Total pelvic exenteration with preservation of fecal continence
β Scribed by Dr. Jeffrey T. Brodsky; Bruce B. Sloane; Om P. Khanna
- Publisher
- John Wiley and Sons
- Year
- 1993
- Tongue
- English
- Weight
- 357 KB
- Volume
- 53
- Category
- Article
- ISSN
- 0022-4790
No coin nor oath required. For personal study only.
β¦ Synopsis
Total pelvic exenteration may be required in the management of locally advanced or recurrent pelvic malignancy. Although prolonged survival may be achieved, the morbidity of this procedure is substantial. Many of the complications associated with total pelvic exenteration are related to the perineal wound, the necessity for two cutaneous stomas, and the creation of a empty pelvis that often has been previously irradiated. In selected cases, perineal preservation with restoration of coloanal continuity may significantly reduce postoperative morbidity. We report four cases of recurrent pelvic malignancy treated by total pelvic exenteration with preservation of fecal continence.
π SIMILAR VOLUMES
In cases of cancer corpus uteri in New York state, 30% of these patients have recurrent or persistent disease. The authors question whether further therapy, in the form of exenteration, should be offered to these patients. Of 36 patients receiving pelvic exenteration 5 or more years ago, seven recei