title: Management of the pelvic floor after pelvic exenteration.
abstract: At the Mayo Clinic, 198 exenterative operations were performed from 1950 through 1971. Although the 5-year survival rate of all patients was 33%, bowel obstruction occurred in 11.6% of patients and intestinal fistula formation in 12.6%. The majority of patients with these complications had had previous pelvic irradiation. The difficulty in dealing with the large raw area in the pelvis is discussed with a review of the various methods that have been tried to date to reperitonealize the pelvis and thereby, it is hoped, prevent adhesions or fistula formation.
mesh_terms: D000818:Animals; D003094:Collagen; D005321:Extraembryonic Membranes / Q000637:transplantation; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000401:mortality; D007415:Intestinal Obstruction / Q000209:etiology / Q000401:mortality; D007441:Intubation, Gastrointestinal; D008910:Minnesota; D009852:Omentum / Q000601:surgery; D010385:Pelvic Exenteration; D010388:Pelvis / Q000528:radiation effects / Q000601:surgery* / Q000637:transplantation; D010537:Peritoneum / Q000601:surgery / Q000637:transplantation; D011183:Postoperative Complications; D011247:Pregnancy; D013526:Surgical Mesh; D014182:Transplantation, Autologous
chemical_list: D003094:Collagen