867 A Novel Use for Silicone Expanders: Reducing Pelvic Dead Space and Preventing Bowel Herniation When Managing Radical Exenterative Surgery Complications

Abstract Aim To date, there is no clear consensus regarding the best way to obliterate pelvic dead space, as seen in patients treated for recurrent perineal herniation and entero-cutaneous fistuli following total exenteration (TPE) locally advanced rectal cancer. We present a novel technique using saline-filled breast expander fill space create an artificial floor implant capsule, thus preventing intestinal formation multi-operated irradiated pelvis scenario. Method 2 who initially had TPE, IGAP flap reconstruction neoadjuvant chemoradiotherapy. Patient 1 laparotomies persistent enteroperineal fistulae 2-year postoperative period. wound discharge years post TPE underwent enterocutaneous fistula repair debridement. Both cases were complicated by re-presented with fistulation. A Becker 25 was placed into inflated 150 ml of saline, help contain small bowel abdomen reduce risk re-herniation fistulae. Results The silicone device removed at 7-12 months, preserving its time healed. wounds remained healed post-operative follow up without any further complications, or Conclusions Addressing may treat this particular complication. capsule created placement implant, facilitates floor.