Building a Successful Hyperthermic Intraperitoneal Program

Institutional Support

  • Support from Hospital Administration
  • Knowledge of billing and coding issues
  • Support from a Multi-Displenary Team Approach
    • Anesthesia
    • Nursing
    • Critical Care (ICU)
    • Operating Room Staff
    • Pharmacy

Commitment of OR and Anesthesia Staff

  • Dedicated Staff to insure consistency from case to case
    • Nurse Circulator
    • Scrub Nurse
  • Perfusion Team knowledgeable in use of equipment
    • Equipment is easy to use and easy to document 
  • Anesthesia 

 Patient Selection Criteria

  • Involvement from Medical Oncologists / Primary Care Physician
  • Cooperation from surgical colleagues (performing previous surgery)
    • Gynecological oncologists
    • Colo-rectal surgeons
    • General Surgeons

 Cancers Treated

  • Pseudomyxoma Peritonei - A build-up of mucus in the peritoneal cavity
  • Ovarian Carcinoma – Cancer that forms in the tissue of the ovary
  • Mucinous Adenocarcinoma of Appendix - A type of cancer that begins in cells that line the appendix and produce mucin
  • Gastric Carcinoma – Cancer that forms in tissues lining the stomach
  • Colorectal Carcinoma – Cancer that forms in the colon
  • Mesothelioma - A benign (noncancerous) or malignant (cancerous) tumor affecting the lining of the chest or abdomen
  • Low-Grade Sarcoma - Sarcoma is a cancer of the bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue