{"id":2034,"date":"2026-04-07T08:51:40","date_gmt":"2026-04-07T08:51:40","guid":{"rendered":"https:\/\/drabhishekaggarwal.com\/hipec-peritoneal-cancer\/"},"modified":"2026-04-08T18:35:20","modified_gmt":"2026-04-08T18:35:20","slug":"hipec-peritoneal-cancer","status":"publish","type":"page","link":"https:\/\/drabhishekaggarwal.com\/?page_id=2034","title":{"rendered":"Peritoneal Cancer \/ HIPEC"},"content":{"rendered":"\n<style id=\"dra-page-css\">\nhtml body .ast-container,html body .site-content>.ast-container,html body .site-content{padding:0!important;max-width:none!important;margin:0 auto!important}\nhtml body .site-content .entry-content,html body .site-content article,html body .site-content .ast-article-single,html body #primary,html body .ast-primary{padding:0!important;margin:0!important;border:0!important;background:transparent!important}\nhtml body .entry-header,html body .ast-single-post-header,html body header.entry-header,html body 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class=\"fc-inner\"><div><span class=\"logo\">Dr. Abhishek Aggarwal<\/span><p>Associate Director, GI Oncosurgery, BLK-Max Super Speciality Hospital, Delhi. Highly skilled GI & HPB surgeon with 10+ years of experience in complex cancer surgery.<\/p><\/div><div><h4>Quick Links<\/h4><ul><li><a href=\"https:\/\/drabhishekaggarwal.com\/\">Home<\/a><\/li><li><a href=\"https:\/\/drabhishekaggarwal.com\/?page_id=2026\">About Us<\/a><\/li><li><a href=\"https:\/\/drabhishekaggarwal.com\/?page_id=2024\">Contact Us<\/a><\/li><li><a href=\"https:\/\/drabhishekaggarwal.com\/?page_id=2056\">Blog<\/a><\/li><\/ul><\/div><div><h4>Treatments<\/h4><ul><li><a href=\"https:\/\/drabhishekaggarwal.com\/?page_id=2031\">Colorectal Cancer<\/a><\/li><li><a href=\"https:\/\/drabhishekaggarwal.com\/?page_id=2027\">Liver Cancer<\/a><\/li><li><a href=\"https:\/\/drabhishekaggarwal.com\/?page_id=2045\">Gallbladder Cancer<\/a><\/li><li><a href=\"https:\/\/drabhishekaggarwal.com\/?page_id=2029\">Bile Duct Cancer<\/a><\/li><li><a href=\"https:\/\/drabhishekaggarwal.com\/?page_id=2034\">HIPEC \/ Peritoneal<\/a><\/li><\/ul><\/div><div><h4>Contact Us<\/h4><p><strong>Phone:<\/strong><br><a href=\"tel:+919971008735\">+91 99710 08735<\/a><\/p><p><strong>Email:<\/strong><br><a href=\"mailto:abhishek29may@gmail.com\">abhishek29may@gmail.com<\/a><\/p><p><strong>Address:<\/strong><br>BLK-Max Super Speciality Hospital, Pusa Road, New Delhi-110005<\/p><\/div><\/div><div class=\"fc-bottom\">\u00a9 2026 Dr. Abhishek Aggarwal. All rights reserved.<\/div>';var bar=document.createElement('div');bar.className='dra-footer-bar';bar.innerHTML='<div class=\"fb-inner\"><a href=\"https:\/\/wa.me\/919971008735\" target=\"_blank\">\ud83d\udcac WhatsApp Us<\/a><span class=\"sep\">|<\/span><a href=\"tel:+919971008735\">\ud83d\udcde Call Now: +91 99710 08735<\/a><\/div>';ftr.parentNode.insertBefore(cf,ftr);ftr.parentNode.insertBefore(bar,ftr);}if(document.readyState==='loading'){document.addEventListener('DOMContentLoaded',run);}else{run();}})();<\/script>\n\n\n<div class=\"dra-page\">\n<section class=\"dra-hero split\">\n  <div class=\"hero-inner\">\n    <div class=\"eyebrow\">HIPEC &amp; Peritoneal Surface Malignancy<\/div>\n    <h1>Cytoreductive Surgery &amp; HIPEC for Peritoneal Cancer<\/h1>\n    <p>Advanced treatment for peritoneal surface malignancies \u2014 combining meticulous cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC) to deliver curative intent care for selected patients, under the expertise of Dr. Abhishek Aggarwal.