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Pelvic exenteration

 
Medical Glossary: Pelvic exenteration
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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.

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Wikipedia: Pelvic exenteration
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Intervention:
Pelvic exenteration
ICD-10 code:
ICD-9 code: 68.8
MeSH D010385
Other codes:

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.

Contents

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.[1]

History

The procedure was first described by Alexander Brunschwig in 1948.[2][3]

References

  1. ^ Berman L, Aversa J, Abir F, Longo WE (July 2005). "Management of disorders of the posterior pelvic floor". Yale J Biol Med 78 (4): 211–21. PMID 16720016. PMC: 2259151. http://openurl.ingenta.com/content/nlm?genre=article&issn=0044-0086&volume=78&issue=4&spage=211&aulast=Berman. 
  2. ^ Brunschwig A: Complete excision of the pelvic viscera for advanced carcinoma. Cancer 1948; 1: 177.
  3. ^ med/3332 at eMedicine
v • d • e
Urogenital surgical and other procedures (ICD-9-CM V3 55-71)
Urinary system
Male
reproductive system
Female
reproductive system
(gynecological surgery)
Hysterotomy · Hysteroscopy · Pelvic exenteration · Hysterectomy · Vacuum aspiration

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