Exenterative operations: experience with 198 patients.

Abstract:

:In a series of 198 exenterative operations performed at the Mayo Clinic for various pelvic malignant lesions, a 5 year survival rate of 33 per cent was obtained. This rate is commendable, since almost 80 per cent of the operations were accomplished for recurrent malignancy. The diminished over-all operative mortality rate of 8.1 per cent, a reduction from 13.5 per cent (1950 through 1962) to 3 per cent (1963 through 1971), is attributed to better methods of urinary diversion and to better management of fluid replacement and of infectious complications. Major complications, excepting bowel fistula and obstruction, now can be controlled reasonably well. When more conservative and equally curative methods of therapy have been exhausted, all patients with pelvic malignancy (whether primary in cervix, vagina, bladder, urethra, rectum, or vulva) should be considered potential candidates for exenteration.

journal_name

Am J Obstet Gynecol

authors

Symmonds RE,Pratt JH,Webb MJ

doi

10.1016/0002-9378(75)90908-4

subject

Has Abstract

pub_date

1975-04-01 00:00:00

pages

907-18

issue

7

eissn

0002-9378

issn

1097-6868

pii

0002-9378(75)90908-4

journal_volume

121

pub_type

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