Adjuvant intraperitoneal chemotherapy in ovarian cancer has shown improved survival but limited by catheter-related complications. We present a technique of Veress needle use for intraperitoneal instillation of chemotherapy for 220 procedures in 43 patients with minimal adverse effects all managed conservatively. Our unique technique of paclitaxel instillation is described.

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Objective: Favourable oncological outcomes have been reported with the use of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) in patients with advanced epithelial ovarian cancer (EOC). However one course of intraoperative HIPEC is complex procedure. We present the simple postoperative technique of HIPEC using Veress needle and IVFluid warmer in patients with epithelial ovarian cancer. Materials and Methods:14 patients with EOC received 74 cycles of HIPEC postoperatively. Intraperitoneal instillation of chemotherapeutic drugs was done using Veress needle and for warming the fluid IVFluid warmer device like HOTLINE Fluid warmer or enFlow were used. Results:After CRS 14 patients with EOC received 74 cycles of HIPEC postoperatively. 11 (78.57%) patients completed all 6 cycles of planned HIPEC. Complications related the procedure like pain, tenderness at procedure site, cellulitis etc. were managed conservatively.Conclusion: HIPEC using Veress needle and IVFluid warmer is simple technique for 6 cycles of hyperthermic IP therapy.