Current developments for pelvic exenteration in gynecologic oncology

Current Opinion in Obstetrics & Gynecology
Achim SchneiderEvrim Erdemoglu

Abstract

The present review aims to update new techniques of pelvic exenteration including minimal invasive surgery, and discuss other aspects of this radical surgery, including worldwide differences. Major advances are made since the first description of pelvic exenteration and the operation is still under evolution. Explorative laparoscopy prior to exenteration is a valuable alternative to laparotomy to elect candidates for pelvic exenteration. There are considerable differences with respect to indications, contraindications, preoperative staging and adjuvant therapy after exenteration in different countries. Advances in laparoscopic instruments also led to the laparoscopic exenteration. The main limiting step of the operation is urinary diversion. New techniques of laparoscopic-assisted and robotic-assisted techniques of urinary diversion have been reported that decrease the operation time. Vascularized muscle flaps are preferred by many surgeons to fill the empty pelvis and provide an acceptable vaginal reconstruction. J-pouch seems to be a safer technique than end-to-end coloanal anastomosis for bowel reconstruction. Developments in the bioengineering tissue for pelvic reconstruction are required. Laparoscopy has the advantages of ...Continue Reading

References

Sep 10, 2002·Gynecologic Oncology·Christhardt KöhlerAchim Schneider
Dec 17, 2003·Gynecologic Oncology·C PomelD Castaigne
Dec 31, 2003·Annals of Surgical Oncology·Marvin J Lopez, Pedro Luna-Pérez
Apr 9, 2005·Surgical Oncology Clinics of North America·Nicholas C LambrouHervy E Averette
Feb 1, 2006·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·L Ungar, L Palfalvi
Mar 3, 2006·Gynecologic Oncology·Shailesh PuntambekarNeeraj V Rayate
Apr 1, 2006·Journal de gynécologie, obstétrique et biologie de la reproduction·C UzanC Pomel
Aug 8, 2006·Gynecologic Oncology·Simone MarnitzAchim Schneider
Oct 3, 2006·The Lancet Oncology·Michael Höckel, Nadja Dornhöfer
Dec 1, 2006·Gynécologie, obstétrique & fertilité·G FerronM Soulié
Mar 10, 2007·BJU International·Jens-Uwe StolzenburgMargit Fisch
Jul 20, 2007·Journal of Endourology·Khurshid A GuruHyung L Kim
Aug 11, 2007·Gynecologic Oncology·Pierluigi Benedetti PaniciMichele Galluci
Dec 12, 2007·International Journal of Colorectal Disease·Thomas SteffenMichael Zünd
Mar 5, 2008·Journal of Endourology·Andrew WagnerLouis R Kavoussi
Mar 26, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Tara J SelmanKhalid Khan
Apr 18, 2008·The British Journal of Surgery·S-W LimS-Y Jeong
May 24, 2008·The Journal of Urology·Dragutin M KecmanovicMarjan T Micev
Jul 23, 2008·Transplantation·Roger E De FilippoAnthony Atala

❮ Previous
Next ❯

Citations

Mar 14, 2013·Best Practice & Research. Clinical Obstetrics & Gynaecology·Pubudu Pathiraja, Roberto Tozzi
May 24, 2012·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Manpreet KaurIgnace Vergote
Jun 22, 2012·International Journal of Surgical Oncology·Elisabeth J DiverMarcela G Del Carmen
Apr 30, 2013·Journal of Minimal Access Surgery·Marcos Tobias-MachadoAntonio Carlos Lima Pompeo
Jan 23, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Christos Iavazzo, Ioannis D Gkegkes
Apr 27, 2010·Journal of Minimally Invasive Gynecology·Angel Martin Jimenez
Jul 15, 2015·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Tara L SagebielPriya R Bhosale
Feb 15, 2013·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Linda JägerAngelique Flöter Rådestad
Dec 24, 2013·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Vito ChianteraGiuseppe Filiberto Vercellino
Dec 31, 2009·Journal of Gynecologic Oncology·Mark A RettenmaierBram H Goldstein
Nov 30, 2019·Journal of Surgical Oncology·Gustavo A LaporteWilliam A Casteleins

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.