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Reconstruction in Exenterative Surgery

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Pelvic Cancer Surgery

Abstract

This chapter reviews the different surgical approaches necessary to reconstruct the urinary tract, the rectum and the vagina at the time of the pelvic exenteration for recurrent gynecologic malignancies. Diverse ways of diverting the urine by means of continent and incontinent conduits as well as the indications for orthotopic reconstruction are discussed. Furthermore, regarding the colorectal reconstruction, indications, most frequent complications and some surgical details are studied. Finally, we analyze the role and techniques of constructing a neovagina after exenteration.

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Author information

Authors and Affiliations

  1. Department of Gynecologic Oncology, MD Anderson Cancer Center, Madrid, Spain

    Luis M. Chiva MD, PhD, Fernando Lapuente MD & Sonsoles Alonso MD

  2. Department of Gynecology, University of Navarre, Pamplona, Spain

    Matias Jurado

Authors
  1. Luis M. Chiva MD, PhD
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  2. Fernando Lapuente MD
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  3. Sonsoles Alonso MD
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  4. Matias Jurado
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Corresponding author

Correspondence to Luis M. Chiva MD, PhD .

Editor information

Editors and Affiliations

  1. Urology, University Hospital of North Norway, Tromsø, Norway

    Hitendra R.H. Patel

  2. University College London Hospital, London, United Kingdom

    Tim Mould

  3. Laparoscopic and Robotic Surgery, University of Rochester Medical Center, Rochester, New York, USA

    Jean V. Joseph

  4. Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, Ohio, USA

    Conor P. Delaney

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© 2015 Springer-Verlag London

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Chiva, L.M., Lapuente, F., Alonso, S., Jurado, M. (2015). Reconstruction in Exenterative Surgery. In: Patel, H., Mould, T., Joseph, J., Delaney, C. (eds) Pelvic Cancer Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4258-4_38

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  • DOI: https://doi.org/10.1007/978-1-4471-4258-4_38

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4257-7

  • Online ISBN: 978-1-4471-4258-4

  • eBook Packages: MedicineMedicine (R0)

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