The use of a pelvic displacement prosthesis to exclude the small intestine from the radiation field following radical hysterectomy

Gynecologic Oncology
A F BurnettC P Morrow

Abstract

The goal of this study was to develop a device which will elevate the small intestine out of the pelvic cavity during radiation after radical surgery. A prosthetic device of silicone plastic was designed which conforms to the pelvis. This device is filled with saline and renograffin for X-ray visualization. The capacity of the device is between 750 and 1500 cc. A small bowel contrast radiograph is performed prior to radiation to document exclusion from the radiation field. The device remains in place throughout radiation therapy and is then removed through a small incision after draining the contents of the prosthesis. Seven devices have been placed to date. The patients' age ranged from 35 to 65 years. All women had stage Ib1 carcinoma of the cervix and all underwent a type III radical hysterectomy with bilateral pelvic and common iliac lymphadenectomy. The indication for placement of the device was deep invasion of tumor in five patients, close margin in one patient, and positive pelvic lymph nodes in one patient. The amount of fluid instilled in the device ranged from 960 to 1200 cc. All patients had a return to normal bowel function within 3 days of surgery. All had radiologically documented exclusion of the small intestine...Continue Reading

References

Sep 1, 1992·Diseases of the Colon and Rectum·J S ChenH A Fan
Dec 1, 1990·International Journal of Radiation Oncology, Biology, Physics·J G ArmstrongJ Fortner
Jan 1, 1988·Diseases of the Colon and Rectum·D F DevereuxL Zinkin
Jan 1, 1988·American Journal of Obstetrics and Gynecology·D L Clarke-PearsonW T Creasman
Jun 1, 1984·Diseases of the Colon and Rectum·E C LaiJ Boey
Jul 1, 1994·Journal of Pediatric Surgery·F MericL Schnaufer
Jan 1, 1995·International Journal of Radiation Oncology, Biology, Physics·R G StockJ Seski
Nov 22, 1997·Diseases of the Colon and Rectum·A BeitlerN J Petrelli
Aug 24, 1999·American Journal of Surgery·A SezeurM Malafosse

❮ Previous
Next ❯

Citations

Apr 10, 2010·World Journal of Gastroenterology : WJG·Shohei KomatsuYonson Ku
Mar 2, 2002·International Journal of Radiation Oncology, Biology, Physics·Barbara A Jereczek-FossaAndrzej Badzio
Dec 14, 2011·Gynecologic Oncology·Aaron H WolfsonUNKNOWN American College of Radiology (ACR)
Feb 7, 2009·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Melissa A GellerMatthew P Boente
Oct 20, 2004·Clinical Oncology : a Journal of the Royal College of Radiologists·S J HuhY Han
Dec 23, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sabine IrtanSabine Sarnacki
Mar 26, 2010·Plastic and Reconstructive Surgery·Kristen AngsterGedge D Rosson
Apr 27, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M F KhanR A Cahill

❮ Previous
Next ❯

Related Concepts

Related Feeds

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.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.