title: Reconstruction of sigmoid vagina and conduit in total pelvic exenteration for recurrent cervical carcinoma.
abstract: Although total pelvic exenteration is performed for central recurrent or persistent uterine cervical carcinoma, the patient is damaged both physiologically and psychologically by its massive surgical procedure and complications as well as the loss of the vagina. Vaginal reconstruction at the time of surgery brings much advantageous satisfaction to the patient's future life and a strong bond with her husband. Furthermore, a new reconstructed vagina occuping the pelvic cavity prevents intestinal herniation and is available for bimanual examination in the follow-up to surgery. A case of recurrent cervical carcinoma is presented, with reconstruction of the vagina and conduit using the sigmoid colon in total pelvic exenteration.
authors.affiliation: Division of Gynecology, Tochigi Cancer Center.
authors.forename: K
authors.initials: K
authors.lastname: Shiromizu
authors.forename: M
authors.initials: M
authors.lastname: Ogawa
authors.forename: K
authors.initials: K
authors.lastname: Kotake
authors.forename: Y
authors.initials: Y
authors.lastname: Koyama
authors.forename: M
authors.initials: M
authors.lastname: Nakazono
authors.forename: K
authors.initials: K
authors.lastname: Hirao
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D012809:Colon, Sigmoid / Q000637:transplantation; D005260:Female; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010385:Pelvic Exenteration / Q000379:methods*; D002583:Uterine Cervical Neoplasms / Q000601:surgery*; D014621:Vagina / Q000601:surgery*