<\/p>\n    <a class=\"hero-cta\" href=\"tel:+919910023657\">Book a Consultation<\/a>\n  <\/div>\n  <div class=\"hero-image\"><img decoding=\"async\" src=\"https:\/\/images.unsplash.com\/photo-1580281658626-ee379f3cce93?w=1400&amp;q=80\" alt=\"HIPEC surgery\" \/><\/div>\n<\/section>\n\n<section class=\"dra-wrap\">\n  <h2>Understanding Peritoneal Cancer &amp; HIPEC<\/h2>\n  <p>The peritoneum is the thin membrane that lines the abdominal cavity and covers its organs. When cancer cells spread to or arise within this lining, the condition is called <strong>peritoneal carcinomatosis<\/strong> or <strong>peritoneal surface malignancy<\/strong>. Historically, peritoneal spread was considered incurable and treated only palliatively. Over the last two decades, a breakthrough combination of <strong>Cytoreductive Surgery (CRS)<\/strong> and <strong>Hyperthermic Intraperitoneal Chemotherapy (HIPEC)<\/strong> has transformed outcomes for selected patients \u2014 turning a once-terminal diagnosis into a potentially curative one.<\/p>\n  <p>CRS-HIPEC is one of the most complex operations in cancer surgery and should be performed only in high-volume, specialised centres with dedicated multidisciplinary teams experienced in the nuances of peritoneal oncology.<\/p>\n\n  <figure class=\"dra-fig\"><img decoding=\"async\" src=\"https:\/\/images.unsplash.com\/photo-1516549655169-df83a0774514?w=1400&amp;q=80\" alt=\"HIPEC procedure\" \/><figcaption>HIPEC delivers heated chemotherapy directly into the abdomen to target microscopic residual disease.<\/figcaption><\/figure>\n\n  <h2>Conditions Treated with CRS-HIPEC<\/h2>\n  <div class=\"stages-grid\">\n    <div class=\"stage\"><h3>Pseudomyxoma Peritonei<\/h3><p>A rare condition producing mucinous deposits throughout the abdomen. CRS-HIPEC is the gold standard treatment with excellent long-term survival.<\/p><\/div>\n    <div class=\"stage\"><h3>Peritoneal Mesothelioma<\/h3><p>A primary cancer of the peritoneum. CRS-HIPEC offers the best outcomes compared to chemotherapy alone.<\/p><\/div>\n    <div class=\"stage\"><h3>Colorectal Peritoneal Spread<\/h3><p>Selected patients with limited peritoneal metastases from colorectal cancer benefit significantly from CRS with or without HIPEC.<\/p><\/div>\n    <div class=\"stage\"><h3>Ovarian &amp; Gastric<\/h3><p>CRS-HIPEC is increasingly used in advanced ovarian cancer and carefully selected gastric cancer patients with limited peritoneal disease.<\/p><\/div>\n  <\/div>\n\n  <h2>How CRS-HIPEC Works<\/h2>\n  <p>The procedure has two inseparable parts. First, <strong>cytoreductive surgery<\/strong> is performed to remove all visible tumour deposits throughout the abdomen \u2014 this often involves stripping the peritoneum, removing involved organs or segments, and meticulously clearing every surface affected by disease. This phase can last 6\u201312 hours. Second, once no visible tumour remains, <strong>heated chemotherapy (41\u201343\u00b0C)<\/strong> is circulated through the abdominal cavity for 60\u201390 minutes. The heat enhances drug penetration and cytotoxic effect, targeting the microscopic cancer cells that surgery cannot see.<\/p>\n\n  <h2>Symptoms of Peritoneal Disease<\/h2>\n  <p>Symptoms are often non-specific and include progressive abdominal distension, ascites (fluid accumulation), early satiety, unexplained weight loss, abdominal or pelvic discomfort, change in bowel habits, nausea and vomiting, and fatigue. Many patients are diagnosed late because early peritoneal spread causes few symptoms, highlighting the importance of careful surveillance in patients with primary cancers known to spread to the peritoneum.