Pelvic evisceration as the method of choice in the treatment of recurrent cervical cancer
The current state of surgical treatment of cervical cancer after radiotherapy is discussed. It is shown that pelvic exenteration is the treatment of choice for the implementation of therapeutic tactics in a strictly limited number of clinical situations. Review of historical publications and reports of recent years suggests that many individuals have achieved more than 40% 5-year survival in these patients. At the same time, almost every second patient tolerates any postoperative complications, and every third - serious complications of surgery. Over the past 60 years considerable progress not only in the stage resection surgical treatment of these patients, but also, and to provide for them an acceptable quality of life, mostly due to the introduction of new approaches in the reconstructive phase of intervention. Women who have pelvic exenteration will need to be aware in detail the risks and possible delayed problems that follow this operation. Each patient must undergo a comprehensive evaluation to rule out signs of local unresectable tumors or metastatic nature.