Outpatient and Home Chemotherapy with Novel Local Control Strategies in Desmoplastic Small Round Cell Tumor

Figure 3

Continuous hyperthermic peritoneal perfusion (CHPP). The CHPP procedure involves placing temperature probes, inflow and outflow cannulas, and continuous perfusion of plasmalyte followed by cisplatin containing chemotherapy as the perfusate at 41-42^°C. To achieve this, the inflow was usually about 45^°C. Manual agitation of the closed abdomen was done for 1.5 hours to ensure that all peritoneal surfaces were exposed to the cisplatin.