Reconstruction of Sigmoid Vagina and Conduit in Total Pelvic Exenteration for Recurrent Cervical Carcinoma

Although total pelvic exenteration is performed for central recurrent or persistent uterine cervical carcinoma, the patient is damaged both physiologically and psychologically by its massive surgical procedure and complications as well as the loss of the vagina. Vaginal reconstruction at the time of...

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Bibliographic Details
Published in:Japanese Journal of Clinical Oncology 1989, Vol.19 (2), p.170-172
Main Authors: Shiromizu, Kenji, Ogawa, Masatoshi, Kotake, Kenjiro, Koyama, Yasuo, Nakazono, Masaaki, Hirao, Kiyoshi
Format: Report
Language:English
Subjects:
Recurrent cervical carcinoma
Sigmoid conduit
Sigmoid vagina
Total pelvic exenteration
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Description
Summary:Although total pelvic exenteration is performed for central recurrent or persistent uterine cervical carcinoma, the patient is damaged both physiologically and psychologically by its massive surgical procedure and complications as well as the loss of the vagina. Vaginal reconstruction at the time of surgery brings much advantageous satisfaction to the patient's future life and a strong bond with her husband. Furthermore, a new reconstructed vagina occuping the pelvic cavity prevents intestinal herniation and is available for bimanual examination in the follow-up to surgery. A case of recurrent cervical carcinoma is presented, with reconstruction of the vagina and conduit using the sigmoid colon in total pelvic exenteration.
ISSN:0368-2811
1465-3621
DOI:10.1093/oxfordjournals.jjco.a039295