pelvic exenteration

The five-year survival rate after a pelvic exenteration is about 50 percent."

It is used in cases wherein even pelvic exenteration would not remove sufficient tissue.

Pelvic exenteration followed by radiation therapy combined with chemotherapy.

For locally recurrent disease, pelvic exenteration can lead to a 5-year survival rate of 32% to 62% in selected patients.

Resection or pelvic exenteration, as palliative therapy to relieve symptoms and improve the quality of life.

Total pelvic exenteration.

For locally recurrent disease,pelvic exenteration can .

Radical vulvectomy and pelvic exenteration.

Brunschwig developed pelvic exenteration surgery, which removes major organs from the patient's pelvic cavity.

It was into this environment that Frederick E. Kredel first proposed the operation in February 1951 while discussing a paper on pelvic exenteration.

Pelvic exenteration (or pelvic evisceration) is a radical surgical treatment that removes all organs from a person's pelvic cavity.

After pelvic exenteration, many patients will have perineal hernia, often without symptoms, but only 3-10% will have perineal hernia requiring surgical repair.

Pelvic exenteration is controversial, because it is one of the most aggressive and disfiguring surgeries used in oncology, and has not been subject to controlled clinical trials.

This is a mutilating operation and is only done as a last resort (e.g. when even pelvic exenteration doesn't work or in cases of advanced pelvic/reproductive cancers)

Mirhashemi R, Averette HE, Lambrou N, et al.: Vaginal reconstruction at the time of pelvic exenteration: a surgical and psychosexual analysis of techniques.

Vermaas M, Ferenschild FT, Verhoef C, et al.: Total pelvic exenteration for primary locally advanced and locally recurrent rectal cancer.

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.

For patients with local recurrence alone following an initial, attempted curative resection, aggressive local therapy with repeat LAR and coloanal anastomosis, APR, or posterior or total pelvic exenteration can lead to long-term disease-free survival (DFS).

An Indiana pouch is a surgically-created urinary diversion used to create a way for the body to store and eliminate urine for patients who have had their urinary bladders removed as a result of bladder cancer, pelvic exenteration, bladder exstrophy or who are not continent due to a congenital, neurogenic bladder.