Peritoneal Malignancy and HIPEC in Limassol

When a cancer spreads to the peritoneum, the lining of the abdomen, treatment in selected patients may include cytoreductive surgery (CRS), which removes all visible disease, combined with heated intraperitoneal chemotherapy (HIPEC). The decision is never made on surgical grounds alone: it is taken by a team, with the oncologist, radiologist and pathologist, and only after careful assessment of whether an operation will help. I see patients at my clinics in Limassol and Nicosia and operate at the German Medical Institute in Limassol.

Conditions treated

pseudomyxoma peritonei (often arising from a tumour of the appendix)
primary peritoneal cancer and peritoneal mesothelioma
peritoneal metastases from cancer of the colon, stomach or ovary, in selected cases

When to see a surgeon

when imaging or an earlier operation has shown disease in the peritoneum and you want an assessment for surgical treatment
when pseudomyxoma or an appendix tumour has been diagnosed
when you want a second opinion on a treatment plan you have been offered

Severe abdominal pain, persistent vomiting, inability to pass wind or stool, or fever needs urgent assessment. Call 112 or go to the nearest emergency department.

Assessment

Assessment includes a clinical examination, blood tests with tumour markers where relevant, a CT or MRI scan and, in some cases, a diagnostic laparoscopy with biopsy. The extent and distribution of disease in the abdomen determine whether cytoreductive surgery is feasible. The findings are discussed in the team, and in some cases chemotherapy comes first.

The operation

Cytoreductive surgery is a major operation that can last many hours. The visible disease is removed from the peritoneum and, where needed, parts of the organs involved. If appropriate, heated chemotherapy is then delivered inside the abdomen (HIPEC) during the same operation. The risks and expected results are discussed with you and your family in detail before the operation.

After the operation

The hospital stay is usually long, with close monitoring and, at first, care in a high-dependency unit. Eating and walking are restarted step by step, and full recovery takes weeks to months. The pathology result determines whether further treatment is needed, which is planned with the oncologist. Regular follow-up and written instructions are provided.

Where and when

Limassol (clinic and surgery): German Medical Institute, 1 Nikis Avenue, 4108 Agios Athanasios. Monday–Friday, 08:00–16:00, by appointment.
Nicosia (clinic): Zoi Medical Diagnostic Center, 2 Dimofontos Street, 1075 Nicosia. Wednesday afternoon, by appointment. If an operation is needed, it takes place in Limassol.
Appointments: +357 25 208265

To book an appointment or discuss your case, contact the clinic.

This information is general and does not replace individualised medical assessment.