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
Prevention of radiation enteritis by an absorbable polyglycolic acid mesh sling. A 60-case multicentric study.
Adjuvant radiotherapy following radical hysterectomy for patients with stage IB and IIA cervical cancer
Radical hysterectomy and tailored postoperative radiation therapy in the management of bulky stage 1B cervical cancer.
Value of adjuvant whole-pelvis irradiation after Wertheim hysterectomy for early-stage squamous carcinoma of the cervix with pelvic nodal metastasis: a matched-control study
Complications of combined radical hysterectomy-postoperative radiation therapy in women with early stage cervical cancer
Absorbable synthetic mesh (polyglactin 910) for the formation of a pelvic "lid" after radical pelvic resection.
Effect of omental pedicle hammock in protection against radiation-induced enteropathy in patients with rectal cancer
Protection of the small bowel with a silicone tissue expander prosthesis and a polyglycolic acid mesh during radiation therapy for cervical carcinoma
Use of the omental J-flap for prevention of postoperative complications following radical abdominal hysterectomy: report of 140 cases and literature review
A randomized trial of pelvic radiation therapy versus no further therapy in selected patients with stage IB carcinoma of the cervix after radical hysterectomy and pelvic lymphadenectomy: A Gynecologic Oncology Group Study
Laparoscopic insertion of pelvic tissue expander to prevent radiation enteritis prior to radiotherapy for prostate cancer.
Relationship between acute and late normal tissue injury after postoperative radiotherapy in endometrial cancer
Use of a tissue expander and a polyglactic acid (Vicryl) mesh to reduce radiation enteritis: case report and literature review
Laparoscopic pelvic mesh placement with closure of pelvic floor entrance to prevent small intestine radiation trauma - A retrospective cohort analysis
ACR Appropriateness Criteria® role of adjuvant therapy in the management of early stage cervical cancer
Use of a tissue expander to protect small bowel during radiotherapy in a cervical cancer patient with severe Crohn's disease
Feasibility and morbidity of using saline filled tissue expanders to reduce radiation-induced bowel injury in patients with gynecologic malignancies
Prevention of complications following pelvic exenteration with the use of mammary implants in the pelvic cavity: Technique and results of 28 cases
Small-bowel displacement system for the sparing of small bowel in three-dimensional conformal radiotherapy for cervical cancer
Validation of combination treatment with surgical spacer placement and subsequent particle radiotherapy for unresectable hepatocellular carcinoma
Laparoscopic insertion of pelvic tissue expander prior radiotherapy for sacral metastasis of alveolar maxillary rhabdomyosarcoma to prevent radiation enteritis.
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