{"id":2043,"date":"2026-04-07T08:51:52","date_gmt":"2026-04-07T08:51:52","guid":{"rendered":"https:\/\/drabhishekaggarwal.com\/hipec-cytoreductive-surgery\/"},"modified":"2026-04-08T14:02:09","modified_gmt":"2026-04-08T14:02:09","slug":"hipec-cytoreductive-surgery","status":"publish","type":"page","link":"https:\/\/drabhishekaggarwal.com\/?page_id=2043","title":{"rendered":"HIPEC &#038; Cytoreductive Surgery"},"content":{"rendered":"\n<style>\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 .ast-single-post-order{padding:0!important;margin:0!important}\nhtml body .entry-header,html body .ast-single-post-header,html body header.entry-header,html body .ast-banner-title-visibility,html body .ast-archive-description{display:none!important;padding:0!important;margin:0!important}\nhtml body .site-content{padding-top:0!important;padding-bottom:0!important}\nhtml body .site-footer{margin-top:0!important}\n.dra-final-cta .final-inner{max-width:980px;margin:0 auto;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);display:block}\n.dra-final-cta .final-text h2{text-align:left;margin:0 0 12px}\n.dra-final-cta .final-text p{text-align:left;margin:0 0 20px;max-width:none}\n.dra-final-cta .final-text .credline{display:inline-flex;gap:8px;flex-wrap:wrap;margin-bottom:18px}\n.dra-final-cta .final-text .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@media(max-width:760px){.dra-final-cta .final-inner{grid-template-columns:1fr;text-align:center}.dra-final-cta .final-img img{margin:0 auto}.dra-final-cta .final-text h2,.dra-final-cta .final-text p{text-align:center}}\n<\/style>\n<style>\n.ast-container,.site-content>.ast-container{padding:0!important;max-width:none!important}\n.site-content .entry-content{margin:0!important;padding:0!important}\n.ast-article-single{padding:0!important;margin:0!important;border:0!important}\n.site-content{padding-top:0!important;padding-bottom:0!important}\n.site-footer{margin-top:0!important}\n.entry-header,.ast-single-post-header,header.entry-header,.ast-banner-title-visibility{display:none!important}\n.dra-page{font-family:-apple-system,'Segoe UI',Roboto,sans-serif;color:#1a2540;line-height:1.7}\n.dra-page *{box-sizing:border-box}\n.dra-hero{position:relative;width:100vw;margin-left:calc(50% - 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50vw);padding:90px 40px;background:linear-gradient(135deg,#041f4a 0%,#0b3d91 100%);color:#fff;text-align:center}\n.dra-final-cta h2{font-size:34px;font-weight:800;margin:0 0 14px;color:#fff}\n.dra-final-cta p{font-size:17px;max-width:640px;margin:0 auto 26px;opacity:.92}\n.dra-final-cta .btn{display:inline-block;padding:16px 38px;background:#fff;color:#0b3d91;border-radius:999px;text-decoration:none;font-weight:700;font-size:16px}\n.dra-final-cta .btn:hover{transform:translateY(-2px);box-shadow:0 16px 40px rgba(0,0,0,.3)}\n@media(max-width:820px){.dra-hero h1{font-size:32px}.dra-facts{grid-template-columns:repeat(2,1fr)}.dra-wrap h2{font-size:26px}}\n<\/style><div class=\"dra-page\"><section class=\"dra-hero\"><span class=\"eyebrow\">PERITONEAL ONCOLOGY<\/span><h1>HIPEC &amp; Cytoreductive Surgery<\/h1><p class=\"sub\">Hyperthermic Intraperitoneal Chemotherapy with cytoreductive surgery \u2014 curative treatment for peritoneal surface malignancies.<\/p><\/section><div class=\"dra-wrap\"><h2>What is HIPEC?<\/h2><p>HIPEC (Hyperthermic Intraperitoneal Chemotherapy) is a specialised cancer treatment where heated chemotherapy is delivered directly into the abdominal cavity during surgery. It is combined with Cytoreductive Surgery (CRS) \u2014 removal of all visible cancer from the peritoneal surface.<\/p><h2>Who benefits from CRS\u2013HIPEC?<\/h2><ul><li>Pseudomyxoma peritonei (PMP)<\/li><li>Peritoneal mesothelioma<\/li><li>Colorectal cancer with peritoneal metastases (selected)<\/li><li>Ovarian cancer (selected)<\/li><li>Gastric cancer with limited peritoneal disease<\/li><\/ul><h2>How it works<\/h2><p>The surgical team first removes all visible cancer (CRS), which can take 6\u201312 hours. Then heated chemotherapy at 42\u00b0C is circulated through the abdomen for 60\u201390 minutes. The heat enhances drug penetration and directly kills residual microscopic cancer cells.