New Technique to Avoid General Anesthesia during Brachytherapy for Cancer Cervix
Journal Title: International Journal of Radiology and Radiation Oncology - Year 2016, Vol 2, Issue 1
Abstract
Aim: To keep the cervical canal dilated after the first high dose rate (HDR) brachytherapy fraction to avoid general anesthesia during subsequent applications. Patients and Methods: In the first HDR brachytherapy application: examination and cervical dilatation was done under general anesthesia. The proximal 4 cm of urinary Foley catheter was cut (making the new cervical tube), inserted in the cervical canal and fixed to the cervix by 3 simple silk sutures. Uterine tandem was inserted into the uterus through the new cervical tube and procedure was completed as usual. The new cervical tube was left in place after the end of the session. In the subsequent HDR brachytherapy applications: uterine tandem was inserted into the uterus through this new cervical tube without general anesthesia. All applications were evaluated by CT images and patients were treated according to CT-image-based 3D calculation.
Authors and Affiliations
Hassouna Ashraf H
Keywords
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- EP ID EP541256
- DOI 10.17352/ijrro.000017
- Views 45
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