[Radiation-induced XXXX . Prognosis and surgical management (author's transl)].

@entity1 @entity1944 @entity82 @entity39 @entity254 @entity189 @entity14
Thirteen @entity1 with @entity1944 consecutive to radiotherapy for @entity189 were operated upon between 1973 and 1979. The small bowel was involved in 9 @entity1 and the colon and rectum in 4 @entity1 . Urinary tract lesions were associated in 3 @entity1 of each group. Intestinal @entity39 , progression of the lesions and extensive pelvic @entity82 were the only criteria of poor prognosis. Twenty-two operations were performed: 4 for urinary tract lesions and 18 for @entity1944 . Five @entity1 died during the immediate post-operative period and five died within 2 to 30 months after surgery, including 4 whose @entity189 recurred. The operative technique should be selected according to the extent and severity of radiation-induced damage, as determined by pre-operative examination and thorough exploration of the abdominal cavity once opened. Limited lesions of the small bowel can be treated by resection, but intestinal bypass with latero-lateral @entity254 seems to be preferable in cases with extensive lesions. @entity1 with @entity14 should have defunctioning colostomy prior to any other procedure dictated by the state of affairs. Multiple @entity254 , extensive resections and excessive dissections should be avoided.
