Pelvic exenteration

Pelvic exenteration

Interventions infobox
Name = PAGENAME


Caption =
ICD10 =
ICD9 = 68.8
MeshID = D010385
OtherCodes =

Pelvic exenteration (or pelvic evisceration) is a radical surgical treatment that removes all organs from a person's pelvic cavity. The urinary bladder, urethra, rectum, and anus are removed. The procedure leaves the person with a permanent colostomy and vesicostomy. In women, the vagina, cervix, uterus, fallopian tubes, ovaries, and in some cases the vulva are removed. In men, the prostate is removed.

Indications

Pelvic exenteration is most commonly used in cases of very advanced or recurrent cancer, in which less radical surgical options are not technically possible or would not be sufficient to remove all the tumor. This procedure is performed for many types of cancer including genitourinary and colorectal cancers.

Complications

After pelvic exenteration, many patients will have perineal hernia, often without symptoms, but only 3–10% will have perineal hernia requiring surgical repair.cite journal
author = Berman L, Aversa J, Abir F, Longo WE
title = Management of disorders of the posterior pelvic floor
journal = Yale J Biol Med
volume = 78
issue = 4
pages = 211–21
year = 2005
month = July
pmid = 16720016
pmc = 2259151
doi =
url = http://openurl.ingenta.com/content/nlm?genre=article&issn=0044-0086&volume=78&issue=4&spage=211&aulast=Berman
issn = ]

History

The procedure was first described by Alexander Brunschwig in 1948. [Brunschwig A: Complete excision of the pelvic viscera for advanced carcinoma. Cancer 1948; 1: 177.] [eMedicine|med|3332]

References


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  • pelvic exenteration — removal of the organs and adjacent structures of the pelvis; called also Brunschwig operation …   Medical dictionary

  • pelvic exenteration — Surgery to remove the lower colon, rectum, and bladder, and create stomata (openings) through which urine and stool are passed out of the body. In women, the cervix, vagina, ovaries, and nearby lymph nodes are also removed …   English dictionary of cancer terms

  • anterior pelvic exenteration — excision en masse of the bladder, lower ureters, vagina, adnexa, pelvic lymph nodes, and pelvic peritoneum, with implantation of the ureters into the intact pelvic colon or an ileal conduit. See also radical cystectomy, under cystectomy …   Medical dictionary

  • total pelvic exenteration — excision en masse of the bladder, lower ureters, vagina, uterus, adnexa, and the pelvic and lower sigmoid colon, with excision of the pelvic lymph nodes, removal of all the pelvic peritoneum, and replantation of the ureters into an isolated ileal …   Medical dictionary

  • posterior pelvic exenteration — excision en masse of the pelvic colon, uterus, vagina, and adnexa, with or without pelvic lymph node excision, the lower urinary tract being undisturbed …   Medical dictionary

  • posterior pelvic exenteration — Surgery to remove the lower part of the bowel, rectum, uterus, cervix, ovaries, fallopian tubes, and vagina. Pelvic lymph nodes may also be removed …   English dictionary of cancer terms

  • exenteration — Removal of internal organs and tissues, usually radical removal of the contents of a body cavity. SYN: evisceration (1). [G. ex, out, + enteron, bowel] anterior pelvic e. removal of the urinary bladder, lower parts of the ureter …   Medical dictionary

  • anterior pelvic exenteration — Surgery to remove the urethra, lower part of the ureters, uterus, cervix, vagina, and bladder …   English dictionary of cancer terms

  • Brunschwig operation — pelvic exenteration …   Medical dictionary

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