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Total exenteration, two or one ostomy.

J D Trelford¹, J Goodnight, P Schneider

¹Department of Obstetrics and Gynecology, University of California, Davis.

Surgery, Gynecology & Obstetrics

|August 1, 1992

Summary

This summary is machine-generated.

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This study explored low intestinal anastomoses to the anal stump after pelvic exenteration, aiming to reduce ostomies. While technically possible, long-term functional outcomes raised concerns.

Area of Science:

Surgical oncology
Gastroenterology
Urology

Background:

Pelvic exenteration necessitates fecal and urinary diversions, typically requiring multiple ostomies.
Ostomies on the anterior abdominal wall can impact patient quality of life.

Purpose of the Study:

To investigate the feasibility of extremely low intestinal anastomoses to the anal stump.
To reduce the number of ostomies to a single urinary diversion after total exenterations.

Main Methods:

Surgical technique involving low intestinal anastomosis to the anal stump.
Long-term follow-up evaluation of patient function post-surgery.

Main Results:

The surgical approach of extremely low intestinal anastomoses to the anal stump was found to be technically feasible.

Related Experiment Videos

Long-term functional outcomes in patients who underwent this procedure raised significant reservations.

Conclusions:

While technically achievable, extremely low intestinal anastomoses to the anal stump present functional challenges.
Further research is needed to optimize functional outcomes for patients undergoing pelvic exenteration with reduced ostomies.