treatment peritoneal carcinosis

Almost all the neoplasias of the abdomen can expand either because of contiguity or after surgical intervention in the peritoneal cavity, and gradually spread in all possible directions.

Stomach, intestine, pancreas, bladder, prostate, uterus and ovaries are the organs from which an expansion in the cavity with possible formation of ascitic liquid of the neoplastic type most frequently takes place.

In fact, once the fungin colonies penetrate in the peritoneal serosa and they get used to metabolizing it, there is no more obstacle to their advancement. In this way, the phenomenon of carcinosis takes place – a morbid event that is outside the range of any conventional therapy.

Conversely, the method of therapy that I propose, as it is based on the filling of the cavity with bicarbonate solution, is able to reach the fungin masses in their totality and it appears to be extremely effective in their destruction.
The method consists in the positioning of a transdermal catheter in the abdomen through which the invaded tissues are irrigated abundantly for about 30-40 days after draining the pre-existing liquid.

For the first three days, 300-400 cm3 of sodium bicarbonate 5 % solution is introduced and left inside the peritoneal cavity. This is drained the day after before the new administration. For the following 12 days, the dosage is lowered to 100-200 cm3 of solution, to be drained 1-2 hours after the treatment. The procedure is repeated from the 15th to the 30th- 40th day with a cycle of one day on and two off.

The dosages described above are to be considered as indicative, as they change as a function of the response, of the weight of the body and by the side effects that may take place.

Flatulence and a feeling of fullness that often already exist as well as more or less marked pain are almost constant symptoms, especially in the first days, but the symptoms regress sharply as the therapy proceeds.

Hypertensive or hypotensive episodes as well as thirst and lack of appetite complete the picture of possible undesirable side effects. The most serious complication may be the development of an infection inside the cavity, generally caused by the lack of a thorough daily medication of the catheter and the bandages. If this occurs, it must be treated immediately with high dosages of intramuscular antibiotics which can resolve it in a short time. In the presence of carcinoses of large dimensions, an intervention for the resection of the masses must be performed with the purpose of “lightening up” the abdominal cavity and making the action of bicarbonate more effective.

 


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