<\/p>\n\n  <h2>Diagnosis &amp; Staging<\/h2>\n  <p>Evaluation includes contrast-enhanced CT of chest, abdomen and pelvis, MRI for peritoneal mapping, and PET-CT to rule out extra-abdominal disease. Tumour markers (CA 125, CA 19-9, CEA) guide assessment. The <strong>Peritoneal Cancer Index (PCI)<\/strong> is used to score disease burden \u2014 patients with a lower PCI and good performance status have the best outcomes from CRS-HIPEC. Diagnostic laparoscopy is often essential to accurately assess the extent of peritoneal disease before committing to a major operation.<\/p>\n\n  <figure class=\"dra-fig\"><img decoding=\"async\" src=\"https:\/\/images.unsplash.com\/photo-1551190822-a9333d879b1f?w=1400&amp;q=80\" alt=\"Operating theatre\" \/><figcaption>CRS-HIPEC is among the most complex and demanding operations in modern cancer surgery.<\/figcaption><\/figure>\n\n  <h2>Treatment Approach<\/h2>\n  <div class=\"tx-grid\">\n    <div class=\"tx-card\"><h3>Cytoreductive Surgery<\/h3><p>Complete removal of all visible disease through meticulous peritonectomy, organ resection and careful clearance of all involved surfaces.<\/p><\/div>\n    <div class=\"tx-card\"><h3>HIPEC<\/h3><p>Heated chemotherapy circulated through the abdomen at the end of surgery to eradicate microscopic residual disease that cannot be removed surgically.<\/p><\/div>\n    <div class=\"tx-card\"><h3>Systemic Chemotherapy<\/h3><p>Pre- or post-operative chemotherapy is often combined with CRS-HIPEC to improve overall disease control and outcomes.<\/p><\/div>\n    <div class=\"tx-card\"><h3>PIPAC<\/h3><p>Pressurized Intraperitoneal Aerosol Chemotherapy is an emerging minimally invasive option for patients who are not candidates for full CRS-HIPEC.<\/p><\/div>\n    <div class=\"tx-card\"><h3>Multidisciplinary Planning<\/h3><p>Every patient is evaluated by surgical, medical and radiation oncology to ensure the best individualised plan.<\/p><\/div>\n    <div class=\"tx-card\"><h3>Enhanced Recovery<\/h3><p>Dedicated ERAS protocols and critical care support are essential to minimise complications and accelerate recovery from this complex surgery.<\/p><\/div>\n  <\/div>\n\n  <div class=\"callout\"><strong>Patient selection is everything.<\/strong> The success of CRS-HIPEC depends on choosing the right patient with the right disease burden \u2014 which is why experienced evaluation by a peritoneal oncology team is essential before proceeding.<\/div>\n\n  <h2>Recovery &amp; Follow-up<\/h2>\n  <p>CRS-HIPEC is a major operation, and recovery requires careful critical care management. Hospital stay is typically 10\u201315 days, and full recovery takes 2\u20133 months. Enhanced recovery pathways, nutritional support and close monitoring reduce complications and improve outcomes. Long-term follow-up includes clinical review, tumour markers and imaging every 3\u20134 months for the first two years, then every 6 months.<\/p>\n\n  <h2>Why Choose Dr. Abhishek Aggarwal<\/h2>\n  <p>Dr. Abhishek Aggarwal has dedicated training and experience in peritoneal surface oncology, including complex cytoreductive surgery and HIPEC. His multidisciplinary, patient-centred approach ensures that each patient receives a carefully individualised treatment plan based on global evidence and delivered with the highest standards of surgical care.<\/p>\n<\/section>\n\n<section class=\"dra-lh-faq-sec\">\n  <h2>Frequently Asked Questions<\/h2>\n  <details open><summary>What is HIPEC?<\/summary><p>HIPEC stands for Hyperthermic Intraperitoneal Chemotherapy \u2014 heated chemotherapy circulated directly in the abdominal cavity after surgical removal of all visible tumour, to destroy residual microscopic disease.<\/p><\/details>\n  <details open><summary>Who is a candidate for CRS-HIPEC?