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Repeated PIPAC-Ox for CPM clients, alone or along with perioperative systemic chemotherapy, is feasible. Our data suggest that three or higher consecutive PIPAC-Ox cycles for advanced CPM can enhance success. Several classifications have already been used for pseudomyxoma peritonei (PMP), and among these, the Ronnett classification is considered the most commonly used. However, a brand new consensual Peritoneal Surface Oncology Group International (PSOGI) classification has recently been proposed. No