1. Non-closure of peritoneum after abdominal hysterectomy for uterine carcinoma does not increase late intestinal radiation morbidity.
- Author
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Sirák, Igor, Kacerovský, Marian, Hodek, Miroslav, Petera, Jiří, Špaček, Jiří, Kašaová, Linda, Zoul, Zdeněk, and Vošmik, Milan
- Abstract
Abstract: Background/Aim: To evaluate whether non-closure of the visceral peritoneum after total abdominal hysterectomy (TAH) and bilateral salpingo-oophorectomy (BSO) in patients with uterine corpus carcinoma influences the volume of the small intestine within the irradiated volume during adjuvant radiotherapy or late radiation intestinal toxicity. Materials and methods: A total of 152 patients after TAH+BSO with adjuvant pelvic radiotherapy were studied. The state of peritonealization was retrospectively evaluated based on surgical protocols. The volume of irradiated bowels was calculated by CT-based delineation in a radiotherapy planning system. The influence of visceral peritonealization upon the volume of the small intestine within the irradiated volume and consequent late morbidity was analyzed. Results: Visceral peritonealization was not performed in 70 (46%) of 152 studied patients. The state of peritonealization did not affect the volume of the irradiated small intestine (p =0.14). Mean volume of bowels irradiated in patients with peritonealization was 488cm
3 (range 200–840cm3 , median 469cm3 ); mean volume of bowels irradiated in patients without peritonealization was 456cm3 (range 254–869cm3 , median 428cm3 ). We did not prove any significant difference between both arms. Nor did we observe any influence of non-peritonealization upon late intestinal morbidity (p =0.34). Conclusion: Non-closure of the visceral peritoneum after hysterectomy for uterine corpus carcinoma does not increase the volume of the small intestine within the irradiated volume, with no consequent intestinal morbidity enhancement. [Copyright &y& Elsevier]- Published
- 2012
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