About the diagnosis
What does it mean that my cancer has spread to the peritoneum?
It means that tumor cells have spread to the membrane that lines the abdomen (peritoneum). Although it sounds serious, in many cases it can be treated with specialized surgery and techniques like HIPEC.
Does "inoperable" mean there is no treatment?
Not necessarily. Sometimes what one center considers inoperable can be operated on at another with more experience. If you have been told there is no surgical option, it may be worth seeking a second opinion at a center specialized in peritoneal surgery.
What is the difference between "palliative" and "curative"?
Curative: The goal is to eliminate the disease completely. Palliative: The goal is to control symptoms and maintain quality of life when cure is not possible. Both are valid and important depending on each situation.
About HIPEC and PIPAC
How do I know if I am a candidate for HIPEC?
Patient selection is key. It depends on the type of tumor, the extent of disease, your general health, and whether all visible tumor can be removed. The specialized team will evaluate all these factors.
Is HIPEC very aggressive?
It is a major surgery that requires significant recovery time. However, in well-selected patients, the benefits outweigh the risks. Modern techniques and experienced teams minimize complications.
Can PIPAC cure me?
PIPAC is generally a palliative or preparatory treatment, not curative by itself. However, in some patients it can reduce disease enough to then perform curative surgery with HIPEC.
What if I can't have HIPEC?
There are other options: systemic chemotherapy, PIPAC, palliative surgery to control symptoms, immunotherapy in some cases. Treatment is always personalized.
About surgery
How long does surgery last?
It varies greatly. A HIPEC surgery can last 4-12 hours depending on the extent of disease. Simpler surgeries may be 2-4 hours. Your surgeon will give you an estimate for your case.
Will I have a lot of pain?
There will be pain, but it is well controlled with modern medication. Epidural anesthesia is often used for the first days, plus intravenous and oral analgesics. The goal is to keep you comfortable.
Will I need a stoma (bag)?
It depends on the type and extent of surgery. Sometimes a temporary stoma is needed that is later reversed. In other cases it is not necessary. Your surgeon will explain if it could be needed in your case.
What are the risks of surgery?
As with all major surgery, there are risks: infection, bleeding, anastomotic leak, pulmonary complications, among others. An experienced team minimizes these risks and knows how to manage them if they occur.
About recovery
How long will I be in hospital?
For major surgery like HIPEC, usually 7-14 days. For less invasive surgeries or PIPAC, 1-3 days. It depends on your progress.
When can I return to work?
It varies depending on the type of surgery and work. After major surgery, usually 2-3 months. For PIPAC or minor surgeries, 2-4 weeks. Your doctor will advise according to your specific case.
Can I travel after surgery?
It is recommended to avoid long trips in the first weeks after major surgery, especially by plane (risk of thrombosis). After a few weeks, with precautions, most patients can travel normally.
When can I drive?
Generally when you can brake safely without pain, usually 4-6 weeks after major surgery. Check with your doctor and your insurance.
About follow-up
What follow-up will I need?
Regular check-ups with blood tests and imaging (usually CT scans) at intervals that vary according to your case. Initially more frequent (every 3-6 months), then spaced out if everything goes well.
What if the tumor comes back?
A recurrence does not always mean there is no solution. Depending on where and how it recurs, there may be more surgical options, chemotherapy, or other treatments. Each case is evaluated individually.
Practical questions
Can I get a second opinion?
Absolutely. Getting a second opinion is your right and is often recommended, especially in complex cases. A specialized center can offer perspective and options that were not previously considered.
Do you treat international patients?
Yes. We receive patients from different countries. We offer support for travel organization and can do initial evaluations by telemedicine.
How do I request an evaluation?
You can contact us through the form on our website or by phone. We will ask you to send your medical reports for an initial evaluation.
Still have questions?
If you haven't found the answer to your question, contact us. Our team is here to help you.
Contact Us