Step by step Indiana puch construction in a previously irradiated patient with a cervical cancer relapse
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INVESTIGACIONMetadades
Títol
Step by step Indiana puch construction in a previously irradiated patient with a cervical cancer relapseAutoria
Data de publicació
2019-12-09Editor
ElsevierCita bibliogràfica
LLUECA, Antoni, et al. Step by step Indiana pouch construction in a previously irradiated patient with a cervical cancer relapse. International Journal of Surgery Case Reports, 2020, 66: 187-191.Tipus de document
info:eu-repo/semantics/articleVersió de l'editorial
https://www.sciencedirect.com/science/article/pii/S2210261219307035Versió
info:eu-repo/semantics/publishedVersionParaules clau / Matèries
Resum
Introduction
Radiation therapy and radical pelvic surgery, either radical cystectomy or pelvic exenteration, is the golden standard treatment for infiltrating bladder carcinoma, as well as advanced or recurrent ... [+]
Introduction
Radiation therapy and radical pelvic surgery, either radical cystectomy or pelvic exenteration, is the golden standard treatment for infiltrating bladder carcinoma, as well as advanced or recurrent cervical, vulvar, vaginal and endometrial cancer. However, due to the poor radiation sensitivity of the cervix and vagina, a high-radiation dose is required, leading to early and/or late onset urogenital complications in approximately 50% of the patients.
Case presentation
The following case report describes a 64-year-old native Russian woman presenting a relapse of a vaginal cuff squamous cell carcinoma, who underwent a laterally extended endopelvic resection (LEER) followed by a neobladder reconstruction based on the Indiana pouch (IP) technique. The process is described here step by step.
Discussion
Indiana pouch urinary diversion was based on thorough research, the reproducibility of the technique, our urologist’s experience with the Indiana Pouch, as well the lower rate of complications published in various separate series.
Conclusion
Indiana pouch is a successful continence urinary reservoir with a reproductible technique, however long-term observation is needed. [-]
Drets d'accés
© 2019 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
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