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

Journal Article · · Surg. Gynecol. Obstet.; (United States)
OSTI ID:5716017
; ; ; ; ; ;
A polyglactin mesh sling was used to reconstruct the pelvis in eight patients after colorectal or urologic resections in preparation for postoperative radiation therapy. There were three perioperative complications--a pelvic abscess requiring percutaneous drainage, a wound dehiscence and a herniation of the small intestine between the pelvic sidewall and mesh requiring small intestinal resection. There were two delayed complications, both partial small intestinal obstructions. One occurred just after the conclusion of radiation treatment and the other occurred five months after the conclusion of radiation therapy. Both obstructions responded to conservative management. None of the common acute radiation effects occurred during radiotherapy. One patient with delayed partial small intestinal obstruction had possible late radiation effects. The median follow-up period after radiation therapy was 12.5 months. Despite the complications described in this report, the use of a polyglactin mesh sling as an adjunct to resection of carcinoma of the pelvis has merit and should be studied further.
Research Organization:
Evanston Hospital, IL (USA)
OSTI ID:
5716017
Journal Information:
Surg. Gynecol. Obstet.; (United States), Journal Name: Surg. Gynecol. Obstet.; (United States) Vol. 168:6; ISSN SGOBA
Country of Publication:
United States
Language:
English

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Related Subjects

560151* -- Radiation Effects on Animals-- Man
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
BIOLOGICAL EFFECTS
BIOLOGICAL RADIATION EFFECTS
BIOLOGICAL RECOVERY
BIOLOGICAL REPAIR
BODY
BODY AREAS
CARCINOMAS
DELAYED RADIATION EFFECTS
DIGESTIVE SYSTEM
DISEASES
GASTROINTESTINAL TRACT
INJURIES
INTESTINES
MEDICAL SUPPLIES
MEDICINE
NEOPLASMS
NUCLEAR MEDICINE
ORGANS
PATIENTS
PELVIS
POLYMERS
RADIATION EFFECTS
RADIATION INJURIES
RADIOLOGY
RADIOTHERAPY
RECOVERY
REPAIR
SIDE EFFECTS
SMALL INTESTINE
THERAPY
WOUNDS