<\/p><div class=\"dra-facts\"><div class=\"fact\"><span class=\"n\">42\u00b0C<\/span><span class=\"l\">Heated chemo<\/span><\/div><div class=\"fact\"><span class=\"n\">60\u201390m<\/span><span class=\"l\">Perfusion time<\/span><\/div><div class=\"fact\"><span class=\"n\">CRS+HIPEC<\/span><span class=\"l\">Curative combo<\/span><\/div><div class=\"fact\"><span class=\"n\">PMP<\/span><span class=\"l\">Most curable<\/span><\/div><\/div><figure class=\"dra-fig\"><img decoding=\"async\" src=\"https:\/\/drabhishekaggarwal.com\/wp-content\/uploads\/2026\/04\/Infographic-8-HIPEC.jpg\" alt=\"HIPEC &#038; Cytoreductive Surgery \u2014 clinical infographic by Dr. Abhishek Aggarwal\"><figcaption>Infographic: HIPEC &amp; Cytoreductive Surgery<\/figcaption><\/figure><\/div><section class=\"dra-faq\"><h2>Frequently Asked Questions<\/h2><p class=\"sub\">Answers to the most common questions about HIPEC &#038; Cytoreductive Surgery.<\/p><details><summary>What is the difference between HIPEC and regular chemotherapy?<\/summary><p>Regular chemotherapy is given intravenously and reaches all parts of the body. HIPEC delivers high-dose heated chemotherapy directly into the abdomen during surgery, achieving concentrations 20\u20131000 times higher at the peritoneal surface with much less systemic toxicity.<\/p><\/details><details><summary>How long does CRS\u2013HIPEC take?<\/summary><p>The combined operation typically lasts 8\u201314 hours. Cytoreductive surgery alone can take 6\u201312 hours depending on extent of disease, followed by 60\u201390 minutes of heated chemotherapy perfusion.<\/p><\/details><details><summary>Is HIPEC safe?<\/summary><p>At experienced HIPEC centres, 30-day mortality is 1\u20133%. Major complications occur in 20\u201330% of cases but most are managed successfully. Careful patient selection is critical \u2014 HIPEC is not suitable for everyone with peritoneal disease.<\/p><\/details><details><summary>How long is recovery?<\/summary><p>Hospital stay is typically 10\u201314 days, often with an ICU stay of 2\u20133 days initially. Full recovery takes 2\u20133 months. Most patients return to normal activities by 3\u20134 months.<\/p><\/details><details><summary>Which cancers are most curable with HIPEC?<\/summary><p>Pseudomyxoma peritonei has the highest cure rate (80\u201390% 5-year survival with CRS\u2013HIPEC). Peritoneal mesothelioma and low-grade appendiceal cancers also respond very well. Colorectal cancer with limited peritoneal disease has 5-year survival of 30\u201340%.<\/p><\/details><details><summary>Am I a candidate for HIPEC?<\/summary><p>Candidates are carefully selected using PET-CT, laparoscopy, and the Peritoneal Carcinomatosis Index (PCI). Good performance status, limited disease burden, and suitable tumour biology are essential. Dr. Abhishek can assess candidacy from imaging and reports.<\/p><\/details><details><summary>What are the side effects of HIPEC?<\/summary><p>Side effects include temporary bone marrow suppression, kidney stress, mild hair loss, and general recovery from a long operation. Compared to systemic chemotherapy, HIPEC has fewer long-term side effects because it is given only once.<\/p><\/details><details><summary>Is HIPEC available in India?<\/summary><p>Yes. CRS\u2013HIPEC is performed at a small number of specialist centres in India. Dr. Abhishek performs HIPEC at BLK-Max Delhi, one of the leading peritoneal surface oncology programs in the country.<\/p><\/details><details><summary>What is the cost of HIPEC in India?<\/summary><p>CRS\u2013HIPEC in India typically costs \u20b96\u201310 lakh depending on the extent of cytoreduction and hospital category. This is a fraction of Western costs (USD 100,000+). We provide transparent estimates and insurance support.<\/p><\/details><details><summary>How do I know if HIPEC is right for me?<\/summary><p>Send your PET-CT scan, previous pathology, and any prior surgery reports via our contact form. Dr. Abhishek will personally assess your case and honestly advise whether HIPEC is appropriate.<\/p><\/details><\/section>\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 advanced abdominal cancers in Delhi.<\/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-2043","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 advanced abdominal cancers in Delhi.","_links":{"self":[{"href":"https:\/\/drabhishekaggarwal.com\/index.php?rest_route=\/wp\/v2\/pages\/2043","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=2043"}],"version-history":[{"count":9,"href":"https:\/\/drabhishekaggarwal.com\/index.php?rest_route=\/wp\/v2\/pages\/2043\/revisions"}],"predecessor-version":[{"id":2266,"href":"https:\/\/drabhishekaggarwal.com\/index.php?rest_route=\/wp\/v2\/pages\/2043\/revisions\/2266"}],"wp:attachment":[{"href":"https:\/\/drabhishekaggarwal.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2043"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}