Pelvic exenteration is a radical surgery which includes the en bloc resection of the pelvic organs and followed by surgical reconstruction (Hockel et al., 2006; Diver et al., 2012). The en bloc resection includes internal reproductive organs, rectosigmoid colon, urinary bladder and distal ureters. Pelvic exenteration is classified into 3 types; anterior pelvic exenteration, posterior pelvic exe...

abstract: primary adenoid cystic carcinoma (acc) of bartholin’s gland is a rare gynecologic malignancy. we report a case of locally advanced acc of bartholin’s gland. a 62-year-old presented with left bartholin’s gland carcinoma and underwent left radical vulvectomy,left-sided inguinal-femoral lymph node dissection, posterior pelvic exenteration, and pedicle abdominal muscle flap. on her 3 mont...

Background: Pelvic exenteration is an ultraradical surgery involving the en bloc resection of the pelvic organs, including the internal reproductive organs, the distal urinary tract (ureters, bladder, urethra), and/or anorectum. It is mainly applied as a salvage surgery for recurrent gynecologic tumors of any origin (vulva, vagina, cervix, uterine, and also ovary). Our aim was to establish the ...

BACKGROUND Perineal reconstruction following pelvic exenteration is a challenging area in plastic surgery. Its advantages include preventing complications by obliterating the pelvic dead space and minimizing the scar by using the previous abdominal incision and a vertical rectus abdominis musculocutaneous (VRAM) flap. However, only a few studies have compared the complications and the outcomes ...

Total pelvic exenteration is a highly morbid procedure performed for locally advanced pelvic malignancies. We describe our experience with three patients who underwent robotic total pelvic exenteration with laparoscopic rectus flap and compare perioperative characteristics to our open experience. Demographic, tumor, operative, and perioperative factors were examined with descriptive statistics ...

BACKGROUND Our aim in the present study was to evaluate surgical outcomes and complications of pelvic exenteration in the treatment of gynecologic malignancy and to compare surgery-related complications associated with different types of exenteration. METHODS We performed a retrospective analysis of patients who underwent pelvic exenteration for the treatment of gynecologic cancer between Jan...

•Pelvic exenteration can be used in patients with multifocal recurrence.•Ability to achieve negative margins remains a necessity for pelvic exenteration.•Individualized treatments are essential for those with recurrent malignancy.

•A multi-layer technique for reconstruction after pelvic exenteration is proposed.•Human acellular dermal matrix used in reconstruction after total pelvic exenteration.•A reconstructive technique based on human dermis, omental flap and fat is proposed.

BACKGROUND To determine the feasibility of a laparoscopic hand-assisted Miami Pouch following a laparoscopic anterior pelvic exenteration. CASE We performed a laparoscopic hand-assisted Miami Pouch following a laparoscopic anterior pelvic exenteration. The procedure involved resection of the bladder, uterus, ovaries, and upper vagina en bloc and the formation of a "Miami Pouch" for continent ...

BACKGROUND Pelvic exenteration and multivisceral resection in colorectal have been described as a curative and palliative intervention. Urinary tract reconstruction in a pelvic exenteration is achieved in most cases with an ileal conduit of Bricker, although different urinary reservoirs have been described. METHODS A retrospective and observational study of six patients who underwent a pelvic...