• Login
    View Item 
    •   Home
    • Hospital Research
    • Leinster
    • Tallaght University Hospital
    • View Item
    •   Home
    • Hospital Research
    • Leinster
    • Tallaght University Hospital
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Map of Submissions

    Home Page
    UlsterN
    5081
    UlsterS
    5081
    Connacht
    1698
    Munster
    58
    Leinster
    466

    Browse

    All of Lenus, The Irish Health RepositoryCommunitiesTitleAuthorsDate publishedSubjectsThis CollectionTitleAuthorsDate publishedSubjects

    My Account

    LoginRegister

    About

    About LenusDirectory of Open Access JournalsOpen Access Publishing GuideNational Health Library & Knowledge ServiceGuide to Publishers' PoliciesFAQsTerms and ConditionsVision StatementORCID Unique identifiers for ResearchersHSE position statement on Open AccessNational Open Research Forum (NORF)Zenodo (European Open Research repository)

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Laparoscopic pelvic sling placement facilitates optimum therapeutic radiotherapy delivery in the management of pelvic malignancy.

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Publisher version
    View Source
    Access full-text PDFOpen Access
    View Source
    Check access options
    Check access options
    Authors
    Joyce, M
    Thirion, P
    Kiernan, F
    Byrnes, C
    Kelly, P
    Keane, F
    Neary, P
    Affiliation
    Division of Colorectal Surgery, Minimally Invasive Surgery, The Adelaide and, Meath Hospital, Tallaght, Dublin 24, Ireland. mylesjoyce@eircom.net
    Issue Date
    2012-02-01T10:49:55Z
    MeSH
    Aged
    Cystectomy
    Disease Progression
    Humans
    Intestine, Small/radiation effects
    Laparoscopy/*methods
    Male
    Middle Aged
    Postoperative Care
    Prostatectomy
    Prostatic Neoplasms/*radiotherapy/surgery
    Radiation Dosage
    Radiation Injuries/*prevention & control
    Radiotherapy, Adjuvant/methods
    Salvage Therapy/*methods
    *Suburethral Slings
    Surgical Mesh
    Urinary Bladder Neoplasms/*radiotherapy/surgery
    Show allShow less
    
    Metadata
    Show full item record
    Citation
    Eur J Surg Oncol. 2009 Apr;35(4):348-51. Epub 2008 Mar 21.
    Journal
    European journal of surgical oncology : the journal of the European Society of, Surgical Oncology and the British Association of Surgical Oncology
    URI
    http://hdl.handle.net/10147/207913
    DOI
    10.1016/j.ejso.2008.01.035
    PubMed ID
    18358678
    Abstract
    BACKGROUND: Radiotherapy has a significant role in the management of pelvic malignancies. However, the small intestine represents the main dose limiting organ. Invasive and non-invasive mechanical methods have been described to displace bowel out of the radiation field. We herein report a case series of laparoscopic placement of an absorbable pelvic sling in patients requiring pelvic radiotherapy. METHODS: Six patients were referred to our minimally invasive unit. Four patients required radical radiotherapy for localised prostate cancer, one was scheduled for salvage localised radiotherapy for post-prostatectomy PSA progression and one patient required adjuvant radiotherapy post-cystoprostatectomy for bladder carcinoma. All patients had excessive small intestine within the radiation fields despite the use of non-invasive displacement methods. RESULTS: All patients underwent laparoscopic mesh placement, allowing for an elevation of small bowel from the pelvis. The presence of an ileal conduit or previous surgery did not prevent mesh placement. Post-operative planning radiotherapy CT scans confirmed displacement of the small intestine allowing all patients to receive safely the planned radiotherapy in terms of both volume and radiation schedule. CONCLUSION: Laparoscopic mesh placement represents a safe and efficient procedure in patients requiring high-dose pelvic radiation, presenting with unacceptable small intestine volume in the radiation field. This procedure is also feasible in those that have undergone previous major abdominal surgery.
    Language
    eng
    ISSN
    1532-2157 (Electronic)
    0748-7983 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ejso.2008.01.035
    Scopus Count
    Collections
    Tallaght University Hospital

    entitlement

    Related articles

    • Laparoscopic pelvic mesh placement with closure of pelvic floor entrance to prevent small intestine radiation trauma - A retrospective cohort analysis.
    • Authors: Bachmann R, Heinzelmann F, Müller AC, Ladurner R, Schneider CC, Königsrainer A, Zdichavsky M
    • Issue date: 2015 Nov
    • Transperitoneal laparoscopic prostatectomy does not increase small bowel within the target volume for postoperative radiotherapy.
    • Authors: Finelli A, Punnen S, Rosewall T, Catton C, Fleshner N, Jewett M, Trachtenberg J, Menard C
    • Issue date: 2009 Nov
    • The use of a pelvic displacement prosthesis to exclude the small intestine from the radiation field following radical hysterectomy.
    • Authors: Burnett AF, Coe FL, Klement V, O'Meara AT, Muderspach LI, Roman LD, Morrow CP
    • Issue date: 2000 Dec
    • Salvage radical cystoprostatectomy and orthotopic urinary diversion following radiation failure.
    • Authors: Bochner BH, Figueroa AJ, Skinner EC, Lieskovsky G, Petrovich Z, Boyd SD, Skinner DG
    • Issue date: 1998 Jul
    • Dose-volume relationships for acute bowel toxicity in patients treated with pelvic nodal irradiation for prostate cancer.
    • Authors: Fiorino C, Alongi F, Perna L, Broggi S, Cattaneo GM, Cozzarini C, Di Muzio N, Fazio F, Calandrino R
    • Issue date: 2009 Sep 1
    Health Library Ireland | Health Service Executive | Jervis House, Jervis Street | Republic of Ireland | Eircode: D01 W596
    lenus@hse.ie | Tel: +353-1-7786275
    DSpace software copyright © 2002-2017  DuraSpace
    Contact Us | Disclaimer
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.