Pelvic floor reconstruction after total exenteration for radiation injuries of the pelvic organs (clinical case)

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 bla...

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Main Authors: V. A. Korotkov, L. O. Petrov, M. R. Kasymov, V. V. Pasov, L. V. Aferkina, N. P. Naumov, A. D. Kaprin, S. A. Ivanov
Format: Article
Language:Russian
Published: ABV-press 2020-07-01
Series:Андрология и генитальная хирургия
Subjects:
Online Access:https://agx.abvpress.ru/jour/article/view/416
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author V. A. Korotkov
L. O. Petrov
M. R. Kasymov,
V. V. Pasov
L. V. Aferkina
N. P. Naumov
A. D. Kaprin
S. A. Ivanov
author_facet V. A. Korotkov
L. O. Petrov
M. R. Kasymov,
V. V. Pasov
L. V. Aferkina
N. P. Naumov
A. D. Kaprin
S. A. Ivanov
author_sort V. A. Korotkov
collection DOAJ
description 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.
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spelling doaj.art-30da528d42fa48988efb80be24457a262023-03-13T07:15:10ZrusABV-pressАндрология и генитальная хирургия2070-97812020-07-01212778210.17650/2070-9781-2020-21-2-77-82368Pelvic floor reconstruction after total exenteration for radiation injuries of the pelvic organs (clinical case)V. A. Korotkov0L. O. Petrov1M. R. Kasymov,2V. V. Pasov3L. V. Aferkina4N. P. Naumov5A. D. Kaprin6S. A. Ivanov7A. Tsyb Medical Radiological Research Center – branch of the National Medical Research Radiological Center, Ministry of Health of RussiaA. Tsyb Medical Radiological Research Center – branch of the National Medical Research Radiological Center, Ministry of Health of RussiaA. Tsyb Medical Radiological Research Center – branch of the National Medical Research Radiological Center, Ministry of Health of RussiaA. Tsyb Medical Radiological Research Center – branch of the National Medical Research Radiological Center, Ministry of Health of RussiaA. Tsyb Medical Radiological Research Center – branch of the National Medical Research Radiological Center, Ministry of Health of RussiaA. Tsyb Medical Radiological Research Center – branch of the National Medical Research Radiological Center, Ministry of Health of RussiaA. Tsyb Medical Radiological Research Center – branch of the National Medical Research Radiological Center, Ministry of Health of RussiaA. Tsyb Medical Radiological Research Center – branch of the National Medical Research Radiological Center, Ministry of Health of RussiaThe 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.https://agx.abvpress.ru/jour/article/view/416uterine body cancerrecurrencelocal radiation damage to pelvic organsrecto-vesico-vaginal fistulaevisceration of pelvic organsvram flap
spellingShingle V. A. Korotkov
L. O. Petrov
M. R. Kasymov,
V. V. Pasov
L. V. Aferkina
N. P. Naumov
A. D. Kaprin
S. A. Ivanov
Pelvic floor reconstruction after total exenteration for radiation injuries of the pelvic organs (clinical case)
Андрология и генитальная хирургия
uterine body cancer
recurrence
local radiation damage to pelvic organs
recto-vesico-vaginal fistula
evisceration of pelvic organs
vram flap
title Pelvic floor reconstruction after total exenteration for radiation injuries of the pelvic organs (clinical case)
title_full Pelvic floor reconstruction after total exenteration for radiation injuries of the pelvic organs (clinical case)
title_fullStr Pelvic floor reconstruction after total exenteration for radiation injuries of the pelvic organs (clinical case)
title_full_unstemmed Pelvic floor reconstruction after total exenteration for radiation injuries of the pelvic organs (clinical case)
title_short Pelvic floor reconstruction after total exenteration for radiation injuries of the pelvic organs (clinical case)
title_sort pelvic floor reconstruction after total exenteration for radiation injuries of the pelvic organs clinical case
topic uterine body cancer
recurrence
local radiation damage to pelvic organs
recto-vesico-vaginal fistula
evisceration of pelvic organs
vram flap
url https://agx.abvpress.ru/jour/article/view/416
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AT vvpasov pelvicfloorreconstructionaftertotalexenterationforradiationinjuriesofthepelvicorgansclinicalcase
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