Management of an inguinal hernia in patients with pseudomyxoma peritonei.

MedStar author(s):
Citation: European Journal of Surgical Oncology. 43(6):1083-1087, 2017 JunPMID: 28131668Institution: Washington Cancer InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Adenocarcinoma, Mucinous/th [Therapy] | *Antineoplastic Combined Chemotherapy Protocols/ad [Administration & Dosage] | *Appendiceal Neoplasms/th [Therapy] | *Cytoreduction Surgical Procedures/mt [Methods] | *Hernia, Inguinal/th [Therapy] | *Hyperthermia, Induced/mt [Methods] | *Peritoneal Neoplasms/th [Therapy] | *Pseudomyxoma Peritonei/th [Therapy] | Adenocarcinoma, Mucinous/pa [Pathology] | Adult | Aged | Appendiceal Neoplasms/pa [Pathology] | Ascites | Doxorubicin/ad [Administration & Dosage] | Female | Fluorouracil/ad [Administration & Dosage] | Hernia, Inguinal/co [Complications] | Hernia, Inguinal/dg [Diagnostic Imaging] | Humans | Infusions, Parenteral | Inguinal Canal | Leucovorin/ad [Administration & Dosage] | Male | Middle Aged | Mitomycin/ad [Administration & Dosage] | Mucus | Peritoneal Neoplasms/co [Complications] | Peritoneal Neoplasms/dg [Diagnostic Imaging] | Peritoneal Neoplasms/sc [Secondary] | Pseudomyxoma Peritonei/co [Complications] | Pseudomyxoma Peritonei/dg [Diagnostic Imaging] | Retrospective Studies | Tomography, X-Ray Computed=520 \\Year: 2017Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library:2002-2007ISSN:
  • 0748-7983
Name of journal: European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical OncologyAbstract: CONCLUSIONS: Inguinal hernias caused by mucinous ascites and tumor were definitively treated by cytoreductive surgery plus HIPEC. Extraction of tumor and peritoneum from the inguinal canal facilitates fibrous closure of the hernia defect so that hernia recurrence was not observed.Copyright © 2017 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.METHODS: A database of patients with pseudomyxoma peritonei was used to identify patients who had an inguinal hernia prior to or at the time of cytoreductive surgery (CRS) and perioperative hyperthermic chemotherapy (HIPEC). At the time of CRS, care was taken in all patients to remove the peritoneal lining of the inguinal canal. Patients who had the inguinal hernia repaired prior to definitive treatment with CRS and HIPEC had all tissue and mesh associated with prior herniorrhaphy resected.RESULTS: In 178 pseudomyxoma peritonei patients, 17 had a new onset or previously repaired inguinal hernia that required extraction of mucus and mucinous tumor from the hernia site. No repair of the open inguinal canal was attempted at the time of CRS. No recurrent inguinal hernias were recorded and no patients required an inguinal incision at a later time to resect progressive disease within the inguinal canal.All authors: Sugarbaker PHFiscal year: FY2017Digital Object Identifier: Date added to catalog: 2017-05-06
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 28131668 Available 28131668

Available online from MWHC library: 1995 - present, Available in print through MWHC library:2002-2007

CONCLUSIONS: Inguinal hernias caused by mucinous ascites and tumor were definitively treated by cytoreductive surgery plus HIPEC. Extraction of tumor and peritoneum from the inguinal canal facilitates fibrous closure of the hernia defect so that hernia recurrence was not observed.

Copyright © 2017 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

METHODS: A database of patients with pseudomyxoma peritonei was used to identify patients who had an inguinal hernia prior to or at the time of cytoreductive surgery (CRS) and perioperative hyperthermic chemotherapy (HIPEC). At the time of CRS, care was taken in all patients to remove the peritoneal lining of the inguinal canal. Patients who had the inguinal hernia repaired prior to definitive treatment with CRS and HIPEC had all tissue and mesh associated with prior herniorrhaphy resected.

RESULTS: In 178 pseudomyxoma peritonei patients, 17 had a new onset or previously repaired inguinal hernia that required extraction of mucus and mucinous tumor from the hernia site. No repair of the open inguinal canal was attempted at the time of CRS. No recurrent inguinal hernias were recorded and no patients required an inguinal incision at a later time to resect progressive disease within the inguinal canal.

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