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Conservative surgery and restoration after pelvic exenteration


Bulletin du Cancer. Volume 89, Number 12, 1061-6, Décembre 2002, Dossier thématique

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Author(s) : Gilles Houvenaeghel

Summary : Pelvic exenteration can be proposed to non-metastatic patients with advanced or recurrent pelvic cancer and remains frequently the only potentially curative option in combination with others therapies. Colorectal function preservation and reconstructive procedures are useful to decrease functional and psychologic impact and postoperative morbidity. Technical procedures including urinary diversion, colorectal function preservation, vaginal reconstruction and pelvic filling are described and commented. Specific morbidity is analysed.

Keywords : pelvic exenteration, reconstructive procedures, urinary diversion, myocutaneous flap.

 

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