total pelvic exenteration
to·tal pel·vic ex·en·ter·a·tion
removal of the urinary bladder, distal ureter, vagina, uterus, adnexa, rectum, anus, and adjacent lymph nodes; renders a colostomy and urinary diversion or bladder substitution necessary.
Synonym(s): Brunschwig operation
Indications It is performed when there is no opportunity to perform a less extensive operation, because of the location and size of the cancer, e.g., stage IV cancer of the uterine cervix, urinary bladder or colorectum
total pelvic exenterationBruschwig procedure Gynecologic surgery A 'heroic' surgery for extensive cervical CA that persists after regional RT and/or prior total hysterectomy; because of its high M&M, TPE is reserved for biopsy-proven recurrences of tumor confined to the central pelvis, in a Pt believed capable of psychologically and physically coping with the stomas necessitated by the operation
Brunschwig,Alexander, U.S. surgeon, 1901-1969.
Brunschwig operation - Synonym(s): total pelvic exenteration