Pelvic exenteration






G Pelvic exenteration




1. Introduction

    Pelvic exenteration is performed for the treatment of advanced, recurrent, radioresistant cervical carcinoma. It is considered a radical surgical approach because all pelvic tissues, including the cervix, bladder, lymph nodes, rectum, uterus, and vagina, are resected. Vaginal reconstruction and appropriate colon and urinary diversions are also performed.

2. Preoperative assessment and patient preparation
a) History and physical examination: As indicated by the patient’s history and medical condition

b) Patient preparation
(1) Laboratory tests: CBC, electrolytes, blood urea nitrogen, creatinine, calcium, magnesium, phosphate, prothrombin time, partial thromboplastin time, urinalysis, and renal function tests

(2) Diagnostic tests: As indicated by the patient’s history and physical examination

(3) Premedication: Anxiolytics as indicated

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Dec 2, 2016 | Posted by in ANESTHESIA | Comments Off on Pelvic exenteration

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