Description

Pelvic resection, also known as pelvic exenteration, is a surgical procedure that involves the removal of a portion or the entirety of the pelvic organs and surrounding structures. It is a complex and extensive surgery performed in cases where there is advanced or recurrent cancer involving the pelvis or other conditions that necessitate the removal of pelvic organs. Here are some key points about pelvic resection: 1. Indications: Pelvic resection is typically performed for advanced cancers that have invaded the pelvic region, such as colorectal, gynecological (e.g., cervical, ovarian), bladder, or rectal cancer. 2. Surgical procedure: The exact extent of the pelvic resection depends on the specific condition and tumor involvement. It may involve removal of the bladder (cystectomy), rectum (rectal resection), uterus and cervix (hysterectomy), ovaries, part of the vagina, and nearby lymph nodes. 3. Reconstruction: After the removal of the affected pelvic organs, reconstruction is performed to restore urinary and bowel continuity. This may involve the creation of an ostomy (e.g., ileostomy or colostomy) for the diversion of bowel contents or the creation of a neobladder or urinary conduit for urinary function. 4. Risks and complications: Pelvic resection is a major surgery and carries risks and potential complications, including bleeding, infection, injury to surrounding structures (such as nerves, blood vessels, or nearby organs), urinary or bowel dysfunction, sexual dysfunction, and psychological impact. 5. Recovery and rehabilitation: The recovery period after pelvic resection can be lengthy and may involve a hospital stay of several weeks. 6. Multidisciplinary approach: Pelvic resection requires a multidisciplinary team, including surgeons, oncologists, radiologists, and specialized nurses. Pelvic resection is a highly specialized surgical procedure performed in specific cases where the disease is locally advanced and involves the pelvic region.

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