Complications following operation in the previously irradiated abdominopelvic cavity

Twenty-three patients underwent 32 operations in a previously irradiated abdominopelvic cavity. The overall postoperative morbidity rate was 62% and the mortality rate was 6.2%. The data from this series do not support small bowel bypass as the only acceptable method of management of surgical radiat...

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Bibliographic Details
Published inThe American surgeon Vol. 43; no. 4; p. 234
Main Authors Dirksen, P K, Matolo, N M, Trelford, J D
Format Journal Article
LanguageEnglish
Published United States 01.04.1977
Subjects
Abdomen - surgery
Female
Humans
Intestinal Obstruction - surgery
Intestine, Small - surgery
Pelvis - surgery
Postoperative Complications - epidemiology
Postoperative Complications - mortality
Postoperative Complications - pathology
Postoperative Complications - surgery
Radiation Injuries - epidemiology
Radiation Injuries - pathology
Radiation Injuries - surgery
Radiotherapy - adverse effects
Rectovaginal Fistula - surgery
Uterine Cervical Neoplasms - radiotherapy
Uterine Cervical Neoplasms - surgery
Uterine Neoplasms - radiotherapy
Uterine Neoplasms - surgery
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Summary:Twenty-three patients underwent 32 operations in a previously irradiated abdominopelvic cavity. The overall postoperative morbidity rate was 62% and the mortality rate was 6.2%. The data from this series do not support small bowel bypass as the only acceptable method of management of surgical radiation enteritis. Wide resection with primary anastomosis reduces the long-term morbidity of the "blind-loop syndrome", perforation and fistulization of the isolated loop, and does not have an increased mortality.
ISSN:0003-1348