Pelvic floor reconstruction after total exenteration for radiation injuries of the pelvic organs (clinical case)

Abstract

The objective is to present the clinical case of pelvic floor reconstruction after total exenteration.Clinical case. The formation of the combined fistula after surgical treatment and combined radiation therapy for uterine body cancer is presented in female patient (57 years old). The rectum and bladder were removed, the perineal tissue was excised and a vulvectomy was performed. The rectus abdominis muscle was mobilized with epigastric artery and moved to the perineum. The wound was healed by primary tension. The patient lives a full life, adapted, and does not require analgesic therapy.Conclusion. The treatment and diagnosis tactics for regional combined fistulas are not standardized, and surgical treatment is the method of choice, especially in cases where the patient has already had radiation therapy for malignancy and relapse.

Keywords

• uterine body cancer
• recurrence
• local radiation damage to pelvic organs
• recto-vesico-vaginal fistula
• evisceration of pelvic organs
• vram flap