Comprehensive management of epithelial ovarian cancer with peritoneal metastases

Figure 4 Hyperthermic intraperitoneal chemotherapy proceeds by constructing a reservoir from the abdominal space. The skin edges are elevated on a self-retaining retractor and a plastic sheet covers the open abdomen. A cruciate incision in this plastic sheet allows free access of the surgeon’s double-gloved hand. Uniform distribution of heat and chemotherapy is maintained throughout the 90 min of the Hyperthermic intraperitoneal chemotherapy treatment.