Incorporating pelvic/vaginal reconstruction into radical pelvic surgery.

作者: Jeffrey M. Fowler

DOI: 10.1016/J.YGYNO.2009.05.040

关键词:

摘要: Abstract Objective The objective of this review is to discuss the more common surgical scenarios that often require pelvic/vaginal reconstruction with an emphasis on incorporating reconstructive options into pelvic exenteration. Methods A literature regarding in patients undergoing radical surgery was performed and supplemented authors' own experience. Results Reconstructive procedures are necessary outcome goals include any combination enhanced wound healing, decrease acute chronic morbidity, restoration anatomic form function. Many techniques available including, but not limited to, skin grafting, simple tissue transposition flaps, fasciocutaneous myocutaneous flaps. It extremely important gynecologic oncologist be proficient than one address various defects may encounter. There a wide range complexity situations requiring reconstruction. exenteration previously radiated patient offers highest level challenge terms pre-operative planning, intra-operative decision-making skills. Vaginal for sexual intercourse priority some patients, however plays major role facilitating minimizing significant improving quality life functional outcomes. Conclusions best suited orchestrate multifaceted process. well versed order it optimally planned effected at primary procedure.

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