Anterior pelvic exenteration

Anterior pelvic exenteration with total vaginectomy for recurrent or persistent genitourinary malignancies: Review of surgical technique, complications, and outcome

“…The anterior pelvic exenteration is a very well described surgical procedure in the gynecologic oncology literature. However, none of the previous studies has focused on the outcomes of those patients who underwent total vaginectomy at the time of anterior pelvic exenteration [4,10]. The purpose of our report is to clearly describe the AETV, a procedure that aims to achieve similar oncologic outcomes as the total pelvic exenteration by removing the totality of the vaginal tube (with the uterus if still present) down to the perineum while preserving the rectum and anus.…”

Primary cytoreductive surgery with rectosigmoid colon resection for patients with advanced epithelial ovarian carcinoma

“…26 The use of rectosigmoid colon resection in the surgical management of patients with advanced ovarian carcinoma with bulky pelvic disease is rational, because the distal sigmoid frequently is involved by direct extension or serosal implantation from epithelial ovarian carcinoma. [15][16][17][18][19][20][21][22][23][24][25][26][27] The introduction of the end-to-end circular stapling device in 1960 28 greatly facilitated the performance of low rectal resection and anastomosis for a variety of general surgical and gynecologic malignancies. In the current study, cytoreductive surgery with rectosigmoid colon resection was possible for all patients with acceptable perioperative and postoperative complications.…”

The Role of Intraoperative Radiation Therapy (IORT) in the Treatment of Locally Advanced Gynecologic Malignancies

“…This latter treatment modality may lead to fatal complications in as many as 10% of patients and may result in recurrence in another 30% [10]. One series documented a five-year survival of 0% among 143 women with positive margins at the time of anterior exenteration for recurrent cervical cancer [11].…”