Apparatus and method for abdomino-pelvic chemotherapy perfusion and lavage

An abdomino-pelvic perfusion and lavage apparatus to which a skin surrounding an incision made through an abdominal wall of a patient can be attached and suspended, comprising:

• a containment vessel impermeable to water and air, having a wall having a base, wherein said wall has an upper end with a perimeter edge which defines an upper opening, a lower end with a perimeter edge which defines a base opening, a cranial end with a perimeter edge which defines an opening, a caudal end with a perimeter edge which defines an opening;
• a plurality of fluid ports capable of providing fluid communication through said wall of said containment vessel;
• a scaffolding carried by said containment vessel adapted for supporting and elevating the skin surrounding the incision made through the abdominal wall of the patient, an elevated skin forming a well above, and extending into, an abdomino-pelvic cavity;
• wherein hydraulic communication can be established through at least one of said plurality of fluid ports.

An abdomino-pelvic perfusion and lavage apparatus to which a skin surrounding an incision made through an abdominal wall of a patient can be attached and suspended, comprising:

• a containment vessel impermeable to water and air, having a wall having a base, wherein said wall has an upper end with a perimeter edge which defines an upper opening, a lower end with a perimeter edge which defines a base opening, a cranial end with a perimeter edge which defines an opening, a caudal end with a perimeter edge which defines an opening;
• a plurality of fluid ports capable of providing fluid communication through said wall of said containment vessel;
• a scaffolding carried by said containment vessel adapted for supporting and elevating the skin surrounding the incision made through the abdominal wall of the patient, an elevated skin forming a well above, and extending into, an abdomino-pelvic cavity;
• at least one removable cover capable of being secured and sealed over said upper opening of said containment vessel to enclose the well therein, thereby forming a barrier to aerosols so that chemotherapy can be used without exposing personnel to chemotherapy aerosols, and so that said containment vessel can be left in place on the patient who can then be returned to an intensive care unit for follow-up examinations and repeated lavage procedures without introducing bacterial pathogens and without necessitating use of an operating room except for closure of the incision made through the abdominal wall of the patient.

An abdomino-pelvic perfusion and lavage apparatus to which a skin surrounding an incision made through an abdominal wall of a patient can be attached and suspended, comprising:

• a containment vessel impermeable to water and air, having a wall having a base, wherein said wall has an upper end with a perimeter edge which defines an upper opening, a lower end with a perimeter edge which defines a base opening, a cranial end with a perimeter edge which defines an opening, a caudal end with a perimeter edge which defines an opening;
• a plurality of fluid ports capable of providing fluid communication through said wall of said containment vessel, said containment vessel being capable of being carried by a table on which the patient is positioned;
• a scaffolding carried by said containment vessel adapted for supporting and elevating the skin surrounding the incision made through the abdominal wall of the patient whereby said elevated skin forms a well above, and extending into, an abdomino-pelvic cavity;
• at least one removable cover capable of being secured and sealed over said upper opening of said containment vessel to enclose the well therein, thereby forming a barrier to aerosols so that chemotherapy can be used without exposing personnel to chemotherapy aerosols, and said containment vessel can be left in place on the patient who can then be returned to an intensive care unit for follow-up examinations and repeated lavage procedures without introducing bacterial pathogens and without necessitating use of an operating room except to close the incision made through the abdominal wall of the patient;
• a plurality of port-seals for sealing said plurality of fluid ports;
• a first seal disposed proximate to said perimeter edge of said cranial end to seal fluid communication between said containment vessel and a torso of the patient;
• a second seal disposed proximate to said perimeter edge of said caudal end to seal fluid communication between said containment vessel and a torso of the patient;
• and
• a base seal disposed proximate to said base of said containment vessel to seal fluid communication between said containment vessel and the table.

A method for perfusing, lavaging and irrigating an abdomino-pelvic cavity, comprising:

• placing a containment vessel impermeable to water and air over a patient, said containment vessel having a wall having a base, said wall having an upper end with a perimeter edge which defines an upper opening, a lower end with a perimeter edge which defines a base opening, a cranial end with a perimeter edge which defines an opening, a caudal end with a perimeter edge which defines an opening, and a plurality of fluid ports capable of providing fluid communication through said wall, and a scaffolding carried by said containment vessel adapted for supporting and elevating a skin surrounding an incision made through an abdominal wall of the patient;
• upwardly extending skin edges surrounding the incision made through the abdominal wall of the patient and connecting the skin edges to said scaffolding to form a well above and extending into the abdomino-pelvic cavity of the patient;
• introducing a perfusion fluid through said wall of said containment vessel into the well for treatment of intra-abdominal tissues;
• draining the perfusion fluid from the abdomino-pelvic cavity to flush fibrinous debris and other intra-abdominal contaminants from the abdomino-pelvic cavity.

A method for perfusing an abdomino-pelvic cavity, comprising:

• placing a containment vessel impermeable to water and air over a patient, said containment vessel having a wall having a base, said wall having an upper end with a perimeter edge which defines an upper opening, a lower end with a perimeter edge which defines a base opening, a cranial end with a perimeter edge which defines an opening, a caudal end with a perimeter edge which defines an opening, and a plurality of fluid ports capable of providing fluid communication through said wall, and a scaffolding carried by said containment vessel adapted for supporting and elevating a skin surrounding an incision made through an abdominal wall of the patient;
• upwardly extending skin edges surrounding the incision made through the abdominal wall of the patient and connecting the skin edges to said scaffolding to form a well above and extending into the abdomino-pelvic cavity of the patient;
• introducing a perfusate through said wall of said containment vessel into the well for perfusing intra-abdominal tissues;
• draining the perfusate from the abdomino-pelvic cavity to remove fibrinous debris and other intra-abdominal contaminants from the abdomino-pelvic cavity.