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Cecal pelvic transposition following total pelvic exenteration
John P Micha1, Bram H Goldstein, Mark A Rettenmaier
1Gynecologic Oncology Associates, Hoag Hospital Cancer Center, 351 Hospital Road, Newport Beach, CA 92663, USA. bram@gynoncology.com
Gynecologic Oncology
|August 7, 2004
Summary
Pelvic transposition of the cecum may prevent small bowel obstructions after total pelvic exenteration. This surgical technique successfully excluded small bowel in three patients, avoiding postoperative complications.
Area of Science:
- Surgical oncology
- Gastrointestinal surgery
Background:
- Small bowel obstruction is a serious complication following total pelvic exenteration.
- Preventative strategies are crucial for improving patient outcomes.
Observation:
- Three patients underwent total pelvic exenteration with pelvic transposition of the cecum.
- The procedure aimed to exclude the small bowel from the pelvic cavity.
Findings:
- All three patients experienced successful outcomes without postoperative small bowel complications.
- Cecal pelvic transposition effectively prevented small bowel from entering the pelvis.
Implications:
- Pelvic transposition of the cecum is a potentially effective method to reduce small bowel obstructions post-exenteration.
- This technique is feasible for gynecologic oncologists experienced in bowel surgery.
- Further research with larger patient cohorts is warranted to validate efficacy.