Reconstruction after anterior pelvic exenteration
Résumé
Anterior pelvic exenterations for gynecologic cancer are usually performed for local or loco-regional recurrences and advanced local tumors, in most cases after radiotherapy and brachytherapy. The aim of pelvic reconstructions achieved during the same time are preservations of urinary, digestive and, when possible, sexual functions, with a decrease of post-operative complication rate and preservation of quality of life. The different techniques of urinary diversion, vaginal reconstruction and pelvic filling are discussed with analyze of specific morbidity and practice evolution.