Table of Contents
Why do people need pelvic exenteration?
It can be used when cancer has spread within the pelvis, or has come back in the pelvis after other treatment. Pelvic exenteration is most often used to treat cervical cancer that has come back after treatment. Pelvic exenteration can cure cancer in some people.
What is removed in pelvic exenteration?
A pelvic exenteration removes reproductive organs, the bladder or rectum or both, and lymph nodes in the pelvis. Sometimes part of the colon and anus are also removed. The female reproductive organs removed are the ovaries, fallopian tubes, uterus, cervix and vagina.
How long can you live after pelvic exenteration?
Overall, the study determined 67% of women undergoing this surgery have complications within 30 days; 27% experience severe complications. After 30 days, post-surgical mortality was 0.7%, and 2.2% at 90 days.
What is Exenteration for cervical cancer?
Total exenteration refers to removal of the uterus, tubes, ovaries, parametrium, bladder, rectum or rectal segment, vagina, urethra, and a portion of the levator muscles.
What happens in a Vaginectomy?
Vaginectomy is surgery to remove the vagina. If only part of the vagina is removed, it’s called a partial vaginectomy. If the entire vagina is removed, it’s called a total vaginectomy. A radical vaginectomy is removal of the vagina along with the supporting tissues around it.
How do you prepare for pelvic exenteration?
Pre-operative assessment for pelvic exenteration
- taking your complete medical history.
- physical examination – if needed, this may be under general anaesthetic.
- biopsies of any abnormal areas of the body, such as a swollen lymph node.
- assessing any symptoms you have, such as pain.
- a chest x-ray.
- a CT scan.
What are the indications of Exenteration?
Indications. Exenteration is performed mostly for orbital malignancies in an attempt to become cure of cancer with tumor free margins. It is also performed in painful or life-threatening orbital infections or inflammations.
What is Supralevator Exenteration?
Supralevator exenteration (The resection is thus carried en bloc to the level of the levator ani.) If a supralevator exenteration is adequate, the urethra is divided anteriorly; the rectum, posteriorly at the level of the pelvic floor; and the vagina, below the level of the tumor with adequate margins.
Why would you need a vaginectomy?
The most common indication for these procedures is treatment of vaginal intraepithelial neoplasia. Rarely, chronic benign conditions such as lichen planus may be severe enough to warrant vaginectomy. Partial vaginectomy may also be utilized to biopsy large vaginal lesions of unknown etiology.
What is a simple Vulvectomy?
Listen to pronunciation. (SIM-pul vul-VEK-toh-mee) Surgery to remove the entire vulva (the external female genital organs, including the clitoris, vaginal lips, and the opening to the vagina).
What is the difference between enucleation and exenteration?
Enucleation is removal of the intact eye, leaving the muscles and other tissue attachments within the orbit. Exenteration is removal of the eye and the contents of the orbit; variations to the basic technique, saving or sacrificing different tissues within or around the orbit, depend on the clinical circumstances.
https://www.youtube.com/watch?v=8vJ3CY2tYM4