Levatorplasty for Symptomatic Posterior Prolapse due to Recurrent Malignant Ascites.

Autor: Thomson AP; From the Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA., Foust-Wright CE, Batalden RP, Berkowitz LR
Jazyk: angličtina
Zdroj: Female pelvic medicine & reconstructive surgery [Female Pelvic Med Reconstr Surg] 2015 Jul-Aug; Vol. 21 (4), pp. e41-3.
DOI: 10.1097/SPV.0000000000000174
Abstrakt: Background: Although infrequently described, massive ascites due to malignancy contributes to symptomatic pelvic organ prolapse.
Case: A 73-year-old woman with recurrent ovarian cancer and massive ascites underwent a levatorplasty for repair of posterior prolapse after failing conservative management.
Conclusions: Management of patient with cancer with prolapse is complex. Patients with cancer with ascites also have pelvic organ prolapse, in addition to other, better described sequelae of increased intra-abdominal pressure. These patients should be treated specifically for prolapse, with therapy, including type of surgery, chosen with special consideration of their underlying disease.
Databáze: MEDLINE