anterior pelvic exenteration

an·te·ri·or pel·vic ex·en·ter·a·tion

removal of the urinary bladder, distal ureter, vagina, uterus, adnexa, and adjacent lymph nodes; a urinary diversion or bladder substitution is necessary.

anterior pelvic exenteration

Heroic surgery in the anterior pelvic cavity, consisting of excision of the male (cystoprostatectomy) or female pelvic content, bladder and urethra, while sparing the rectum. Urinary output is often addressed by anastomising the ureters into an ileal pouch made from small intestine, which is then connected to the abdominal wall. Vaginal reconstruction may be performed during the exenteration or later.
References in periodicals archive ?
The therapy included surgical exploration, complete resection of the urinoma and anterior pelvic exenteration.
Due to the high mortality and morbidity this technique was modified over the years, and it was described a Posterior Pelvic Exenteration (resection of rectum, uterus and posterior vaginal wall), Anterior Pelvic Exenteration (resection of bladder and uterus) and Supralevator Pelvic Exenteration (resection of pelvic organs at the level of levator muscle preserving the urogenital diaphragm) [2].
Davis et al described a patient with disease metastatic to regional lymph nodes who was without evidence of disease 10 months after neoadjuvant platinum-5-FU and radiotherapy, anterior pelvic exenteration, and adjuvant paclitaxel and carboplatin (10).
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