European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 143, Issue 2 , Pages 93-97 , April 2009

Feasibility and morbidity of using saline filled tissue expanders to reduce radiation-induced bowel injury in patients with gynecologic malignancies

  • Melissa A. Geller

      Affiliations

    • Division of Gynecologic Oncology, University of Minnesota, Department of Obstetrics, Gynecology and Women's Health, Minneapolis, MN 55455, United States
    • Corresponding Author InformationCorresponding author at: 420 Delaware St. S.E., MMC 395, Minneapolis, MN 55455, United States. Tel.: +1 612 626 3111; fax: +1 612 626 0665.
    • ,
  • Peter A. Argenta

      Affiliations

    • Division of Gynecologic Oncology, University of Minnesota, Department of Obstetrics, Gynecology and Women's Health, Minneapolis, MN 55455, United States
    • ,
  • Sajeena G. Thomas

      Affiliations

    • Division of Gynecologic Oncology, University of Minnesota, Department of Obstetrics, Gynecology and Women's Health, Minneapolis, MN 55455, United States
    • ,
  • Kathryn E. Dusenbery

      Affiliations

    • Division of Radiation Oncology, University of Minnesota, Minneapolis, MN 55455, United States
    • ,
  • Patricia L. Judson

      Affiliations

    • Division of Gynecologic Oncology, University of Minnesota, Department of Obstetrics, Gynecology and Women's Health, Minneapolis, MN 55455, United States
    • ,
  • Matthew P. Boente

      Affiliations

    • Minnesota Oncology Hematology, P.A., Edina, MN 55435, United States

Received 17 August 2007 ,Revised 4 December 2008 ,Accepted 28 December 2008.

