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The Hazards of Surgery in Irradiated Tissue
DAVID W. ROBINSON, M.D.
AMA Arch Surg. 1955;71(3):410-418.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Tissues subjected to irradiation undergo structural and physiologic changes often inexorably progressive. Surgical procedures may be performed in such tissues with good wound healing but also may be followed by serious complications which cause poor end-results, prolong hospitalization, and threaten life. Some of the complications that make surgery in irradiated tissue more difficult or hazardous are the following: (1) infection; (2) poor wound healing; (3) slough; (4) exposure of tendons, bone, or other important structures; (5) difficult hemostasis and or secondary hemorrhage; (6) difficult dissections; (7) rapid spread of carcinoma released from the incarceration of fibrosis; (8) radio-osteonecrosis; (9) induced tissue allergies; (10) narcotic addition from treatment for intolerable pain, and (11) general inanition. All these are fundamentally the result of diminished blood supply, lowered vitality of the irradiated tissue, and excessive fibrosis.
Most all of these complications can and do follow surgery in normal tissues or in tissues damaged
. . . [Full Text PDF of this Article]
Author Affiliations
Kansas City, Kan.
From the Department of Surgery, Section of Plastic Surgery, University of Kansas Medical Center, Kansas City, Kan.
Footnotes
Received for publication April 25, 1955.
Read at the 12th Annual Meeting of the Central Surgical Association, Chicago, Feb. 18, 1955.
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