TOTAL PELVIC EXENTERATION -A REVIEW OF CASES

Pelvic exenteration is one of the major surgery during which all contents of pelvic cavity are removed. Total pelvic exenteration is indicated in patients with advanced stage rectal carcinoma and carcinoma cervix and in cases of local recurrence of rectal cancer, recurrent carcinoma cervix after radiotherapy in tumour advanced into bladder or into other pelvic organs but disease confined to pelvis. Total pelvic exenteration can be curative, often is palliative for similar lesions that are recurrent or non responsive to radiotherapy. Although improvement in preoperative management and operative technique, especially with urinary conduits and postoperative care is clear, both early and late complications are significant. Unfortunately preoperative identification of those patients requiring Total pelvic exenteration rather than abdominoperineal or low anterior resection remains poor. Here we discuss about the three cases of Total pelvic exenteration operated for locally advanced pelvic cancers.