Approach to pseudomyxoma peritonei

Figure 5 Hyperthermic intraperitoneal chemotherapy after complete cytoreductive surgery[27]. This figure demonstrates the hyperthermic intraperitoneal chemotherapy (HIPEC) setup after cytoreductive surgery has been completed. A: HIPEC administered using an open technique; B: After placement of tubes, drains and temperature probes, the skin edges are elevated onto the rim of the self-retaining retractor using a running suture. A plastic sheet covers the abdomen to prevent splashing and loss of chemotherapy agent. A slit in the sheet allows the surgeon to access the abdominal cavity. Continuous mixing by the surgeon ensures all abdominal surfaces are uniformly coated with doses of heated chemotherapy.