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Related Experiment Videos

Pelvic exenteration.

K J Murphy, A D Depetrillo

    Bailliere'S Clinical Obstetrics and Gynaecology
    |June 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Pelvic exenteration, a radical surgery for advanced pelvic cancers, has become safer. Improved patient selection and surgical techniques have significantly reduced associated risks, making it a viable option for more patients.

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    Area of Science:

    • Surgical Oncology
    • Pelvic Malignancy Treatment

    Background:

    • Exenteration (complete excision of pelvic viscera) is an ultra-radical procedure for advanced pelvic cancers.
    • Historically, high morbidity and mortality rates limited its application.

    Purpose of the Study:

    • To evaluate the advancements in pelvic exenteration.
    • To assess the reduced risks and improved outcomes with modern surgical practices.

    Main Methods:

    • Refined patient selection (physiological and psychological).
    • Concentration of procedures in specialized centers.
    • Advances in urinary diversion, pelvic floor reconstruction, hemodynamic monitoring, and perioperative care.

    Main Results:

    • Significant reduction in surgical morbidity and mortality rates.

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  • Increased acceptance of exenteration as a treatment option for a wider patient group.
  • Enhanced perioperative support (monitoring, nutrition, antibiotics, anticoagulation) contributes to improved outcomes.

    • Conclusions:

    • Modern surgical techniques and comprehensive patient care have made pelvic exenteration a more acceptable and safer treatment for advanced pelvic malignancies.
    • Psychosexual rehabilitation and partner involvement are crucial components of post-exenteration care.
    • Exenteration is primarily indicated for curative intent; its role in palliation is very limited.