Brachytherapy technique for abdominal wall metastases of colorectal cancer: ultrasound-guided insertion of applicator needle and a skin preservation method

2006 ◽  
Vol 47 (2) ◽  
pp. 157-161 ◽  
Author(s):  
K. Kishi ◽  
K. Takifuji ◽  
S. Shirai ◽  
T. Sonomura ◽  
M. Sato ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Subcutaneous Tissue ◽  
Organs At Risk ◽  
Late Complications ◽  
Interstitial Brachytherapy ◽  
Skin Dose ◽  
Tumor Shrinkage ◽  
Saline Injection ◽  
Ultrasound Guided ◽  
Preservation Method

Purpose: To report a technique of interstitial brachytherapy for the treatment of subcutaneous metastatic abdominal wall tumors. Material and Methods: We developed a brachytherapy technique consisting of ultrasound-guided insertion of applicator needles to avoid the organs at risk, such as intestines, and saline injection into the subcutaneous tissue between the tumor and the skin to decrease the skin dose. We encountered three patients with painful metastases from rectal carcinoma in the abdominal wall refractory to external radiotherapy. They were subjected to this brachytherapy with a single dose of 20 Gy. Results: The procedure was safely achieved in all three patients. Long-lasting pain reduction and tumor shrinkage was obtained without early or late complications. Conclusion: This interstitial brachytherapy technique seems to be feasible in the treatment of metastatic abdominal wall tumors.

scholarly journals A of ultrasound-guided interstitial brachytherapy for abdominal wall metastases of ovarian cancer

2015 ◽  
Vol 1 ◽  
pp. 81-85
Author(s):  
Dan Shi ◽  
Ning Wu ◽  
Hongfu Zhao ◽  
Mingyuan He ◽  
Dongmei Han ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Abdominal Wall ◽  
Interstitial Brachytherapy ◽  
Ultrasound Guided

Late laryngo-tracheal cartilage necrosis with external fistula 44 years after radiotherapy

2003 ◽  
Vol 117 (8) ◽  
pp. 658-659 ◽  
Author(s):  
Yoshitaka Takiguchi ◽  
Hiro-Oki Okamura ◽  
Ken Kitamura ◽  
Seiji Kishimoto
Keyword(s):  
Clinical Course ◽  
Subcutaneous Tissue ◽  
Bacterial Colonization ◽  
Histological Study ◽  
Inflammatory Cells ◽  
Late Complications ◽  
Laryngeal Oedema ◽  
Anterior Neck ◽  
Tracheal Cartilage ◽  
Cutaneous Flap

Major late complications, following radiotherapy of head and neck carcinomas, such as laryngeal oedema, perichondritis and chondronecrosis usually occur between three and 12 months after treatment. However, the present case displayed necrosis of the laryngo-tracheal cartilage and ulceration of anterior neck skin with a tracheal fistula 44 years after irradiation. The reasons for the long interval between irradiation and late complications may be explained by long-standing hypovascularity and/or infection of the irradiated area. Histological study revealed chondronecrosis without inflammatory cells in the laryngo-tracheal cartilage and bacterial colonization of subcutaneous tissue. Necrotic tissue was removed and tracheostomy was performed. The fistula was almost completely closed using a delto-pectoral cutaneous flap and the clinical course of patient has been good. This paper demonstrates the possibility of laryngo-tracheal necrosis in cases that had received radiation as long ago as 44 years.

Ultrasound-guided transversus abdominis plane block vs trigger point injections for chronic abdominal wall pain

Pain ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Susan M. Moeschler ◽  
E. Morgan Pollard ◽  
Matthew J. Pingree ◽  
Thomas P. Pittelkow ◽  
Mark A. Bendel ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Trigger Point ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane ◽  
Ultrasound Guided ◽  
Abdominal Wall Pain ◽  
Chronic Abdominal Wall Pain

scholarly journals Ultrasound-guided measurement of skin and subcutaneous tissue thickness in children with diabetes and recommendations for giving insulin injections

2018 ◽  
Vol 12 ◽  
pp. 26-35 ◽  
Author(s):  
Soo Ting Joyce Lim ◽  
Yuen Ching Angela Hui ◽  
Pei Kwee Lim ◽  
Chin Choo Evelyn Lim ◽  
Yen Yen Chia ◽  
...  
Keyword(s):  
Subcutaneous Tissue ◽  
Tissue Thickness ◽  
Ultrasound Guided

scholarly journals Hasfali endometriosis: differenciáldiagnosztikai nehézségek a radiológus szemszögéből

2019 ◽  
Vol 160 (35) ◽  
pp. 1395-1402
Author(s):  
Csenge Csorba ◽  
Norbert Pásztor ◽  
Emese Szalma ◽  
Gabriella Kovács ◽  
András Palkó ◽  
...  
Keyword(s):  
Medical History ◽  
Abdominal Wall ◽  
Histological Examination ◽  
Primary Role ◽  
Ultrasound Guided ◽  
Epithelial Tumor ◽  
Female Patients ◽  
Premenopausal Female ◽  
The Masses ◽  
Wall Lesions

