pelvic exenteration
Radical surgical procedure involving removal of multiple pelvic organs, typically performed for advanced or recurrent gynecologic malignancies.
Full Definition
Pelvic exenteration is an extensive surgical procedure that involves the removal of multiple pelvic organs, typically performed for advanced, persistent, or recurrent gynecologic cancers when less radical treatments are not feasible. The procedure may be anterior (involving bladder and reproductive organs), posterior (involving rectum and reproductive organs), or total (involving bladder, rectum, and reproductive organs). This major surgery requires reconstruction of urinary and/or fecal diversion and carries significant morbidity. Patient selection is critical, requiring careful evaluation of cancer extent, patient performance status, and quality of life considerations.
Usage
Usage note: Specify type (anterior, posterior, or total) and reconstruction procedures performed.
In Context
- "Total pelvic exenteration was performed for recurrent cervical cancer with bladder and rectal invasion." — Operative report
- "The patient was evaluated for possible anterior pelvic exenteration but was deemed not a surgical candidate." — Oncology consultation