Before Cytoreductive Surgery and HIPEC for PSM

To get the best results possible from your peritoneal surface malignancy (PSM) treatment, our team uses a step-by-step plan based on scientific evidence. If you decide to pursue cytoreductive surgery and HIPEC after your consultation, your treatment journey will begin with preoperative care, including:

  • An anesthesiologist appointment
  • An integrative medicine appointment
  • Instructions to help you prepare for surgery and HIPEC

Key Appointments Before Surgery and HIPEC for PSM

As you prepare for your procedure, you will read and sign a consent form and be scheduled for two preoperative visits.


  • Prior to surgery, you will meet with an anesthesiologist to discuss the medications that will put you in a sleep-like state before surgery.
  • During the hour-long meeting, the anesthesiologist will explain what to expect from anesthesia. They will also ask you about prior surgeries and past experiences with anesthesia.
  • You will not have to fast for this appointment, but you will have some blood drawn for presurgical testing.
  • The anesthesiologist also may require clearance from your cardiologist prior to your surgery.

Please bring a list of all medications you currently take, including:

  • Prescription medications
  • Over-the-counter medications
  • Vitamins
  • Herbs and herbal supplements

Your anesthesiologist appointment will be at:

Memorial Regional Hospital
Outpatient Department
3500 Johnson Street
Hollywood, FL 33021

Integrative Medicine Specialist

Also, before surgery, you will visit with our integrative medicine physician.

Integrative medicine is a holistic approach to care that puts the patient at the center. It addresses all of the physical, emotional, mental, social, spiritual and environmental factors that affect your health.

During this pre-surgical appointment, you and your integrative medicine specialist will discuss your unique conditions, needs and circumstances. The doctor will suggest personalized strategies and interventions from a variety of scientific disciplines. The goal will be to help you overcome the disease and regain your health after treatment.

For example, if you are:

  • A smoker, we’ll provide strategies to help you quit.
  • Experiencing depression or anxiety, we may suggest meditation, a support group or another intervention.
  • Having trouble sleeping, we will help you address it.

Learn About Integrative Medicine for Patients with PSM

Your integrative medicine appointment will be at:

Memorial Hospital West
Medical Office Building
601 North Flamingo Road, Suite 301
Pembroke Pines, FL 33028

Preparing for Cytoreductive Surgery and HIPEC

The night before your surgery, you’ll be asked to take some steps to prevent infections and complications:

  • Bowel prep: The day before surgery, you can eat a small breakfast and lunch, then only drink clear liquids the rest of the day. Starting at noon the day before surgery, you will consume a special drink that will clear the bowel of all solid contents.
  • Infection Prevention: You will be given a course of antibiotics to take at 1 pm, 2 pm and 10 pm. You also will be instructed to take a shower with antibacterial soap the night before your surgery.
  • Carb boost for enhanced recovery: Your team will give you a fluid high in carbohydrates to build strength and improve recovery. You will drink it once before bedtime and again two hours before surgery.

Packing Your Personal Belongings

The hospital asks patients to consider leaving particularly valuable items at home, such as jewelry and watches. Remember to pack the following:

  • A list of all current medications.
  • Pajamas, a robe, slippers and comfortable clothing.
  • Toiletries — toothbrush, toothpaste, comb and shampoo.
  • If you forget an important item, the hospital will try to provide it.
  • Items for entertainment and communication — book, pen and paper, cell phone or tablet, and chargers.
  • Memorial Regional Hospital has free Wi-Fi in all rooms. No password is required to sign in.

Learn What to Expect the Day of Surgery and HIPEC

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