Abstract: The incidence of endometriosis, including atypical forms of the disease, has been continuously growing, thus increasingly challenging for the imaging specialists as well. We conducted a retrospective study to analyze the results of ultrasound-guided interventions between 2016 and 2018. All interventions were performed in female patients due to uncertain abdominal wall lesions at the University of Szeged, Hungary. The abdominal wall lesions were incidentally detected, one by CT, the others by ultrasound examinations. We identified 12 cases during the study period. The average age of the patients was 59 years (29–79), 8 of them had abdominal surgery in their medical history. The mean diameter of the masses was 34.4 mm (20–49 mm). Since the indication of imaging examinations was the evaluation of a known or suspected malignancy, four patients had undergone an MRI prior to the biopsy. In addition, ultrasound-guided biopsy was not performed in another two patients, and the diagnosis was established by histological examination of the surgically removed specimens. The histological examination revealed malignant primary serous epithelial tumor in one case, metastases in six cases, endometriosis in six patients and abdominal wall abscess was found in one patient. Endometriosis was more frequent in the younger patients. The likelihood of endometriosis as a cause of abdominal wall lesions of younger, premenopausal female patients is rather high, especially with obstetrical or gynaecological operations in the medical history. Ultrasound plays a primary role in the detection and therapy planning of these lesions. Orv Hetil. 2019; 160(35): 1395–1403.

scholarly journals The analgesic efficacy of ultrasound-guided transversus abdominis plane block for retroperitoneoscopic renal surgery: a randomized controlled study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Xue Li ◽  
Zhen-Zhen Xu ◽  
Xue-Ying Li ◽  
Ting-Ting Jiang ◽  
Zeng-Mao Lin ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Abdominal Wall ◽  
Analgesic Efficacy ◽  
Opioid Consumption ◽  
Transversus Abdominis ◽  
Controlled Study ◽  
Tap Block ◽  
Transversus Abdominis Plane ◽  
Ultrasound Guided ◽  
Renal Surgery

Abstract Background Ultrasound-guided lateral transversus abdominis plane (TAP) block can provide definite analgesia to the anterior abdominal wall. However, whether this method is useful in renal surgery through the lateral abdominal wall pathway remains unknown. The study aimed to evaluate the analgesic efficacy of lateral TAP block for retroperitoneoscopic partial or radical nephrectomy. Method In this prospective, randomized, double-blind, placebo-controlled trial, eligible patients were randomized into two groups. After anaesthesia induction, ultrasound-guided lateral TAP block was performed with either 30 ml of 0.4% ropivacaine (Group T) or an equivalent volume of normal saline (Group C). The primary outcomes were opioid consumption during surgery and in the first 24 h after surgery. Secondary outcomes included postsurgical pain intensity immediately awakening from anaesthesia and at 0.5, 1, 2, 6, 12, and 24 h after surgery, as well as recovery variables including the incidence of postoperative nausea and vomiting (PONV), sleep quality, time to first ambulation, drainage and length of hospital stay. Results A total of 104 patients were enrolled and randomized (53 in Group T and 51 in Group C). Laparoscopic surgery was converted to open surgery in one patient of Group T; this patient was excluded from the outcome analysis. The opioid consumption during surgery (intravenous morphine equivalent dose: median 35.0 mg [interquartile range 18.0, 49.6] in Group C vs. 40.3 mg [20.9, 59.0] in Group T, P = 0.281) and in the first 24 h after surgery (10.8 mg [7.8, 21.7] in Group C vs. 13.2 mg [8.0, 26.6] in Group T, P = 0.311) did not differ significantly between groups. There were no significant differences between groups regarding the pain intensity at all time points after surgery and the recovery variables (all P > 0.05). Conclusions Our results showed that, in patients undergoing retroperitoneoscopic renal surgery, preoperative lateral TAP did not decrease intra- and postoperative opioid consumption, nor did it relieve pain intensity or promote postoperative recovery in the first 24 h after surgery. However, the trial might be underpowered. Trial registration This study was registered on November 4, 2017, in the Chinese Clinical Trail Registry with the identification number ChiCTR-INR-17013244.

Endoscopic Ultrasound-Guided Interstitial Brachytherapy of Unresectable Pancreatic Cancer: Results of a Pilot Trial

Endoscopy ◽  
2006 ◽  
Vol 38 (4) ◽  
pp. 399-403 ◽  
Author(s):  
S. Sun ◽  
H. Xu ◽  
J. Xin ◽  
J. Liu ◽  
Q. Guo ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Endoscopic Ultrasound ◽  
Pilot Trial ◽  
Interstitial Brachytherapy ◽  
Unresectable Pancreatic Cancer ◽  
Ultrasound Guided

Layers of the abdominal wall: anatomical investigation of subcutaneous tissue and superficial fascia

2011 ◽  
Vol 33 (10) ◽  
pp. 835-842 ◽  
Author(s):  
Luca Lancerotto ◽  
Carla Stecco ◽  
Veronica Macchi ◽  
Andrea Porzionato ◽  
Antonio Stecco ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Subcutaneous Tissue ◽  
Superficial Fascia

scholarly journals Validation of mathematical models for the prediction of organs-at-risk dosimetric metrics in high-dose-rate gynecologic interstitial brachytherapy

2013 ◽  
Vol 40 (10) ◽  
pp. 101711 ◽  
Author(s):  
Antonio L. Damato ◽  
Akila N. Viswanathan ◽  
Robert A. Cormack
Keyword(s):  
At Risk ◽  
Mathematical Models ◽  
Dose Rate ◽  
Organs At Risk ◽  
High Dose Rate ◽  
Interstitial Brachytherapy ◽  
High Dose
Sign in / Sign up

Export Citation Format

Share Document