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846 Establishment of a training course for the development of a hyperthermic intraperitoneal chemotherapy (HIPEC) gynaecological oncology program: an Irish experience
  1. Claire Thompson,
  2. Edward Corry,
  3. Tom Walsh,
  4. Ruaidhri Mcvey,
  5. Faraz Khan,
  6. Jurgen Mulsow and
  7. Donal Brennan
  1. Mater Misericordiae University Hospital, Dublin, Ireland


Introduction/Background Hyperthermic Intraperitoneal Chemotherapy (HIPEC) following cytoreductive surgery (CRS) for ovarian cancer is increasing due to growing evidence. Establishing a safe and effective program requires a dedicated multidisciplinary team and robust standard operating procedures (SOP’s) to avoid significant increases in morbidity and resource requirements. Establishing high quality training courses could provide necessary mentorship and support to centres in the beginning of this journey.

The Peritoneal Malignancy Institute in Dublin established in 2013 with over 500 HIPEC cases performed. Our group established a CRS & HIPEC course in 2021. This review describes our design and highlights the benefits that can be provided.

Methodology Formal 2-day course was designed with blueprint matrix to requirements of SOP’s, adherence to clinical governance and focus of multi-disciplinary team.

Key stakeholders representation of visiting teams encouraged.

Day 1 Design:

- Tutorials including perioperative requirements, intraoperative challenges, HIPEC techniques.

- Live Theatre case of HIPEC. Visualisation set up including all safety protocols.

Day 2 Design:

- Tutorials including clinical governance, business case design and equipment.

- Cadaveric workshop: CRS procedures and HIPEC set up

Feedback obtained and support in implementation of programs locally was available.

Results Completion of 2 courses with third scheduled for January 2024. To date 24 team members have undergone training, including gynaecological oncologists, HPB surgeons, colorectal surgeons, theatre nursing staff and clinical nurse specialists. 100% of attendees strongly agreed with requirement of courses such as this and 100% would recommend this to all centres establishing a program. One centre has since established their program with >10 cases performed.

Conclusion Barriers to implementing HIPEC programs are often related to deficits in logistics and knowledge. Establishing training courses is one method to address these challenges and through a community approach, ensure the highest standards are maintained, and mentorship is available. In turn ensuring patients remain safe whilst receiving all possible treatment.

Disclosures None.

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