pelvic exenteration


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exenteration

 [ek-sen″ter-a´shun]
1. surgical removal of the inner organs; evisceration.
2. in ophthalmology, removal of the entire contents of the orbit.
pelvic exenteration excision of the organs and adjacent structures of the pelvis.

pel·vic ex·en·ter·a·tion

removal of all the organs and adjacent structures of the pelvis; usually performed to surgically ablate cancer involving urinary bladder, uterine cervix, and rectum.

pelvic exenteration

[eksen′tərā′shən]
the surgical removal of all reproductive organs and their lymph nodes and en bloc removal of the rectum, distal sigmoid colon, urinary bladder, distal ureters, internal iliac vessels, entire pelvic floor with accompanying pelvic peritoneum, levator muscles, and perineum. Pelvic exenteration is the preferred treatment for recurrent or persistent carcinoma of the cervix after radiation therapy.
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Anterior pelvic exenteration

pel·vic ex·en·ter·a·tion

(pelvik eksen-tĕr-āshŭn)
Removal of all organs and adjacent structures of the pelvis; usually performed to surgically ablate cancer involving urinary bladder, uterine cervix, and rectum.

Pelvic exenteration

Extensive surgery to remove the uterus, ovaries, pelvic lymph nodes, part or all of the vagina, and the bladder, rectum, and/or part of the colon.
References in periodicals archive ?
Reviewing the latest studies regarding pelvic exenteration for recurrent rectal cancer the mortality varied between 0 and 13% [6-13].
Although major developments occurred in diagnosis and oncological therapies, the final decision of proceeding to pelvic exenteration can only be made at the time of laparotomy, difficulties are the impossibility to distinguish between inflammatory and malignant adhesions between organs.
Multiple studies showed that predictor factors for long-term survival after pelvic exenteration for rectal cancer are tumour stage, presence of nodal metastases and positive surgical margins [10, 14, and 15].
Although pelvic exenteration is associated with increased morbidity, many patients with recurrence after rectal resection that undergo this intervention can have increased disease-free survival.
Dias AR, Nahas SC: Modified supralevator pelvic exenteration for the treatment of locally advanced rectal cancer with vaginal and uterine invasion.
Jimenez RE, Shoup M, Cohen AM, Paty PB, Guillem J, Wong WD: Contemporary outcomes of total pelvic exenteration in the treatment of colorectal cancer.
6] In another study, one of two patients with RLP secondary to bladder cancer was cured of their disease through the use of a combination of pelvic exenteration and neoadjuvant radiotherapy.
The patient was offered pelvic exenteration but elected to have radical radiotherapy.
Three years after his first presentation, the patient became cachetic and he finally agreed to have pelvic exenteration after counselling.
Aortoureteric fistula has been documented in association with prior pelvic exenteration, radiation and vascular surgery.
An aortoureteric fistula should be suspected in patients with early postoperative significant hematuria, associated clinical signs of acute blood loss in a setting of pelvic exenteration, urinary diversion with ureteric stents and an inconclusive angiographic study.
A successfully treated case of aortouretric fistula associated with pelvic exenteration.