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Related Experiment Videos

Vicryl mesh in pelvic floor reconstruction.

H J Buchsbaum, W Christopherson, S Lifshitz

    Archives of Surgery (Chicago, Ill. : 1960)
    |December 1, 1985
    PubMed
    Summary

    A novel polyglactin 910 mesh aids pelvic floor reconstruction after exenteration, preventing bowel issues and protecting the small bowel during radiation therapy.

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    Area of Science:

    • Surgical Reconstruction
    • Biomaterials Science
    • Oncology

    Background:

    • Pelvic exenteration for advanced cancers necessitates complex reconstructive strategies.
    • Protecting pelvic organs, particularly the small bowel, from radiation damage post-surgery is critical.

    Purpose of the Study:

    • To evaluate the use of a synthetic absorbable mesh (polyglactin 910) for pelvic floor reconstruction in patients undergoing pelvic exenteration.
    • To assess the efficacy and safety of this technique in preventing bowel complications and facilitating radiation therapy.

    Main Methods:

    • Seven female patients underwent pelvic floor reconstruction using polyglactin 910 (Vicryl) mesh following pelvic exenteration.
    • Surgical technique details are described, with follow-up ranging from three to 31 months.

    Main Results:

    • No patients experienced bowel problems during the follow-up period.
    • The polyglactin 910 mesh was completely absorbed, serving as a scaffold for granulation tissue.
    • The technique effectively excluded the small bowel from the pelvis and radiation field.

    Conclusions:

    • Polyglactin 910 mesh is a suitable material for pelvic floor reconstruction after exenteration.
    • This technique effectively protects the small bowel from radiation effects in patients with pelvic malignancies.

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