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.
Farlex Partner Medical Dictionary © Farlex 2012
A coinage from Dr. Brunchwig’s pelvic surgery service at Memorial Sloan-Kettering Cancer Institution (New York City) for radical surgery of a ‘frozen pelvis’, which consists of total pelvic exenteration with en bloc resection of the bladder, urethra, rectum, anus, and supporting muscles and ligaments, together with the reproductive organs. A urinary stoma and a colostomy stoma are created to collect waste
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
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.

total pelvic exenteration

Bruschwig 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
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.


Alexander, U.S. surgeon, 1901-1969.
Brunschwig operation - Synonym(s): total pelvic exenteration
Medical Eponyms © Farlex 2012
References in periodicals archive ?
Laparoscopic total pelvic exenteration for pelvic malignancies: The technique and short-time outcome of 11 cases.
Mesorectal lymph node involvement and prognostic implications at total pelvic exenteration for gynecologic malignancies.
Ileal conduits were performed for both patients as part of a total pelvic exenteration procedure.
After the diagnosis of recurrent disease, 4 patients (33%) were treated with chemotherapy and 6 patients (50%) underwent surgery including total pelvic exenteration. At the time of writing, 5 cases (42%) of recurrent cervical cancer were without evidence of disease.
[6.] Jimenez RE, Shoup M, Cohen AM, Paty PB, Guillem J, Wong WD: Contemporary outcomes of total pelvic exenteration in the treatment of colorectal cancer.
[8.] Russo P, Ravindran B, Katz J, Paty P, Guillem J, Cohen AM: Urinary diversion after total pelvic exenteration for rectal cancer.
[9.] Ike H, Shimada H, Ohki S, Yamaguchi S, Ichikawa Y, Fujii S: Outcome of total pelvic exenteration for locally recurrent rectal cancer.
[13.] Domes TS, Colquhoun PH, Taylor B, Izawa JI, House AA, Luke PP: Total pelvic exenteration for rectal cancer: outcomes and prognostic factors.
Gluck, "Entirely robotic total pelvic exenteration," Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, vol.

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