Delayed reconstruction of the bladder and rectum after evisceration of the pelvic organs in patients with relapse of malignant neoplasms and radiation injuries (2 clinical observations)
The study presents two clinical observations of delayed reconstructive surgeries: 1) in a patient with recto-bladder fistula formed after a course of external beam therapy due to recurrent prostate cancer; 2) in a patient with progressing cervical carcinosarcoma, tumor invasion in the bladder wall,...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | Russian |
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ABV-press
2022-06-01
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| Series: | Андрология и генитальная хирургия |
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| Online Access: | https://agx.abvpress.ru/jour/article/view/569 |
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| author | V. A. Korotkov L. O. Petrov M. R. Kasymov V. V. Pasov V. Y. Skoropad L. V. Tivkova A. S. Yamshchikova I. R. Gunko N. P. Naumov A. D. Kaprin S. A. Ivanov |
| author_facet | V. A. Korotkov L. O. Petrov M. R. Kasymov V. V. Pasov V. Y. Skoropad L. V. Tivkova A. S. Yamshchikova I. R. Gunko N. P. Naumov A. D. Kaprin S. A. Ivanov |
| author_sort | V. A. Korotkov |
| collection | DOAJ |
| description | The study presents two clinical observations of delayed reconstructive surgeries: 1) in a patient with recto-bladder fistula formed after a course of external beam therapy due to recurrent prostate cancer; 2) in a patient with progressing cervical carcinosarcoma, tumor invasion in the bladder wall, and metastases in the rectoperineal lymph nodes. Absence of standards of care, algorithms of diagnostic and surgical manipulations for this patient category creates a need for personalized approach to the stated problems. An interdisciplinary meeting allows to realize a plan of surgical help for these patients to address oncological process and complications of its treatment. At the reconstructive stage, we used techniques of formation of a new continent heterotopic reservoir from the ileocecal segment and coloanal anastomosis. The presented clinical observations are interesting due to delayed stage of reconstructive interventions which in the absence of progression of the main disease allows to perform correcting operations to improve patients’ quality of life. |
| first_indexed | 2024-04-10T03:52:01Z |
| format | Article |
| id | doaj.art-e77446f65e2e4ba8bfa54f630a5c2a56 |
| institution | Directory Open Access Journal |
| issn | 2070-9781 |
| language | Russian |
| last_indexed | 2024-04-10T03:52:01Z |
| publishDate | 2022-06-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Андрология и генитальная хирургия |
| spelling | doaj.art-e77446f65e2e4ba8bfa54f630a5c2a562023-03-13T07:15:11ZrusABV-pressАндрология и генитальная хирургия2070-97812022-06-01232839110.17650/2070-9781-2022-23-2-83-91464Delayed reconstruction of the bladder and rectum after evisceration of the pelvic organs in patients with relapse of malignant neoplasms and radiation injuries (2 clinical observations)V. A. Korotkov0L. O. Petrov1M. R. Kasymov2V. V. Pasov3V. Y. Skoropad4L. V. Tivkova5A. S. Yamshchikova6I. R. Gunko7N. P. Naumov8A. D. Kaprin9S. A. Ivanov10A. Tsyb Medical Radiological Research Centre – branch of the National Medical Research Radiological Centre of the Ministry of Health of RussiaA. Tsyb Medical Radiological Research Centre – branch of the National Medical Research Radiological Centre of the Ministry of Health of RussiaA. Tsyb Medical Radiological Research Centre – branch of the National Medical Research Radiological Centre of the Ministry of Health of RussiaA. Tsyb Medical Radiological Research Centre – branch of the National Medical Research Radiological Centre of the Ministry of Health of RussiaA. Tsyb Medical Radiological Research Centre – branch of the National Medical Research Radiological Centre of the Ministry of Health of RussiaA. Tsyb Medical Radiological Research Centre – branch of the National Medical Research Radiological Centre of the Ministry of Health of RussiaA. Tsyb Medical Radiological Research Centre – branch of the National Medical Research Radiological Centre of the Ministry of Health of RussiaA. Tsyb Medical Radiological Research Centre – branch of the National Medical Research Radiological Centre of the Ministry of Health of RussiaA. Tsyb Medical Radiological Research Centre – branch of the National Medical Research Radiological Centre of the Ministry of Health of RussiaA. Tsyb Medical Radiological Research Centre – branch of the National Medical Research Radiological Centre of the Ministry of Health of RussiaA. Tsyb Medical Radiological Research Centre – branch of the National Medical Research Radiological Centre of the Ministry of Health of RussiaThe study presents two clinical observations of delayed reconstructive surgeries: 1) in a patient with recto-bladder fistula formed after a course of external beam therapy due to recurrent prostate cancer; 2) in a patient with progressing cervical carcinosarcoma, tumor invasion in the bladder wall, and metastases in the rectoperineal lymph nodes. Absence of standards of care, algorithms of diagnostic and surgical manipulations for this patient category creates a need for personalized approach to the stated problems. An interdisciplinary meeting allows to realize a plan of surgical help for these patients to address oncological process and complications of its treatment. At the reconstructive stage, we used techniques of formation of a new continent heterotopic reservoir from the ileocecal segment and coloanal anastomosis. The presented clinical observations are interesting due to delayed stage of reconstructive interventions which in the absence of progression of the main disease allows to perform correcting operations to improve patients’ quality of life.https://agx.abvpress.ru/jour/article/view/569late radiation injuriesurinary-rectal fistulacervical carcinosarcomaevisceration of pelvic organsreconstructive surgerycontinental heterotopic urinary reservoir |
| spellingShingle | V. A. Korotkov L. O. Petrov M. R. Kasymov V. V. Pasov V. Y. Skoropad L. V. Tivkova A. S. Yamshchikova I. R. Gunko N. P. Naumov A. D. Kaprin S. A. Ivanov Delayed reconstruction of the bladder and rectum after evisceration of the pelvic organs in patients with relapse of malignant neoplasms and radiation injuries (2 clinical observations) Андрология и генитальная хирургия late radiation injuries urinary-rectal fistula cervical carcinosarcoma evisceration of pelvic organs reconstructive surgery continental heterotopic urinary reservoir |
| title | Delayed reconstruction of the bladder and rectum after evisceration of the pelvic organs in patients with relapse of malignant neoplasms and radiation injuries (2 clinical observations) |
| title_full | Delayed reconstruction of the bladder and rectum after evisceration of the pelvic organs in patients with relapse of malignant neoplasms and radiation injuries (2 clinical observations) |
| title_fullStr | Delayed reconstruction of the bladder and rectum after evisceration of the pelvic organs in patients with relapse of malignant neoplasms and radiation injuries (2 clinical observations) |
| title_full_unstemmed | Delayed reconstruction of the bladder and rectum after evisceration of the pelvic organs in patients with relapse of malignant neoplasms and radiation injuries (2 clinical observations) |
| title_short | Delayed reconstruction of the bladder and rectum after evisceration of the pelvic organs in patients with relapse of malignant neoplasms and radiation injuries (2 clinical observations) |
| title_sort | delayed reconstruction of the bladder and rectum after evisceration of the pelvic organs in patients with relapse of malignant neoplasms and radiation injuries 2 clinical observations |
| topic | late radiation injuries urinary-rectal fistula cervical carcinosarcoma evisceration of pelvic organs reconstructive surgery continental heterotopic urinary reservoir |
| url | https://agx.abvpress.ru/jour/article/view/569 |
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