What is a Smit sleeve procedure?
A Smit sleeve is a disposable indwelling intrauterine tube placed into the cervical internal os to allow easier surgical anatomic localization in cervical cancer. The device is constructed from medical grade polymers and has wing extensions to help it maintain in position to help identify landmarks for future therapy.
How do you insert Smit sleeves?
The Smit sleeve is placed in cervico-uterine canal at the time of the first applicator insertion. It maintains the cervix dilated for subsequent applicator insertions throughout brachytherapy.
Is brachytherapy done under general anesthesia?
General anaesthesia is safely utilized for brachytherapy of the upper body or as an alternative to regional techniques. However, the effort under the typical conditions of the brachytherapy setting may be higher. Sedation is regarded as an alternative to general anaesthesia in less painful and short procedures.
Can you have a bath after brachytherapy?
This may go away after your treatment ends. Wash your treated area with soap and warm water. You can take showers and baths. Do not use very hot or very cold temperatures in your treated area.
What is Smit sleeve made of?
The Smit sleeve is a device developed by Elekta (Veenendaal, The Netherlands). It is a disposable, silicone-based indwelling intrauterine tube that can be used during brachytherapy treatment for cervical cancer to allow for easier insertion of the tandem [1].
How long does it take for your prostate to heal after brachytherapy?
Recovery is quick, so most men can return to their normal activities one or two days after treatment. It delivers radiation directly into the prostate, so there may be less damage to surrounding healthy tissue, and a lower risk of some side effects. You will only be in hospital for one or two days.
What is tandem and ovoid?
The tandem implants are the small, metal tubes placed inside your uterus. The ovoid implants are applications placed on the side of the cervix. Internal radiation is a temporary radiation implant that is removed before you leave the hospital. It gives a concentrated dose of radiation into or near the tumor.
How soon after EBRT can I have brachytherapy After Smit sleeve?
We usually insert the Smit sleeve after completion of EBRT and then complete brachytherapy within 2 weeks. We don’t use a central block and do HDR-boost after EBRT with 4×7 Gy for HR-PTV and 5×7 Gy for IR-PTV 2times/week. 2. This does happen sometimes, but usually only when you insert the sleeve during EBRT and while tumour is still collapsing.
What is a Smit sleeve for cervical cancer?
A Smit sleeve is a disposable indwelling intrauterine tube placed into the cervical internal os to allow easier surgical anatomic localization in cervical cancer. Simply so, is brachytherapy for cervical cancer painful?
What is the procedure for a Smit sleeve procedure?
Fraction 1 is preceded by the procedure placing the smit sleeve in the OR and thus done with general anesthesia, ,mostly a laryngeal mask. The patient are “cleared” by the anesthesia people around 1 hours after the procedure and so we take them from there to the MRI & CT, then do the planning and then deliver treatment.
What is brachytherapy for prostate cancer?
Brachytherapy is sometimes known as internal radiation therapy or when used to treat prostate cancer seed therapy. Brachytherapy makes it possible for the radiation oncologist to deliver higher doses of radiation to more specific areas of the body in comparison to conventional forms of radiation therapy (external beam radiation).