Abstract:
:Anastomotic leakage is a very significant complication after posterior pelvic exenteration and a major cause of postoperative morbidity and mortality. We present a patient who underwent an optimal debulking surgery for an advanced stage ovarian cancer (FIGO IIIC). On postoperative day 12, transvaginal ultrasound revealed an anastomotic dehiscence following an unsuspicious computer tomography scan the day before. The patient was successfully managed by transanal vacuum therapy without re-laparotomy within a period of 4 weeks after diagnosis. We conclude that high-resolution transvaginal ultrasound is a crucial method in the management of complications after surgery and even allow diagnosing leakages of colorectal anastomosis. In selected cases characterized by a small leak size and a local peritonitis confined to the pelvis a transanal vacuum therapy may avoid both surgical re-intervention and creating a secondary diverting stoma.
journal_name
J Gynecol Oncoljournal_title
Journal of gynecologic oncologyauthors
Einenkel J,Holler B,Hoffmeister Adoi
10.3802/jgo.2011.22.2.131subject
Has Abstractpub_date
2011-06-30 00:00:00pages
131-4issue
2eissn
2005-0380issn
2005-0399journal_volume
22pub_type
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journal_title:Journal of gynecologic oncology
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更新日期:2015-07-01 00:00:00
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doi:10.3802/jgo.2009.20.2.96
更新日期:2009-06-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2018-11-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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