References 

  1. Crane CH, Janjan NA. The stomach and small intestine. In:  Cox JD,  Kian Ang K editor. Radiation oncology: rationale, technique, results. 8th edition. St. Louis: Mosby-Year Book; 2003;p. 444–464
  2. Potish RA. Importance of predisposing factors in the development of enteric damage. Am J Clin Oncol. 1982;5:189–194
  3. Fine BA, Hempling RE, Piver MS, et al. Severe radiation morbidity in carcinoma of the cervix: impact of pretherapy surgical staging and previous surgey. Int J Radiat Oncol Biol Phys. 1995;31:717–723
  4. Eifel PJ, Jhingran A, Bodurka DC, et al. Correlation of smoking history and other patient characteristics with major complications of pelvic radiation therapy for cervical cancer. J Clin Oncol. 2002;20(17):3651–3657
  5. Monk BJ, Berman ML, Montz FJ. Adhesions after extensive gynecologic surgery: clinical significance, etiology, and prevention. Am J Obstet Gynecol. 1994;170(5):1396–1403
  6. Holst R, LaCouture T, Koprowski C, et al. A simple manual method of repositioning small bowel during pelvic irradiation. Med Dosim. 1995;20(2):123–129
  7. Rodier JF, Janser JC, Rodier D, et al. Prevention of radiation enteritis by an absorbable polyglycolic acid mesh sling: a 60-case multicentric study. Cancer. 1991;68:2545–2549
  8. Waddell BE, Lee RJ, Rodriguez-Bigas MA, et al. Absorbable mesh sling prevents radiation-induced bowel injury during “sandwich” chemoradiation for rectal cancer. Arch Surg. 2000;135:1212–1217
  9. Ghosh K, Padilla LA, Murray KP, et al. Using a belly board device to reduce the small bowel volume within pelvic radiation fields in women with postoperatively treated cervical carcinoma. Gynecol Oncol. 2001;83(2):271–275
  10. Martin J, Fitzpatrick K, Horan G, et al. Treatment with a belly-board device significantly reduces the volume of small bowel irradiated and results in low acute toxicity in adjuvant radiotherapy for gynecologic cancer: results of a prospective study. Radiother Oncol. 2005;74(3):267–274
  11. Adli M, Mayr NA, Kaiser HS, et al. Does prone positioning reduce small bowel dose in pelvic radiation with intensity-modulated radiotherapy for gynecologic cancer?. Int J Radiat Oncol Biol Phys. 2003;57(1):230–238
  12. Hoffman JP, Lanciano R, Carp NZ, et al. Morbidity after insertion of saline-filled tissue expanders for small bowel exclusion from radiotherapy treatment fields. Am Surg. 1994;80:173–183
  13. Hoffman JP, Sigurdson FR, Eisenberg BL. Use of saline-filled tissue expanders to protect the small bowel from radiation. Oncology. 1998;12(1):51–54
  14. Sugarbaker PH. Intrapelvic prosthesis to prevent injury of the small intestine with high dosage pelvic irradiation. Surg Gynecol Obstet. 1983;157:269–271
  15. Sezeur A, Martella L, Abbou C, et al. Small intestine protection from radiation by means of a removable adapted prosthesis. Am J Surg. 1999;178(1):22–25
  16. Zouhair A, Delaloye JF, Ozsahin M, et al. A pilot study of silicone tissue expander prosthesis to protect the small bowel during radiation therapy for uterine malignancies. Turk J Cancer. 2004;34(1):11–18
  17. Burnett AF, Coe Fl, Klement V, et al. The use of a pelvic displacement prosthesis to exclude the small intestine from the radiation field following radical hysterectomy. Gynecol Oncol. 2000;79:438–443
  18. Bourne RG, Kearsley JH, Grove WD, et al. The relationship between early and late gastrointestinal complications of radiation therapy for carcinoma of the cervix. Int J Radiat Oncol Biol Phys. 1983;9:1445–1450
  19. Maruyama Y, Van Nagell JR, Utley J, et al. Radiation and small bowel complications in cervical carcinoma therapy. Radiology. 1974;112:699–703
  20. Loludice D, Baxter D, Balint J. Effects of abdominal surgery on the development of radiation enteropathy. Gastroenterology. 1977;73:193–197
  21. Hogan WM, Littman P, Griner L, et al. Results of radiation therapy given after radical hysterectomy. Cancer. 1982;49:1278–1285
  22. Clarke-Pearson DL, DeLong ER, Chin N, et al. Intestinal obstruction in patients with ovarian cancer. Variables associated with surgical complications and survival. Arch Surg. 1988;123:42–45
  23. Penalver M, Averette H, Sevin BU, et al. Gastrointestinal surgery in gynecologic oncology: evaluation of surgical techniques. Gynecol Oncol. 1987;28(1):74–82
  24. Mirhashemi R, Averette HE, Estape R, et al. Low colorectal anastomosis after radical pelvic surgery: a risk factor analysis. Am J Obstet Gynecol. 2000;183:1375–1379
  25. Beck DE, Cohen Z, Fleshman JW, et al. A prospective, randomized, multicenter, controlled study of the safety of Seprafilm adhesion barrier in abdominopelvic surgery of the intestine. Dis Colon Rectum. 2003;46(10):1310–1319
  26. Becker JM, Dayton MT, Fazio VW, et al. Prevention of postoperative abdominal adhesions by a sodium hyaluronate-based bioresorbable membrane: a prospective, randomized, double-blind multicenter study. J Am Coll Surg. 1996;183(4):297–306
  27. Seprafilm Adhesion Study GroupDiamond MP. Reduction of adhesions after uterine myomectomy by Seprafilm membrane (HAL-F): a blinded, prospective, randomized, multicenter clinical study. Fertil Steril. 1996;66(6):904–910
  28. Tzianabos AO, Cisneros RL, Gershkovich J, et al. Effect of surgical adhesion reduction devices on the propagation of experimental intra-abdominal infection. Arch Surg. 1999;134:1254–1259
  29. Remzi FH, Oncel M, Church JM, et al. An unusual complication after hyaluronate-based bioresorbable membrane (seprafilm) application. Am Surg. 2003;69(4):356–357
  30. Huh SJ, Kang MK, Han Y. Small bowel displacement system-assisted intensity-modulated radiotherapy for cervical cancer. Gynecol Oncol. 2004;93(2):400–406

PII: S0301-2115(09)00004-9

doi: 10.1016/j.ejogrb.2008.12.013

European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 143, Issue 2 , Pages 93-97 , April 2009

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