Technique and complications of reconstruction of the pelvic floor with polyglactin mesh

Sf, Sener; Jp, Imperato; Blum,; Ignatoff, JM; Soper, T.G.; Dp, Winchester; Meiselman, Mick

doi:10.1016/0020-7292(90)90757-c

Cited by 9 publications

(14 citation statements)

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“…Surgical placement of absorbable mesh slings and silicone prostheses have been described to prevent radiation-induced small bowel disease [Devereux et al 1984;Kavanah et al 1985;Sener et al 1989;Rodier et al 1991;Beitler et al 1997;Sugarbaker, 1983]. These interventions are aimed at reducing toxicity by excluding the small bowel from irradiated areas.…”

Section: Surgical Techniquesmentioning

confidence: 99%

Radiation-induced small bowel disease: latest developments and clinical guidance

Stacey

Green

2013

Therapeutic Advances in Chronic Disease

183

127

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Ionizing radiation is commonly used to treat a number of malignancies. Although highly effective and now more targeted, many patients suffer side effects. The number of cancer survivors has increased and so there are more patients presenting with symptoms that have arisen as a result of radiotherapy. Radiation damage to small bowel tissue can cause acute or chronic radiation enteritis producing symptoms such as pain, bloating, nausea, faecal urgency, diarrhoea and rectal bleeding which can have a significant impact on patient's quality of life. This review outlines the pathogenesis of radiation injury to the small bowel along with the prevention of radiation damage via radiotherapy techniques plus medications such as angiotensin-converting enzyme inhibitors, statins and probiotics. It also covers the treatment of both acute and chronic radiation enteritis via a variety of medical (including hyperbaric oxygen), dietetic, endoscopic and surgical therapies.

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Section: Surgical Techniquesmentioning

confidence: 99%

Radiation-induced small bowel disease: latest developments and clinical guidance

Stacey

Green

2013

Therapeutic Advances in Chronic Disease

183

127

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“…Deveraux et al [32] first described the use of a polyglycolic acid mesh installed as a ''hammock.'' There are several studies in the literature that use the same technique [33][34][35][36], other absorbable materials [37,38] and even non-absorbable prostheses [39]. However, the installation of these meshes has been associated with prolonged surgery times, postoperative ileus [6] and complications directly attributable to the mesh such as obstruction [32,33], intestinal fistula [32], pelvic abscess [33,36], loop herniation between the pelvis and the mesh [33] and deep vein thrombosis [36].…”

Section: Discussionmentioning

confidence: 99%

Pelvic reconstruction after abdominoperineal resection: a pilot study using an absorbable synthetic prosthesis

et al. 2011

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“…Multiple strategies have been developed to minimize radiation side effects. Strategies for minimizing radiation doses to critical organs can be divided into two main groups: (1) pharmacological manipulation to increase tolerance and therefore decrease radiation toxicity [6,7], and (2) mechanical strategies to avoid radiation exposure to sensitive organs [8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…At times, these critical structures can be mechanically displaced, resulting in radiation fields that encompass the tissues at risk while excluding radiosensitive tissues, such as bowel. Methods include the use of omental slings [8], polyglycolic acid mesh slings [10][11][12], tissue expanders [14], or gel implants [15,16] to suspend or displace bowel from the radiation field, as well as high dose rate intraoperative therapy given while sensitive tissues are held out of the field with surgical packing or instruments. Appropriate preoperative radiation treatment planning and/or brachytherapy allows treating tissues at risk and significantly reduces the dose to previously adjacent, but uninvolved, organs [5].…”

Section: Introductionmentioning

confidence: 99%

Advances in prevention of radiation damage to visceral and solid organs in patients requiring radiation therapy of the trunk

et al. 1997

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Background As a part of multimodality therapy, many patients with tumors of the trunk receive radiation therapy. The major morbidity of this therapy is often secondary to incidental radiation damage to tissues adjacent to treatment areas. Methods We detail our use of saline breast implants placed in polyglycolic acid mesh sheets to displace visceral and solid organs away from the radiation field. Results Analysis of CT scans and dose volume histograms reveal that this technique successfully displaces uninvolved organs away from the radiation fields, thereby minimizing the radiation dose to such organs and tissues. Conclusion We believe this is a safe and efficacious method to prevent radiation damage to visceral and solid organs adjacent to trunk tumor sites. J. Surg. Oncol. 64:109–114. © 1997 Wiley‐Liss, Inc.

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Technique and complications of reconstruction of the pelvic floor with polyglactin mesh

Cited by 9 publications

References 0 publications

Radiation-induced small bowel disease: latest developments and clinical guidance

Radiation-induced small bowel disease: latest developments and clinical guidance

Pelvic reconstruction after abdominoperineal resection: a pilot study using an absorbable synthetic prosthesis

Advances in prevention of radiation damage to visceral and solid organs in patients requiring radiation therapy of the trunk

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