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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