Pelvic Exenteration; radical surgical procedures to Treat cancers in the Pelvic region скачать в хорошем качестве

Pelvic Exenteration; radical surgical procedures to Treat cancers in the Pelvic region

🩺 Pelvic Exenteration: Radical Surgery for Advanced Pelvic Cancers Pelvic exenteration is an extensive surgical procedure used to treat advanced or recurrent cancers in the pelvic region—most commonly gynecological, colorectal, or genitourinary cancers. It involves the removal of multiple organs from the pelvic cavity and is considered only when other treatments like chemotherapy or radiation have failed2. 🧠 Types of Pelvic Exenteration There are several variations depending on the location and spread of the cancer: Type Organs Removed Common Outcome Anterior Bladder, urethra, reproductive organs Permanent urostomy Posterior Rectum, anus, reproductive organs Permanent colostomy Total Bladder, urethra, rectum, anus, reproductive organs Both colostomy and urostomy Lateral/Central Organs along pelvic sidewall or center May involve bone and vascular reconstruction ⚠️ Risks and Complications Infection and sepsis Kidney damage Perineal hernia Stoma-related issues (e.g., prolapse, necrosis) Embolism or bowel obstruction Despite the risks, pelvic exenteration can significantly improve survival in select patients with localized but aggressive cancers. 🧬 Recovery and Outlook Patients require intensive post-op care and long-term support. Recovery includes adjusting to life with stomas, physical rehabilitation, and psychological counseling. Some centers use VRAM flaps (muscle grafts) to reconstruct the pelvic floor and improve healing. #Pelvic #Exenteration