Omental transposition flap in colorectal carcinoma: adjunctive use in prevention and treatment of radiation complications
The versatility of the omentum has led to its use as a surgical adjunct in the total oncological management of primary and recurrent colorectal carcinoma. The omentum is used as a transposition pedicle flap, broadly based on the left gastroepiploic vascular supply. Following abdominoperineal resection or low anterior resection of the rectum, the small bowel is elevated out of the pelvis by the omental bulk. The pelvic defect is reperitonealized and the risk of pelvic small bowel adhesions is diminished. With the increasing use of postoperative radiation to the pelvis for rectal carcinoma, the tolerance to therapy may be improved and the incidence of radiation enteritis and enteropathy should be reduced. Surgical complications such as leakage from low anterior anastomoses and pelvic abscesses, which may delay or contraindicate necessary postoperative radiation, are dramatically decreased. Reconstruction of the perineum with omental flap provides adequate soft tissue bulk and contour when a radical resection has been performed. The omentum has the potential for neovascular proliferation and can act to prevent anastomotic dehiscence of intestinal anastomoses involving previously irradiated bowel. Furthermore, covering unresectable...Continue Reading
Areas of failure found at reoperation (second or symptomatic look) following "curative surgery" for adenocarcinoma of the rectum. Clinicopathologic correlation and implications for adjuvant therapy
Patterns of recurrence following curative resection alone for adenocarcinoma of the rectum and sigmoid colon
Effect of omental pedicle hammock in protection against radiation-induced enteropathy in patients with rectal cancer
Improved outcome following preoperative radiochemotherapy: 40.5 Gy accelerated hyperfractionation and 5-fluorouracil suppositories for patients with carcinoma of the lower rectum
Intestinal complications of radiotherapy in gynecologic malignancy--clinical presentation and management
Efficacy of a synthetic mesh sling in keeping the small bowel in the upper abdomen to prevent radiation enteropathy in gynecologic malignancies
Comparison of the belly board device method and the distended bladder method for reducing irradiated small bowel volumes in preoperative radiotherapy of rectal cancer patients
The dose-volume relationship of acute small bowel toxicity from concurrent 5-FU-based chemotherapy and radiation therapy for rectal cancer
Laparoscopic insertion of pelvic tissue expander to prevent radiation enteritis prior to radiotherapy for prostate cancer.
Practical approaches to effective management of intestinal radiation injury: benefit of resectional surgery.
Pelvic reconstruction after abdominoperineal resection: a pilot study using an absorbable synthetic prosthesis.
The effect of treatment position, prone or supine, on dose-volume histograms for pelvic radiotherapy in patients with rectal cancer
Omental free-tissue transfer for coverage of complex upper extremity and hand defects--the forgotten flap.
Volumetric analysis of small bowel displacement from radiation portals with the use of a pelvic tissue expander
Reduction of irradiated small bowel volume with Trendelenburg position in gynecologic pelvic radiotherapy
The role of omental flap transposition in patients with locoregional recurrent rectal cancer treated with reirradiation
Using a belly board device to reduce the small bowel volume within pelvic radiation fields in women with postoperatively treated cervical carcinoma
Protection of the small bowel with a silicone tissue expander prosthesis and a polyglycolic acid mesh during radiation therapy for cervical carcinoma
Late radiation injury of the small intestine. Clinical, pathophysiologic and radiobiologic aspects. A review
Comparative research of implants with three types of surface processing (TiUnite, SLA, RBM), control, with periimplantitis and processed by 2780 nm Er;Cr;YSGG laser
Efficacy of polyglycolic acid mesh sling in keeping the small bowel in the upper abdomen after abdominal surgery: a 12-month study in baboons
Bladder Carcinoma In Situ
Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.