title: The Gore-Tex biomaterial mesh as temporary divisor in two times surgery for spinal and pelvic tumors.
abstract: In muscular skeletal spine and pelvic tumor, surgery can be performed by a double anterior and posterior approach to decrease the risk of bleeding and opening the tumor; in first one, neurovascular bundles are divided by the mass; in second one, the tumor is resected by posterior or postero-lateral approach. A Gore-Tex mesh could be used as divisor between neurovascular bundles and the tumor to decrease the adhesion formation risk and facilitate tumor removal during second operation if performed after more days. The cohort was composed by a consecutive series of 11 patients underwent to surgery for spine and pelvic tumor where Gore-Tex mesh spacer was placed. In this study, efficiency and tolerability of Gore-Tex mesh were evaluated. No case of adhesion between Gore-Tex mesh and surrounding structures is reported, no case of migration or complications occurred. Gore-Tex mesh use can be considered a useful and safe procedure to decrease the risk of adhesion formation between tumor and surrounding tissue so that to allow the tumor removal easier.
authors.affiliation: Oncological Orthopaedics Department, Muscular-skeletal Tissue Bank, IFO-Regina Elena Institute, Via Elio Chianesi 53, Rome, Italy. carminezoccali@libero.it
authors.forename: Carmine
authors.initials: C
authors.lastname: Zoccali
authors.forename: Umberto
authors.initials: U
authors.lastname: Prencipe
authors.forename: Leonardo
authors.initials: L
authors.lastname: Favale
authors.forename: Franco
authors.initials: F
authors.lastname: Di Filippo
mesh_terms: D000328:Adult; D000368:Aged; D001672:Biocompatible Materials; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010386:Pelvic Neoplasms / Q000601:surgery*; D011138:Polytetrafluoroethylene; D013125:Spinal Neoplasms / Q000601:surgery*; D013526:Surgical Mesh; D013514:Surgical Procedures, Operative / Q000379:methods; D013997:Time Factors; D055815:Young Adult
chemical_list: D001672:Biocompatible Materials; D011138:Polytetrafluoroethylene