 Hi everyone, today we are going to discuss about high-peck therapy. So, what is high-peck therapy? The full form of high-peck therapy is hyperthermic intraperitoneal chemotherapy. So, what does it mean? It means that the chemotherapy agent is heated to a temperature of 41 to 43 degrees centigrade and it is put inside the patient's abdomen and it is circulated at that temperature and that temperature has to be maintained which is the most important part of hyperthermic intraperitoneal chemotherapy that is high-peck therapy. Is high-peck therapy done alone? The answer is no. High-peck therapy is always associated or given along with cytoreductive surgery that means a surgery which lasts for around five hours wherein we remove all the cancer cells from the abdomen and then we instill hyperthermic intraperitoneal chemotherapy. So, what are the cancers in which high-peck therapy can be used? Can it be used in all cancers? No, it cannot be used for all cancers. It is used for only selected cancers like ovarian cancers that is the female genitourinary cancers, appendix cancer, pseudomixoma peritonii that is a cancer of the peritonium of the abdomen. In selected cases of stomach cancers and most importantly colon cancers. So, these are four or five most important organs in which high-peck therapy is given. In all other organs, high-peck therapy is still questionable. There are certain things that we need to know about high-peck therapy especially with regards to its risk and complication. So, high-peck therapy is associated with a lot of electrolyte imbalances like sodium, potassium, magnesium, phosphorus and a lot of calcium electrolyte imbalances occur. Also fluid imbalances occur in which patients blood pressure can go down because of loss of fluid. Kidney issues can come up because a lot of fluid imbalances happen and kidney can go into shutdown and that is why it is important to maintain a good urine output during high-peck therapy and also after. The white blood cell count that is the immunity of the body goes down after high-peck therapy and that is why all of these things have to be very closely managed. That is why I would suggest that a high-peck therapy of your near or dear ones should happen only at a center which is well equipped for high-peck therapy since that center has good experience and it can manage all these complications. Our experience at Sanar International Hospital has been very good as far as high-peck therapy goes. Our patients have lived for more than 5 to 10 years even in late stage 3, stage 4 cancers. So, I would say that high-peck therapy is a very good therapy but it should not be done for all kinds of cancer. It should be done for only selected cancers and our experience has been immensely good at Sanar International Hospital. Thank you.