WordNet
- of or relating to the pelvis; "pelvic exam"; "pelvic inflammation"
- surgical removal of the organs within a body cavity (as those of the pelvis)
PrepTutorEJDIC
- 骨盤の
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/11/25 22:59:54」(JST)
[Wiki en表示]
| Pelvic exenteration |
| Intervention |
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Diagram showing the area removed in a pelvic exenteration with a female-bodied person
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| ICD-9-CM |
68.8 |
| MeSH |
D010385 |
Pelvic exenteration (or pelvic evisceration) is a radical surgical treatment that removes all organs from a person's pelvic cavity. The urinary bladder, urethra, rectum, and anus are removed.
The procedure leaves the person with a permanent colostomy and urinary diversion. In women, the vagina, cervix, uterus, fallopian tubes, ovaries, and in some cases the vulva are removed. In men, the prostate is removed.
Contents
- 1 Indications
- 2 Complications
- 3 History
- 4 References
Indications
Pelvic exenteration is most commonly used in cases of very advanced or recurrent cancer, in which less radical surgical options are not technically possible or would not be sufficient to remove all the tumor. This procedure is performed for many types of cancer including genitourinary and colorectal cancers.
Complications
After pelvic exenteration, many patients will have perineal hernia, often without symptoms, but only 3–10% will have perineal hernia requiring surgical repair.[1]
History
The procedure was first described by Alexander Brunschwig in 1948.[2][3]
References
- ^ Berman L, Aversa J, Abir F, Longo WE (July 2005). "Management of disorders of the posterior pelvic floor". Yale J Biol Med 78 (4): 211–21. PMC 2259151. PMID 16720016.
- ^ Brunschwig A: Complete excision of the pelvic viscera for advanced carcinoma. Cancer 1948; 1: 177.
- ^ med/3332 at eMedicine
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Female genital surgical and other procedures (gynecological surgery) (ICD-9-CM V3 65–71, ICD-10-PCS 0U)
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| Adnexa |
| Ovaries |
- Oophorectomy
- Salpingoophorectomy
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| Fallopian tubes |
- Falloposcopy
- Salpingectomy
- Tubal ligation
- Essure
- Tubal reversal
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| Uterus |
| general: |
- Hysterectomy
- Hysterotomy
- Pelvic exenteration
- Uterine artery embolization
- Transplantation
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| uterine cavity: |
- Hysteroscopy
- Vacuum aspiration
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| endometrium: |
- Endometrial biopsy
- Endometrial ablation
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| myometrium: |
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| cervix: |
- Colposcopy
- Cervical conization
- Cervical cerclage
- Cervical screening (pap test)
- Cervicectomy
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| Vagina |
- Vaginectomy
- Culdoscopy
- Culdocentesis
- Hymenotomy
- Colpocleisis
- Hymenorrhaphy
- Vaginal wet mount
- Vaginal transplantation
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| Vulva |
- Vulvectomy
- Female genital mutilation
- Labiaplasty
- Clitoral hood reduction
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| Medical imaging |
- Gynecologic ultrasonography
- Hysterosalpingography
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noco/cong/npls, sysi/epon
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proc/asst, drug (G1/G2B/G3CD)
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UpToDate Contents
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English Journal
- The effect of body mass index on surgical outcomes and survival following pelvic exenteration.
- Iglesias DA, Westin SN, Rallapalli V, Huang M, Fellman B, Urbauer D, Frumovitz M, Ramirez PT, Soliman PT.SourceDepartment of Gynecologic Oncology and Reproductive Medicine, The University of Texas, M.D. Anderson Cancer Center, Houston, TX 77030, USA.
- Gynecologic oncology.Gynecol Oncol.2012 May;125(2):336-42. Epub 2012 Jan 16.
- OBJECTIVE: We sought to evaluate whether preoperative body mass index (BMI) impacts surgical outcomes, complication rates, and/or recurrence rates in women undergoing pelvic exenteration.METHODS: All women who underwent pelvic exenteration for gynecologic indications at our institution from 1993 thr
- PMID 22261299
- Perineal reconstruction after abdominoperineal excision using inferior gluteal artery perforator flaps.
- Hainsworth A, Al Akash M, Roblin P, Mohanna P, Ross D, George ML.SourceDepartment of Colorectal, St Thomas' Hospital, London, UK. allyhainsworth@googlemail.com
- The British journal of surgery.Br J Surg.2012 Apr;99(4):584-8. doi: 10.1002/bjs.7822. Epub 2012 Jan 9.
- BACKGROUND: Perineal wound complications following abdominoperineal excision (APE) for low rectal tumours remain an important cause of morbidity and prolonged hospital stay, particularly after chemoradiotherapy. The aim was to assess outcomes after using inferior gluteal artery perforator (IGAP) fla
- PMID 22231559
Japanese Journal
- 集学的治療により良好に経過している転移性前立腺癌肉腫の1例
- 松岡 崇志,杉野 善雄,小林 恭,寺田 直樹,山崎 俊成,松井 喜之,今村 正明,大久保 和俊,神波 大己,吉村 耕治,小川 修
- 泌尿器科紀要 59(11), 749-752, 2013-11
- … We started hormone therapy for the adenocarcinoma component followed by total pelvic exenteration with colostomy and ileal conduit diversion for the sarcoma component. … In addition, pelvic cavity and the bone metastasis were irradiated. …
- NAID 120005350248
- 症例報告 骨盤内臓器全摘出術を施行した骨盤内膿瘍合併子宮頸癌の1例
Related Links
- exenteration [ek-sen″ter-a´shun] 1. surgical removal of the inner organs; evisceration. 2. in ophthalmology, removal of the entire contents of the orbit. pelvic exenteration excision of the organs and adjacent structures of the pelvis. pel ...
- Introduction to Pelvic Exenteration Pelvic exenteration is a salvage procedure performed for centrally recurrent gynecologic cancers. To a greater or lesser degree, the procedure involves en bloc resection of all pelvic ...
★リンクテーブル★
[★]
- 英
- pelvic exenteration, pelvic evisceration
[★]
前方骨盤内臓器摘除術
[★]
後方骨盤内臓器摘除術
[★]
骨盤内臓器全摘除術
[★]
- 関
- pelves、pelvic bone、pelvis