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The complications of full-pelvic irradiation with particular emphasis to external beam therapy.

62 Patients with uterine carcinoma of cervix treated with high-dose large-volume full-pelvic irradiation given through co-axial-opposing pair portals over the anterior and posterior pelvis. Of these patients, 29 also received a single course of intracavitary radium supplementary to external beam irradiation. Only the severe complications which required surgical intervention have been analyzed, In the group of 33 patients who received only external irradiation, 4 developed such complications (12.1%).The overall incidence of those complications was about 19.3%. It is concluded that the treatment with hidh-dose large-volume full-pelvic irradiation technique, utilizing two opposing parallel pelvic portals, carries an incidence of morbidity 3-4 times the acceptable level and should be discouraged. Alternative techniques are discussed.

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Intestinal incarceration in occult abdominal wall herniae in continuous ambulatory peritoneal dialysis.

Herniae are a common complication of treatment with continuous ambulatory peritoneal dialysis (CAPD). The diagnosis is often difficult because the hernia may not be apparent, or because the symptoms may mimic peritonitis or other severe abdominal complications. This report describes the occurrence of intestinal incarceration in an occult incisional hernia in two CAPD patients. The possibility of this diagnosis must be considered in CAPD patients complaining of severe abdominal pain.

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