tailieunhanh - Báo cáo y học: " The use of porcine small intestinal submucosa mesh (SURGISIS) as a pelvic sling in a man and a woman with previous pelvic surgery: two case reports"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The use of porcine small intestinal submucosa mesh (SURGISIS) as a pelvic sling in a man and a woman with previous pelvic surgery: two case reports | Journal of Medical Case Reports BioMed Central Open Access Case report The use of porcine small intestinal submucosa mesh SURGISIS as a pelvic sling in a man and a woman with previous pelvic surgery two case reports Osama Al-Sahaf and Sherif El-Masry Address Department of General Surgery Our Lady of Lourdes Hospital Drogheda Co. Louth Ireland Email Osama Al-Sahaf - usama_sahaf70@ SherifEl-Masry-elmasry@ Corresponding author Published 23 February 2009 Received 6 May 2008 Journal of Medical Case Reports 2009 3 70 doi 1752-1947-3-70 Accepted 23 February 2009 This article is available from http content 3 1 70 2009 Al-Sahaf and El-Masry licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Closing the pelvic peritoneum to prevent the small bowel dropping into the pelvis after surgery for locally recurrent rectal cancer is important to prevent adhesions deep in the pelvis or complications of adjuvant radiotherapy. Achieving this could be difficult because sufficient native tissue is unavailable we report on the use of small intestine submucosa extra-cellular matrix mesh in the obliteration of the pelvic brim. Case presentation We describe two cases in which submucosa extra-cellular matrix mesh was used to obliterate the pelvic brim following resection of a recurrent rectal tumour the first patient a 78-year-old Caucasian man presented with small bowel obstruction caused by adhesions to a recurrent rectal tumour. The second patient an 84-year-old Caucasian woman presented with vaginal discharge caused by an entero-vaginal fistula due to a recurrent rectal tumour. Conclusion We report on the use of submucosa extra-cellular matrix mesh as a pelvic sling in .