Abstract

Corcoran J., Alfadol M., Alsafwani J. and Porter D. J.*

ABSTRACT

Objective: The presence of small bowel within the radiation field remains a common challenge in pelvic radiotherapy for prostate cancer.[1] Despite advances in radiotherapy planning, the proximity of bowel loops limits the safe delivery of therapeutic doses and increases the risk of gastrointestinal toxicity. Surgical bowel displacement using an absorbable mesh offers a practical solution in selected patients. Methods: We describe three cases of patients with prostate cancer who underwent laparoscopic Vicryl mesh insertion to displace the small bowel from the pelvis prior to external beam radiotherapy. The aim was to create a safer anatomical space for radiation delivery while avoiding long-term complications. Results: All patients demonstrated effective displacement of bowel loops on post-operative imaging and proceeded to complete planned radiotherapy without interruption. One patient required laparoscopic adhesiolysis for early small bowel obstruction. None of the patients experienced clinically significant gastrointestinal toxicity during or after radiotherapy. Conclusion: In this case review series, laparoscopic Vicryl mesh insertion proved to be a safe and feasible adjunct to modern radiotherapy planning. This technique enables better bowel protection and supports uninterrupted treatment in patients undergoing curative-intent pelvic radiotherapy for prostate cancer.