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Examples of pelvic reconstruction include the use of an allograft, autograft, or prosthesis to bridge the remaining ends of pelvic bone following resection. [1] [4] Arthrodesis is a technique that can be used in internal hemipelvectomy to fix the proximal femur to a segment of pelvic bone for the purposes of stabilizing the lower extremity. [1] [4]
After pelvic exenteration, many patients will have perineal hernia, often without symptoms, but only 3–10% will have perineal hernia requiring surgical repair. [4] Many problems can occur with the stoma. [1] Bowel obstruction may occur, or the anastomosis created by the surgery may leak. [1] The stoma may retract, or may prolapse. [1]
Low anterior resection syndrome is a complication of lower anterior resection, a type of surgery performed to remove the rectum, typically for rectal cancer.It is characterized by changes to bowel function that affect quality of life, and includes symptoms such as fecal incontinence, incomplete defecation or the sensation of incomplete defecation (rectal tenesmus), changes in stool frequency ...
During surgery anatomic defects in the sigmoid colon are sometimes observed in patients with ODS, such as acute bends which are stuck laterally (to one side of) or in front of the rectum. Many such defects may arise after hysterectomy because surgical adhesions in the pelvis may occur with scarring after the surgery.
Surgery in this group is more difficult and the risks are higher. [48] Morbid obesity (BMI > 40 kg/m 2). Pelvic surgery is more difficult in this group, and the risk of recurrence is higher after the procedure. [29] [48] Severe endometriosis, [29] Previous severe diverticulitis in the sigmoid colon. [29] [48]
A bowel resection or enterectomy (enter-+ -ectomy) is a surgical procedure in which a part of an intestine (bowel) is removed, from either the small intestine or large intestine. Often the word enterectomy is reserved for the sense of small bowel resection, in distinction from colectomy , which covers the sense of large bowel resection.
[3] [4] Complications may arise from concomitant surgery and inappropriate surgical techniques, while they can also be prevented with uterus preservation. [ 5 ] [ 6 ] Transvaginal mesh was once used widely for nearly 25% of prolapse interventions until the FDA ban, yet approximately 1 out of 15 patients required a mesh removal in the past decade.
Surgery involving the rectum (e.g. lower anterior resection, often performed for colorectal cancer), radiotherapy directed at the rectum, and inflammatory bowel disease can cause scarring, which may result in the walls of the rectum becoming stiff and inelastic, reducing compliance.