A paced patient underwent mitral valve replacement for mitral stenosis using ultrasonically activated scalpel. There were minimum bleeding and no homologous blood transfusion was required. Ultrasonically activated scalpel fid not interfere the pulse generator nor the transesophageal echocardiography. Ultrasonically activated scalpel is useful for the open heart surgery in paced patients.

Vaginal recurrence occurred in 1 and 2 patients, respectively, with recurrence distal to treated mucosa in all cases. There were no significant differences between groups in rates of acute GI (14.1% vs. 10.9%, p Z 0.376), GU (8.1% vs. 11.2%, p Z 0.380), or vaginal (20.2% vs. 19.4%, p Z 0.827) toxicities. All toxicities were mild (grade 1-2). In the 3D patients, there were no significant differences (p>0.05) in bowel, rectal, or bladder Dmax or D2cc values between those with vs. without symptoms on treatment. Conclusion: 3D vs. 2D planning maintained excellent local control despite selectively reducing the volume of prescription isodose overlapping with bowel. Treatment tolerability was favorable in both groups with no benefit observed in the short term, however, longer follow-up is needed to compare late outcomes.

No abstract

No abstract