<\/summary><p>Patients with peritoneal disease from pseudomyxoma, mesothelioma, selected colorectal, ovarian or gastric cancers, with limited disease burden, good performance status and no extra-abdominal spread.<\/p><\/details>\n  <details><summary>How long does the surgery take?<\/summary><p>CRS-HIPEC typically takes 8\u201312 hours depending on disease burden, followed by 60\u201390 minutes of HIPEC perfusion.<\/p><\/details>\n  <details><summary>Is CRS-HIPEC curative?<\/summary><p>In conditions like pseudomyxoma peritonei and selected cases of peritoneal mesothelioma or colorectal peritoneal disease, CRS-HIPEC can offer long-term survival and, in some cases, cure.<\/p><\/details>\n  <details><summary>How long is hospital stay?<\/summary><p>Typically 10\u201315 days, depending on extent of surgery and recovery. Critical care support is usually required for the first few days.<\/p><\/details>\n  <details><summary>What are the risks?<\/summary><p>As a major operation, CRS-HIPEC carries risks including bleeding, infection, anastomotic leak and complications from chemotherapy. In experienced centres, morbidity and mortality rates are acceptable and comparable to other major oncological surgery.<\/p><\/details>\n  <details><summary>Do I need systemic chemotherapy too?<\/summary><p>Most patients receive systemic chemotherapy before, after or both, depending on the primary cancer type and tumour biology. The plan is individualised through multidisciplinary discussion.<\/p><\/details>\n  <details><summary>What is PIPAC?<\/summary><p>PIPAC is a minimally invasive technique that delivers aerosolized chemotherapy into the abdomen under pressure through laparoscopy. It is an option for patients who are not candidates for full CRS-HIPEC.<\/p><\/details>\n  <details><summary>How is peritoneal disease diagnosed?<\/summary><p>Through imaging (CT, MRI, PET-CT), tumour markers and often diagnostic laparoscopy to assess the Peritoneal Cancer Index and determine resectability.<\/p><\/details>\n  <details><summary>How often is follow-up needed?<\/summary><p>Every 3\u20134 months for the first two years with imaging and tumour markers, then every 6 months thereafter, with prompt evaluation for any new symptoms.<\/p><\/details>\n<\/section>\n<\/div>\n\n\n<style id=\"dra-cta-css\">\n.dra-final-cta{width:100vw;margin-left:calc(50% - 50vw);padding:90px 40px;background:linear-gradient(135deg,#041f4a 0%,#0b3d91 100%);color:#fff;text-align:center}\n.dra-final-cta .final-inner{max-width:980px!important;margin:0 auto!important;display:grid;grid-template-columns:220px 1fr;gap:40px;align-items:center;text-align:left}\n.dra-final-cta .final-img img{width:220px;height:220px;border-radius:50%;object-fit:cover;border:4px solid rgba(255,255,255,.25);box-shadow:0 24px 60px -20px rgba(0,0,0,.5)}\n.dra-final-cta h2{font-size:34px;margin:0 0 14px;color:#fff;font-weight:800;letter-spacing:-.02em}\n.dra-final-cta .credline{display:flex;flex-wrap:wrap;gap:8px;margin:0 0 16px}\n.dra-final-cta .credline span{background:rgba(255,255,255,.15);border:1px solid rgba(255,255,255,.3);color:#fff;padding:6px 14px;border-radius:999px;font-size:12px;font-weight:600}\n.dra-final-cta p{color:rgba(255,255,255,.9);font-size:16px;line-height:1.65;margin:0 0 22px;max-width:600px}\n.dra-final-cta .btn{display:inline-block;background:#fff;color:#0b3d91;padding:14px 32px;border-radius:10px;font-weight:700;text-decoration:none;font-size:15px;box-shadow:0 12px 30px -10px rgba(0,0,0,.4)}\n.dra-final-cta .btn:hover{transform:translateY(-2px);box-shadow:0 16px 40px -10px rgba(0,0,0,.5)}\n@media(max-width:760px){.dra-final-cta{padding:70px 24px}.dra-final-cta .final-inner{grid-template-columns:1fr;text-align:center}.dra-final-cta