+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Gastrointestinal complications associated with pelvic exenteration

Gastrointestinal complications associated with pelvic exenteration

American Journal of Obstetrics and Gynecology 145(3): 325-332

Between October, 1969, and August, 1981, 125 pelvic exenterations were performed by gynecologic oncologists at the University of Alabama in Birmingham. One hundred twenty patients underwent an exenterative procedure that required urinary diversion and a gastrointestinal anastomosis. Gastrointestinal complications accounted for 60% of all nonmalignant indications for reoperation after exenteration. The common factor in the majority of gastrointestinal complications was the presence of an anastomosis in previously irradiated small bowel. Other preoperative factors, such as significant medical disease, previous laparotomy, or malnutrition, had little apparent effect on the rate of gastrointestinal complications. Avoidance of a small bowel anastomosis by means of a colon conduit, use of an omental pedicle to bring new blood supply into the pelvis, and hyperalimentation have reduced the risk of small bowel obstruction and fistula to 2.2%, while alteration in surgical technique has decreased the rectovaginal fistula rate to 5.3%.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 043181186

Download citation: RISBibTeXText

PMID: 6824022

DOI: 10.1016/0002-9378(83)90719-6

Related references

Prevention of complications following pelvic exenteration with the use of mammary implants in the pelvic cavity: Technique and results of 28 cases. Journal of Surgical Oncology 103(1): 34-38, 2011

Gastrointestinal fistula after pelvic exenteration. Gynecologic Oncology 52(1): 115, 1994

Complications of pelvic exenteration. Archives of Surgery 120(11): 1261-1265, 1985

Pelvic exenteration indications complications and results. Gynecologic Oncology 10(3): 372, 1980

Ways to prevent complications of pelvic exenteration. Journal of Japan Society for Cancer Therapy 17(2): 693, 1982

Pelvic exenteration: complications of urinary diversion. Journal of Urology 116(4): 428-430, 1976

Complications of pelvic exenteration in children who have genitourinary rhabdomyosarcoma. Journal of Pediatric Surgery 32(9): 1277-1282, 1997

Urologic complications of pelvic exenteration for gynecologic malignancy. Journal of Urology 122(2): 158-159, 1979

Surgical possibilities in recurrences or complications of pelvic cancers after exenteration. Montpellier Medical 59: 171-175, 1961

Complications of Urinary Diversion after Pelvic Exenteration for Gynecological Malignancy. International Urogynecology Journal 11(6): 358-360, 2000

Pelvic exenteration for gynecological malignancy especially on the indications and postoperative complications. Acta Obstetrica et Gynaecologica Japonica (Japanese Edition) 36(11): 2453-2454, 1984

Complications of urinary diversion after pelvic exenteration for gynecological malignancy. International Urogynecology Journal and Pelvic Floor Dysfunction 11(6): 358-360, 2000

Small bowel complications after supravesical urinary diversion in pelvic exenteration. Gynecologic Oncology: 258, 1985

Pelvic exenteration with low rectal anastomosis: survival, complications, and prognostic factors. Gynecologic Oncology 38(3): 462-467, 1990

Pelvic exenteration for gynecologic malignancies: Postoperative complications and oncologic outcomes. Actas Urologicas Espanolas 42(2): 121-125, 2018