What is pelvic exeentation?
pelvic Exentation is the main surgery that includes the removal of the majority or all organs found in the pelvic area. It is usually reserved for severe, repeating cancer that do not respond to minor operations, radiation or chemotherapy. The small and large intestine is redesigned to bypass the pelvis and eliminate waste by surgical openings in the abdomen. Pnelvic exeentation is most often performed in women with cervical cancer, although a male patient with severe prostate or rectal cancer may also be a candidate.
Doctors will run out all other options for cancer therapy before considering pelvic exeentation. Cervical cancer and other malignancies in the region that persist despite aggressive treatment are usually fatal and the removal of organs may be for the suffering final hope. There are three general types of exeentation of the pelvis: front, rear and overall. Urine bladder, urethra and female reproductive organs are removed in the front procedure and rectaum and reproductive organs JThey are cut during the rear surgery. The overall extent includes the removal of all organs, tendons, muscles and adipose tissues in the pelvic area.
The procedure is usually performed in about three hours, while the patient is maintained under general anesthesia. The surgeon makes a long cut along the lower abdomen and continues to carefully remove the respective structures. If the bladder is removed, a hole called a stoma is produced in the abdomen and attached to the kidneys, so the urine can be directly excluded from the body. If the rectum is removed, another stoma is created to empty the large intestine. The case is associated with each stoma for waste collection.
Immediately after pelvic exeentation, the patient is admitted to the hospital room so that doctors and nurses can monitor recovery. Usually, the stomach tube is inserted to prevent food and liquids from entering for several days. The nurses dress and pure surgical scars and stomas.The patient is usually instructed to stay in bed for about three days, and then gradually began to walk to rebuild strength. Most patients can go home about two weeks after their operations.
Exenteration can significantly change the life of a person. Women stop menstruating and have become infertile and many men lose the ability to obtain an erection. The waste collection case must be worn all the time under the clothes and changes regularly. With the practice, support and positive approach, one can learn to overcome physical restrictions and adapt to lifestyle changes after surgery.