Major complications following exenteration in cases of pelvic malignancy: a 10-year experience

World Journal of Gastroenterology : WJG
D WydraA Marciniak

Abstract

To analyze the major complications after exenteration of gynecological and rectal malignancies. Twenty-two patients with gynecological malignancy and 6 with rectal malignancy underwent pelvic exenteration (PE) between 1996 and 2005. PE was performed for primary malignancy in 71.4% of cases (vulvar cancer in 13, cancer rectal in 5, cervical cancer in 1 and Bartholin's gland cancer in 1 cases respectively and recurrent malignancy in 28.6% of cases (cervical cancer in 5, ovarian cancer in 1, uterine sarcoma in 1 and rectal cancer in 1 cases respectively). Posterior PE, total PE and anterior PE were most often performed. Major complications in the operative field involving the urinary tract infection or the wound dehiscence occurred in 12 patients (42.9%). Early complications included massive bleeding from the sacral plexus, adult respiratory distress syndrome (ARDS), thrombophlebitis, acute renal failure, urinary bladder dysfunction, ureter damage, re-operation and pulmonary embolus. Urinary incontinence was observed in 2 women as a late complication. In 1 patient a nephrostomy was performed in 1 patient due to extensive hydronephrosis and 1 patient had complications connected with the gastrointestinal tract. The mortality rate wa...Continue Reading

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Citations

Mar 5, 2008·Arquivos De Gastroenterologia·Sergio Renato Pais CostaRenato Arioni Lupinacci
May 29, 2019·Plastic Surgical Nursing : Official Journal of the American Society of Plastic and Reconstructive Surgical Nurses·Alberto Sánchez-GarcíaAlfonso A Valverde-Navarro
Sep 3, 2013·Indian Journal of Surgical Oncology·Rajaraman Ramamurthy, Amudhan Duraipandian
Nov 4, 2016·Surgery Today·Yuji MiyamotoHideo Baba
Jun 24, 2017·World Journal of Clinical Oncology·Boris SchiltzFrederic Ris
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Dec 13, 2018·Indian Journal of Surgical Oncology·Iosifina KarmaniolouVassilios Smyrniotis
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