Prevention and treatment of empty pelvic syndrome after pelvic exenteration
Pelvic exenteration is a radical surgery for the treatment of primary and recurrent pelvic malignancies and radiation-induced rectal injury, involving the resection of multiple pelvic organs. This procedure is highly invasive and associated with a high incidence of complications. The removal of pelv...
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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of Colorectal & Anal Surgery
2025-02-01
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| Series: | 结直肠肛门外科 |
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| Online Access: | https://jzcgmwk.cbpt.cnki.net/WKD/WebPublication/paperDigest.aspx?paperID=f395be1a-ab24-472d-a9dd-c487c0faa935 |
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| author | Hu Gen Zhao Zhenguo Zhong Weidong Pu Lingxiao Wang Zhen Li Wei Liu Jinchun Dai Liqiang Zhang Liying Hua Li Zhang Jian Shao Guoyi |
| author_facet | Hu Gen Zhao Zhenguo Zhong Weidong Pu Lingxiao Wang Zhen Li Wei Liu Jinchun Dai Liqiang Zhang Liying Hua Li Zhang Jian Shao Guoyi |
| author_sort | Hu Gen |
| collection | DOAJ |
| description | Pelvic exenteration is a radical surgery for the treatment of primary and recurrent pelvic malignancies and radiation-induced rectal injury, involving the resection of multiple pelvic organs. This procedure is highly invasive and associated with a high incidence of complications. The removal of pelvic organs during surgery leaves an empty pelvic cavity, which can lead to pelvic abscess, perineal incision dehiscence, intestinal obstruction, and intestinal fistula, collectively known as empty pelvic syndrome. To prevent this syndrome, our team has adopted the “sandwich” technique, which involves placing a basal membrane bioscaffold on the abdominal side, another on the anal side, and a greater omental flap between the two scaffolds to reconstruct the pelvic floor. For empty pelvic syndrome involving pelvic infection and perineal incision dehiscence, our team effectively manage the pelvic wound using negative pressure wound therapy. |
| format | Article |
| id | doaj-art-23f688f476ea4934a42a6763da1fd36c |
| institution | DOAJ |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2025-02-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-23f688f476ea4934a42a6763da1fd36c2025-08-20T03:08:20ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912025-02-01311111510.19668/j.cnki.issn1674-0491.2025.01.003Prevention and treatment of empty pelvic syndrome after pelvic exenterationHu Gen0Zhao Zhenguo1Zhong Weidong2Pu Lingxiao3Wang Zhen4Li Wei5Liu Jinchun6Dai Liqiang7Zhang Liying8Hua Li9Zhang Jian10Shao Guoyi11Department of General Surgery Ⅰ, Jiangyin People’s Hospital (Affiliated Jiangyin Hospital of Nantong University), Jiangyin 214400, Jiangsu, ChinaDepartment of General Surgery Ⅰ, Jiangyin People’s Hospital (Affiliated Jiangyin Hospital of Nantong University), Jiangyin 214400, Jiangsu, ChinaDepartment of General Surgery Ⅰ, Jiangyin People’s Hospital (Affiliated Jiangyin Hospital of Nantong University), Jiangyin 214400, Jiangsu, ChinaDepartment of General Surgery Ⅰ, Jiangyin People’s Hospital (Affiliated Jiangyin Hospital of Nantong University), Jiangyin 214400, Jiangsu, ChinaDepartment of General Surgery Ⅰ, Jiangyin People’s Hospital (Affiliated Jiangyin Hospital of Nantong University), Jiangyin 214400, Jiangsu, ChinaDepartment of General Surgery Ⅰ, Jiangyin People’s Hospital (Affiliated Jiangyin Hospital of Nantong University), Jiangyin 214400, Jiangsu, ChinaDepartment of General Surgery Ⅰ, Jiangyin People’s Hospital (Affiliated Jiangyin Hospital of Nantong University), Jiangyin 214400, Jiangsu, ChinaDepartment of General Surgery Ⅰ, Jiangyin People’s Hospital (Affiliated Jiangyin Hospital of Nantong University), Jiangyin 214400, Jiangsu, ChinaDepartment of General Surgery Ⅰ, Jiangyin People’s Hospital (Affiliated Jiangyin Hospital of Nantong University), Jiangyin 214400, Jiangsu, ChinaDepartment of General Surgery Ⅰ, Jiangyin People’s Hospital (Affiliated Jiangyin Hospital of Nantong University), Jiangyin 214400, Jiangsu, ChinaDepartment of Anorectal Surgery, The Second Affiliated Hospital of Naval Medical University (Shanghai Changzheng Hospital), Shanghai 200070, ChinaDepartment of General Surgery Ⅰ, Jiangyin People’s Hospital (Affiliated Jiangyin Hospital of Nantong University), Jiangyin 214400, Jiangsu, ChinaPelvic exenteration is a radical surgery for the treatment of primary and recurrent pelvic malignancies and radiation-induced rectal injury, involving the resection of multiple pelvic organs. This procedure is highly invasive and associated with a high incidence of complications. The removal of pelvic organs during surgery leaves an empty pelvic cavity, which can lead to pelvic abscess, perineal incision dehiscence, intestinal obstruction, and intestinal fistula, collectively known as empty pelvic syndrome. To prevent this syndrome, our team has adopted the “sandwich” technique, which involves placing a basal membrane bioscaffold on the abdominal side, another on the anal side, and a greater omental flap between the two scaffolds to reconstruct the pelvic floor. For empty pelvic syndrome involving pelvic infection and perineal incision dehiscence, our team effectively manage the pelvic wound using negative pressure wound therapy.https://jzcgmwk.cbpt.cnki.net/WKD/WebPublication/paperDigest.aspx?paperID=f395be1a-ab24-472d-a9dd-c487c0faa935empty pelvic syndromepelvic exenterationnegative pressure wound therapy |
| spellingShingle | Hu Gen Zhao Zhenguo Zhong Weidong Pu Lingxiao Wang Zhen Li Wei Liu Jinchun Dai Liqiang Zhang Liying Hua Li Zhang Jian Shao Guoyi Prevention and treatment of empty pelvic syndrome after pelvic exenteration 结直肠肛门外科 empty pelvic syndrome pelvic exenteration negative pressure wound therapy |
| title | Prevention and treatment of empty pelvic syndrome after pelvic exenteration |
| title_full | Prevention and treatment of empty pelvic syndrome after pelvic exenteration |
| title_fullStr | Prevention and treatment of empty pelvic syndrome after pelvic exenteration |
| title_full_unstemmed | Prevention and treatment of empty pelvic syndrome after pelvic exenteration |
| title_short | Prevention and treatment of empty pelvic syndrome after pelvic exenteration |
| title_sort | prevention and treatment of empty pelvic syndrome after pelvic exenteration |
| topic | empty pelvic syndrome pelvic exenteration negative pressure wound therapy |
| url | https://jzcgmwk.cbpt.cnki.net/WKD/WebPublication/paperDigest.aspx?paperID=f395be1a-ab24-472d-a9dd-c487c0faa935 |
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