[Externalized anus in patients with advanced ovarian cancer].
OBJECTIVE
Intestinal operations in advanced ovarian carcinoma due to intestinal obstruction are still controversial.


METHODS
The aim of study was to analyse the efficacy of intestinal operation and making anus praeter in the patient with advanced ovarian carcinoma.


METHODS
A total of 497 patient with ovarian carcinoma were operated in II Department of Obstetrics and Gynecology in 1990-2001. 66 patients with advanced ovarian cancer were analysed with a view to interventions for intestinal obstruction and making the anus praeter.


RESULTS
In the group of 497 patients with ovarian carcinoma there were a operations of making anus praeter in 66 cases (13.28%). It was performed during first operation in 40.9%, during SLO in 22.72%, TLO in 16.67% and following operations in 19.70%. In 5 cases (7.58%) there was a liquidatio of anus praeter after an average 8.8 months after intestinal operation.


CONCLUSIONS
Surgical intervention can be of value in removing life-threatening intestinal obstruction and to achieving longer survival with a possibility of receiving a further antineoplastic therapy.
Wydra
Dariusz
D
Instytutu Połoznictwa i Chorób Kobiecych AM w Gdańsku.
Ciach
Katarzyna
K
Sawicki
Sambor
S
Emerich
Janusz
J
D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications*; D011044:Poland; D012189:Retrospective Studies; D016879:Salvage Therapy / Q000379:methods