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[Externalized anus in patients with advanced ovarian cancer]
Dariusz Wydra1, Katarzyna Ciach, Sambor Sawicki
1Instytutu Połoznictwa i Chorób Kobiecych AM w Gdańsku.
Objective:
Intestinal operations in advanced ovarian carcinoma due to intestinal obstruction are still controversial.
Design:
The aim of study was to analyse the efficacy of intestinal operation and making anus praeter in the patient with advanced ovarian carcinoma.
Material And Methods:
A total of 497 patient with ovarian carcinoma were operated in II Department of Obstetrics and Gynecology in 1990-2001. 66 patients with advanced ovarian cancer were analysed with a view to interventions for intestinal obstruction and making the anus praeter.
Results:
In the group of 497 patients with ovarian carcinoma there were a operations of making anus praeter in 66 cases (13.28%). It was performed during first operation in 40.9%, during SLO in 22.72%, TLO in 16.67% and following operations in 19.70%. In 5 cases (7.58%) there was a liquidatio of anus praeter after an average 8.8 months after intestinal operation.
Conclusion:
Surgical intervention can be of value in removing life-threatening intestinal obstruction and to achieving longer survival with a possibility of receiving a further antineoplastic therapy.