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Table 1 Cases to date of intra-abdominal or pelvic insertion of a normal saline-filled silicone implant prior to external beam radiotherapy

From: Laparoscopic insertion of pelvic tissue expander to prevent radiation enteritis prior to radiotherapy for prostate cancer

Author Year Origin Number Indication Radiotherapy Site Insertion & removal Expander size fixation Radiation dose complications due to prosthesis
Sugarbaker[8] 1983 Washington DC, USA 1 unspecified adjuvant pelvis open up to 1000 ml prosthetic mesh to pelvic brim 65 Gy no
Lasser et al[9] 1986 Paris, France 9 rectal cancer adjuvant pelvis open   ? ? no
Armstrong et al[14] 1990 New York, USA 2 fibrosarcoma adjuvant renal bed open 400-500 ml none 30 Gy no
Cuttat et al[15] 1991 Lausanne, Switzerland 4 rectal cancer adjuvant pelvis open 500 ml ? ? no
Delaloye et al[12] 1994 Vandois, Switzerland 18 cervical cancer adjuvant pelvis open 350-400 ml absorbable suture 56-60.8 Gy hydronephrosis (n = 1)
constipation 9 (n = 1)
Hoffman et al[18] 1998 Philadelphia, USA 58 sarcomas & endometrial, vaginal, rectal, colon & anal cancer adjuvant (n = 57)
primary (n = 1)
pelvis & lower abdomen open 550-1,500 ml absorbable suture 40-50 Gy abscess (n = 4)
fistula (n = 4), extrusion (n = 1)
Sezeur et al[10] 1999 Paris, France 22 retroperitoneal sarcoma and pelvic cancer. adjuvant pelvis & abdomen open ? ? 30-65 Gy heaviness (n = 1)
flank pain (n = 1)
Burnett et al[11] 2000 Los Angeles, USA 7 cervical cancer adjuvant pelvis open 750-1,500 ml absorbable suture 50.4 Gy adhesions of bowel to implant (n = 1)
pulmonary embolism (n = 1)
Abhyankar et al[13] 2005 Wales, UK 1 rhabdomyosarcoma adjuvant right upper abdomen open 250 ml mesh 45 Gy no
Hølmebakk et al[16] 2006 Oslo, Norway 1 Retroperitoneal recurrence of colorectal cancer adjuvant pelvic open 500 ml sutured & omental sling 50 Gy no
White et al[20] 2007 Calgary, Canada 33 sarcomas & endometrial, vaginal, rectal & colon cancer neo-adjuvant (n = 25)
adjuvant (n = 1)
primary (n = 11)
pelvis & abdomen open 700 ml Dexon® mesh 45-50 Gy Cystitis (n = 1)
Ileus (n = 1)
Hong et al[19] 2008 Sydney, Australia 2 retroperitoneal sarcoma & abdominal wall sarcoma adjuvant lower abdomen open 1000 ml ? 50 Gy no
Angster et al[17] 2010 Baltimore, USA 2 cervical cancer & retroperitoneal sarcoma adjuvant pelvis & abdomen open 400 ml & 500 ml none ? no
McKay et al 2011 Sydney, Australia 1 prostate cancer primary pelvis laparoscopic 500 ml absorbable suture 80 Gy No