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TOTAL PELVIC EXENTERATION -A REVIEW OF CASES

RAJU RAJU

Abstract


Pelvic exenteration is one of the major
surgery during which all contents of pelvic
cavity are removed. Total pelvic exenteration
is indicated in patients with advanced
stage rectal carcinoma and carcinoma
cervix and in cases of local recurrence
of rectal cancer, recurrent carcinoma
cervix after radiotherapy in tumour
advanced into bladder or into other pelvic
organs but disease confined to pelvis.
Total pelvic exenteration can be curative,
often is palliative for similar lesions that
are recurrent or non responsive to radiotherapy.
Although improvement in preoperative
management and operative technique,
especially with urinary conduits
and postoperative care is clear, both
early and late complications are significant.
Unfortunately preoperative identification
of those patients requiring Total
pelvic exenteration rather than abdominoperineal
or low anterior resection remains
poor. Here we discuss about the
three cases of
Total pelvic exenteration operated for locally
advanced pelvic cancers.


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