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. 2012 Nov;4(5):915-918.
doi: 10.3892/ol.2012.873. Epub 2012 Aug 22.

Colonic explosion during treatment of radiotherapy complications in prostatic cancer

Stefano Trastulli  1 , Ivan Barillaro, Jacopo Desiderio, Giorgio DI Rocco, Giovanni Cochetti, Valerio Mecarelli, Roberto Cirocchi, Alberto Santoro, Carlo Boselli, Adriano Redler, Nicola Avenia, Giuseppe Noya
Affiliations

Colonic explosion during treatment of radiotherapy complications in prostatic cancer

Stefano Trastulli et al. Oncol Lett. 2012 Nov.

Abstract

The use of lasers has been of great importance in the field of endoscopy and surgery for their applications in coagulation and the ability to vaporize tissue. In the 1990s, new machines were introduced based on a different technology, the argon-plasma-coagulation (APC) system. This technology causes different biological effects without direct contact. An example is the hemostasis of bleeding. In the literature, several cases of complications have been reported during endoscopic treatment with APC. In this study, we report our experience of a case with colon explosion during an APC procedure for bleeding due to radiotherapy and also review the literature on the complications of APC treatment.

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Figures

Figure 1
Figure 1
(A) Irradiation characteristics of different laser fibers for Nd:YAG: exposed fiber. (B) Circular and (C) semicircular irradiation fibers and (D) diffuse irradiation fibers are shown.
Figure 2
Figure 2
Diagram of the effects of HF current on biological tissues: 1, devitalization; 2, coagulation; 3, drying; 4, contraction.
Figure 3
Figure 3
Mesosigma hematoma with lacerations.
Figure 4
Figure 4
Mesosigma hematoma with lacerations.
See this image and copyright information in PMC

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