open access

Vol 17, No 1 (2012)
Published online: 2012-01-01
Submitted: 2011-06-05
Get Citation

Non-closure of peritoneum after abdominal hysterectomy for uterine carcinoma does not increase late intestinal radiation morbidity

Igor Sirák, Marian Kacerovský, Miroslav Hodek, Jiří Petera, Jiří Špaček, Linda Kašaová, Zdeněk Zoul, Milan Vošmik
DOI: 10.1016/j.rpor.2011.10.007
·
Rep Pract Oncol Radiother 2012;17(1):19-23.

open access

Vol 17, No 1 (2012)
Published online: 2012-01-01
Submitted: 2011-06-05

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[[ce:hsp sp="0.25"/]]+[[ce:hsp sp="0.25"/]]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[[ce:hsp sp="0.25"/]]=[[ce:hsp sp="0.25"/]]0.14). Mean volume of bowels irradiated in patients with peritonealization was 488[[ce:hsp sp="0.25"/]]cm3 (range 200–840[[ce:hsp sp="0.25"/]]cm3, median 469[[ce:hsp sp="0.25"/]]cm3); mean volume of bowels irradiated in patients without peritonealization was 456[[ce:hsp sp="0.25"/]]cm3 (range 254–869[[ce:hsp sp="0.25"/]]cm3, median 428[[ce:hsp sp="0.25"/]]cm3). We did not prove any significant difference between both arms. Nor did we observe any influence of non-peritonealization upon late intestinal morbidity (p[[ce:hsp sp="0.25"/]]=[[ce:hsp sp="0.25"/]]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.

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[[ce:hsp sp="0.25"/]]+[[ce:hsp sp="0.25"/]]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[[ce:hsp sp="0.25"/]]=[[ce:hsp sp="0.25"/]]0.14). Mean volume of bowels irradiated in patients with peritonealization was 488[[ce:hsp sp="0.25"/]]cm3 (range 200–840[[ce:hsp sp="0.25"/]]cm3, median 469[[ce:hsp sp="0.25"/]]cm3); mean volume of bowels irradiated in patients without peritonealization was 456[[ce:hsp sp="0.25"/]]cm3 (range 254–869[[ce:hsp sp="0.25"/]]cm3, median 428[[ce:hsp sp="0.25"/]]cm3). We did not prove any significant difference between both arms. Nor did we observe any influence of non-peritonealization upon late intestinal morbidity (p[[ce:hsp sp="0.25"/]]=[[ce:hsp sp="0.25"/]]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.

Get Citation

Keywords

Peritonealization; Hysterectomy; Intestine; Radiotherapy

About this article
Title

Non-closure of peritoneum after abdominal hysterectomy for uterine carcinoma does not increase late intestinal radiation morbidity

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 17, No 1 (2012)

Pages

19-23

Published online

2012-01-01

DOI

10.1016/j.rpor.2011.10.007

Bibliographic record

Rep Pract Oncol Radiother 2012;17(1):19-23.

Keywords

Peritonealization
Hysterectomy
Intestine
Radiotherapy

Authors

Igor Sirák
Marian Kacerovský
Miroslav Hodek
Jiří Petera
Jiří Špaček
Linda Kašaová
Zdeněk Zoul
Milan Vošmik

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: journals@viamedica.pl