title: [Prolonged survival of a female patient with total pelvic exenteration].
abstract: BACKGROUND
  To present a female patient who lived 5 years after total pelvic exenteration (TPE).
  
  
  METHODS
  The female patient underwent TPE due to retrovesicovaginal fistula as a consequence of locoregional irradiation after the operation for the malignoma of the vaginal part of the uterus. In the formation of Bricker conduit, the ureter antireflux was achieved by the application of the "tobacco sack muff" made of the intestines around the ureter. By the use of this technique, the occurrence of pyelonephritis, as the leading cause of death in such patients, was prevented.
  
  
  CONCLUSIONS
  TPE is a hope for significantly prolonged survival of patients with advanced pelvic malignomas, or with a postirradiatiation fistula.
authors.affiliation: Vojnomedicinska akademija, Klinika za opstu i vaskularnu hirurgiju, Beograd.
authors.forename: Dragan
authors.initials: D
authors.lastname: Ignjatović
authors.forename: Miodrag
authors.initials: M
authors.lastname: Jevtić
authors.forename: Darko
authors.initials: D
authors.lastname: Mirković
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D010385:Pelvic Exenteration; D011832:Radiation Injuries / Q000601:surgery; D014625:Vaginal Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D014719:Vesicovaginal Fistula / Q000209:etiology / Q000601:surgery*