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Palliative Surgery

  • Lisa A. dos Santos
  • Andrew W. MenzinEmail author
Chapter

Abstract

The trajectory of a patient’s illness may lead to a time when oncologic care focuses not on therapeutics but rather on symptom control and quality, not quantity, of life. Most often, interventions in this setting are pharmaceutical or psychosocial. However, in selective circumstances, surgery may be employed as a palliative tool. The most common clinical scenarios in which palliative surgery is considered include bowel obstruction, fistulas, urinary obstruction, and recurrent pleural effusion. We will review the relevant issues and management options for these common gynecologic oncology situations.

Keywords

Palliative surgery Gynecological oncology End-of-life issues Bowel obstruction Fistulas Urinary obstruction Pleural effusion 

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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynecology, Division of Gynecologic OncologyNorth Shore-LIJ Health SystemManhassetUSA
  2. 2.Hofstra North Shore-LIJ School of MedicineHempsteadUSA

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