p{margin-left:auto;margin-right:auto}.dra-final-cta h2{font-size:26px}}\n\/*CTA-RESP*\/@media(max-width:820px){html body .dra-final-cta{padding:60px 20px!important}html body .dra-final-cta .final-inner{grid-template-columns:1fr!important;text-align:center!important;gap:24px!important;max-width:520px!important}html body .dra-final-cta .final-img img{width:160px!important;height:160px!important;margin:0 auto}html body .dra-final-cta .credline{justify-content:center;display:flex;flex-wrap:wrap;gap:8px}html body .dra-final-cta h2{font-size:26px!important;text-align:center}html body .dra-final-cta p{text-align:center;font-size:15px}html body .dra-final-cta .btn{display:inline-block}}\/*END-CTA-RESP*\/<\/style>\n<div class=\"dra-final-cta\"><div class=\"final-inner\"><div class=\"final-img\"><img decoding=\"async\" src=\"https:\/\/drabhishekaggarwal.com\/wp-content\/uploads\/2026\/03\/dr-abhishek-2.jpeg\" alt=\"Dr. Abhishek Aggarwal \u2014 Senior Consultant GI &amp; HPB Oncosurgeon, BLK-Max Delhi\"><\/div><div class=\"final-text\"><h2>Meet Dr. Abhishek Aggarwal<\/h2><div class=\"credline\"><span>12+ Years Experience<\/span><span>500+ Cancer Surgeries<\/span><span>BLK-Max Delhi<\/span><\/div><p>Dr. Abhishek Aggarwal is a highly skilled GI &amp; HPB surgeon with over 10 years of experience in managing complex gastrointestinal and hepato-pancreato-biliary diseases, with a special focus on oncological surgery. He currently serves as Associate Director \u2013 GI Oncosurgery at BLK-Max Super Speciality Hospital, where he is actively involved in delivering advanced surgical care for GI and HPB malignancies.<\/p><p>He has trained and worked in reputed high-volume centres, gaining extensive expertise in complex oncological procedures and multidisciplinary cancer care. His clinical practice is firmly grounded in scientific, evidence-based medicine, ensuring that patients receive treatment aligned with the latest global standards and research.<\/p><p><strong>OPD Timing:<\/strong> 09:00 AM \u2013 05:00 PM<\/p><a class=\"btn\" href=\"https:\/\/drabhishekaggarwal.com\/?page_id=2024\">Contact Dr. Abhishek \u2192<\/a><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Cytoreductive surgery + HIPEC for peritoneal carcinomatosis in Delhi. New hope for patients with stomach, colon, ovarian or appendix cancer spread.<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-2034","page","type-page","status-publish","hentry"],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"Abhishek Aggarwal","author_link":"https:\/\/drabhishekaggarwal.com\/author\/calude-editor"},"rttpg_comment":0,"rttpg_category":null,"rttpg_excerpt":"Cytoreductive surgery + HIPEC for peritoneal carcinomatosis in Delhi. New hope for patients with stomach, colon, ovarian or appendix cancer spread.","_links":{"self":[{"href":"https:\/\/drabhishekaggarwal.com\/index.php?rest_route=\/wp\/v2\/pages\/2034","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drabhishekaggarwal.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drabhishekaggarwal.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drabhishekaggarwal.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/drabhishekaggarwal.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2034"}],"version-history":[{"count":3,"href":"https:\/\/drabhishekaggarwal.com\/index.php?rest_route=\/wp\/v2\/pages\/2034\/revisions"}],"predecessor-version":[{"id":2339,"href":"https:\/\/drabhishekaggarwal.com\/index.php?rest_route=\/wp\/v2\/pages\/2034\/revisions\/2339"}],"wp:attachment":[{"href":"https:\/\/drabhishekaggarwal.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2034"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}