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Effects of postoperative intraperitoneal chemotherapy on peritoneal wound healing and adhesion formation

  • Pierre Jacquet
  • Paul H. Sugarbaker
Part of the Cancer Treatment and Research book series (CTAR, volume 82)

Abstract

Cancer arising in the abdomen or pelvis may spread to peritoneal surfaces in the absence of lymphatic or hematogenous metastases. This is a localized disease process that is generally thought to have a universally lethal outcome. To treat isolated cancer spread on peritoneal surfaces, extensive surgery and intraperitoneal chemotherapy have been combined. This cytoreductive approach has been described as a potential successful tool in the management of a variety of malignancies that disseminate primarily in the abdomen and pelvis [1]. The surgical procedures for complete cytoreduction vary with the extent and anatomic location of the carcinomatosis or Sarcomatosis but always include stripping away parietal peritoneal surfaces and resection of visceral peritoneal surfaces involved by tumor [2]. Peritonectomy procedures result in an extensive absence of serosal coverage of the abdomen and pelvis. This trauma causes serosal damage, which initiates an inflammatory response and a wound healing process that can lead to fibrin deposition and intraabdominal adhesion formation. The intent of this chapter is to provide an overview of wound healing and adhesion formation mechanisms in the peritoneal cavity. The effect of postoperative intraperitoneal chemotherapy on these processes will be then discussed.

Keywords

Adhesion Formation Intraperitoneal Chemotherapy Postoperative Adhesion Malignant Peritoneal Mesothelioma Abdominal Adhesion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Kluwer Academic Publishers, Boston 1996

Authors and Affiliations

  • Pierre Jacquet
  • Paul H. Sugarbaker

There are no affiliations available

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