Your doctor reviews the full history and all scans. More tests may be advised to judge if this surgery is suitable.
- 02
Your doctor studies your reports and scans and advises any missing tests.
- 03
The case is discussed with other specialists where needed. These may be doctors for scans, tissue tests, cancer medicines and radiotherapy. This is called a multidisciplinary discussion.
- 04
The plan is explained to you and your family in plain words, with all the options. You decide together with the doctor.
05What to bring
Your papers
save time.
- Reports of any earlier operation, including operation notes
- Full checklist for your first visit
06Questions
Asked about
peritoneal surface cancers (crs & hipec).
Is CRS with HIPEC right for everyone?
No. It is considered only for selected patients, after scans and team discussion.
What is HIPEC in simple words?
It is warm chemotherapy liquid that is moved around inside the belly during surgery. It aims at any cancer cells left behind.
Is it a single operation?
It is usually one long operation. A planned hospital stay and recovery follow. The details are explained before surgery.
Next step
Talk it through
in person.
Bring your reports and a family member. You will leave knowing what is known so far, and what comes next.