(Laterally) Extended Endopelvic Resection

Jan 12, 2019 by in GYNECOLOGY Comments Off on (Laterally) Extended Endopelvic Resection

BACKGROUND Print Section Listen Insights in the topology of locoregional tumor spread from developmental biology call for redefining the principles of cancer surgery.1 Surgical procedures translating these concepts into practice…

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Bone and Extended Pelvic Resections

Jan 12, 2019 by in GYNECOLOGY Comments Off on Bone and Extended Pelvic Resections

BACKGROUND Print Section Listen Most recurrent and locally advanced gynecologic malignancies carry a poor prognosis. Advances in multimodality management have improved local control and overall survival (OS).1,2,3 Historically, tumors invading…

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Pelvic Exenteration

Jan 12, 2019 by in GYNECOLOGY Comments Off on Pelvic Exenteration

BACKGROUND AND EVOLUTION Print Section Listen Exenteration was first reported by Brunchswig in 1948 as a palliative procedure, and, in his subsequent series of 561 patients collected from 1948 to…

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Tissue Rearrangement Techniques and Regional Flaps

Jan 12, 2019 by in GYNECOLOGY Comments Off on Tissue Rearrangement Techniques and Regional Flaps

BACKGROUND Print Section Listen Extirpative gynecologic cancer surgery may result in partial or full-thickness defects of the abdominal wall. Although minor defects can be repaired primarily, large or composite defects…

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Radical Vulvectomy: En Bloc Radical Vulvectomy, Separate Incision Radical Vulvectomy, Wide Radical Excision of the Vulva, and Inguinofemoral Lymphadenectomy

Jan 12, 2019 by in GYNECOLOGY Comments Off on Radical Vulvectomy: En Bloc Radical Vulvectomy, Separate Incision Radical Vulvectomy, Wide Radical Excision of the Vulva, and Inguinofemoral Lymphadenectomy

BACKGROUND Print Section Listen Radical vulvectomy has 2 major variations: en bloc radical vulvectomy and bilateral inguinal lymphadenectomy and the technique with separate vulvar and groin incisions. Historically, all cases…

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