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Abstract

Experimental Techniques in Urology & Nephrology

“No Anastomosis” Combined Colon Conduit and Colostomy Diversion with Pelvic Exenteration: An Underutilized, Cost-Effective Technique Reducing Bowel Complications

Submission: January 31, 2018; Published: February 12, 2018

DOI: 10.31031/ETUN.2018.01.000519

ISSN: 2578-0395
Volume1 Issue4

Abstract

Since its initial description by Brunschwig in 1948 [1], pelvic exenteration has become an established procedure to treat locally advanced or recurrent gastrointestinal, gynecologic and urologic malignancies as well as after failure of other options for radiation cystitis/colitis and neurogenic bladder/bowel. This procedure typically involves en bloc removal of the remaining pelvic viscera: bladder, rectum, and prostate/seminal vesicles in males or uterus and vagina (partial or complete) in females [2]. Given the extensive resection and reconstruction involved, frequent prior radiation, and prevalence of adhesions from multiple prior procedures, perioperative complications are commonly encountered [3,4].

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