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Semi-closed hyperthermic-antiblastic peritoneal perfusion (HAPP) in the treatment of peritoneal carcinosis

✍ Scribed by Michele De Simone; Riccardo Barone; Marco Vaira; Bartolomeo Aghemo; Pierroberto Mioli; Carlo Franco; Stefano Scuderi; Daniela Costamagna; Marcello Dei Poli


Publisher
John Wiley and Sons
Year
2003
Tongue
English
Weight
93 KB
Volume
82
Category
Article
ISSN
0022-4790

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✦ Synopsis


Peritoneal carcinosis represents an extremely negative prognostic factor and, in a large number of cases, is rapidly lethal [1,2]. In the literature, a method that appears to be particularly effective in the treatment of this pathology consists of the cytoreduction of all visceral and peritoneal (peritonectomy) macroscopic lesions associated with hyperthermic-antiblastic peritoneal perfusion (HAPP) [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18].

The first perfusion technique was executed making use of a closed method, which includes the suture of the entire laparotomy before starting perfusion. It has the advantage of being quick to perform, but there are several disadvantages:


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