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Use of a tissue expander and a polyglactic acid (Vicryl) mesh to reduce radiation enteritis: case report and literature review
- Source :
- Pediatric surgery international. 21(9)
- Publication Year :
- 2004
-
Abstract
- Management of stage IV rhabdomyosarcoma comprises systemic chemotherapy with local control by conservative surgery and radiotherapy. Abdominal radiotherapy may lead to radiation enteritis causing such serious morbidity as malabsorption, fistulae or stricture formation. The risk increases with the dose of radiation and length of bowel involved. Various methods have been utilised to displace the bowel from the radiation field. Usually these are applied in patients requiring pelvic irradiation. We report a case of metastatic alveolar rhabdomyosarcoma requiring radiotherapy to the right renal bed. Effective displacement of small bowel from the tumour site was achieved by a combined use of a tissue expander and Vicryl mesh. There were no complications from the surgery. This is the first report discussing combined use of a tissue expander and Vicryl mesh to aid radiotherapy to the renal fossa in a paediatric patient.
- Subjects :
- Male
medicine.medical_specialty
Malabsorption
medicine.medical_treatment
Biopsy
Vicryl mesh
Mediastinal Neoplasms
Prosthesis Implantation
Pediatric surgery
Intestine, Small
medicine
Radiation Enteritis
Humans
Rhabdomyosarcoma
Child
Radiation Injuries
Polyglactin 910
Rhabdomyosarcoma, Alveolar
Tissue expander
business.industry
Tissue Expansion Devices
General Medicine
Surgical Mesh
medicine.disease
Enteritis
Kidney Neoplasms
Surgery
Radiation therapy
Pediatrics, Perinatology and Child Health
Alveolar rhabdomyosarcoma
business
Tomography, X-Ray Computed
Follow-Up Studies
Subjects
Details
- ISSN :
- 01790358
- Volume :
- 21
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Pediatric surgery international
- Accession number :
- edsair.doi.dedup.....19821eb81c7cd237185b20ae42bb3f65