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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Format: | Article |
Language: | Russian |
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ABV-press
2020-07-01
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Series: | Андрология и генитальная хирургия |
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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. |
first_indexed | 2024-04-10T03:52:20Z |
format | Article |
id | doaj.art-30da528d42fa48988efb80be24457a26 |
institution | Directory Open Access Journal |
issn | 2070-9781 |
language | Russian |
last_indexed | 2024-04-10T03:52:20Z |
publishDate | 2020-07-01 |
publisher | ABV-press |
record_format | Article |
series | Андрология и генитальная хирургия |
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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