Pelvic floor reconstruction after total exenteration for radiation injuries of the pelvic organs (clinical case)
| Autor: | N. P. Naumov, L. O. Petrov, V.V. Pasov, V.A. Korotkov, M. R. Kasymov, L. V. Aferkina, A. D. Kaprin, S. A. Ivanov |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
recurrence RD1-811 genetic structures Urology Fistula medicine.medical_treatment Rectum evisceration of pelvic organs Malignancy behavioral disciplines and activities medicine uterine body cancer Rectus abdominis muscle Recto-Vesico-Vaginal Fistula Vulvectomy business.industry recto-vesico-vaginal fistula medicine.disease Diseases of the genitourinary system. Urology Surgery Perineum vram flap Radiation therapy medicine.anatomical_structure nervous system Reproductive Medicine local radiation damage to pelvic organs RC870-923 business psychological phenomena and processes |
| Zdroj: | Andrologiâ i Genitalʹnaâ Hirurgiâ, Vol 21, Iss 2, Pp 77-82 (2020) |
| ISSN: | 2412-8902 2070-9781 |
| DOI: | 10.17650/2070-9781-2020-21-2-77-82 |
| Popis: | The objective is to present the clinical case of pelvic floor reconstruction after total exenteration.Clinical case. The formation of the combined fistula after surgical treatment and combined radiation therapy for uterine body cancer is presented in female patient (57 years old). The rectum and bladder were removed, the perineal tissue was excised and a vulvectomy was performed. The rectus abdominis muscle was mobilized with epigastric artery and moved to the perineum. The wound was healed by primary tension. The patient lives a full life, adapted, and does not require analgesic therapy.Conclusion. The treatment and diagnosis tactics for regional combined fistulas are not standardized, and surgical treatment is the method of choice, especially in cases where the patient has already had radiation therapy for malignancy and relapse. |
| Databáze: | OpenAIRE |
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