Affiliation:
1. Universidade Federal do Pará, Brazil
2. Universidade do Estado do Pará, Brazil
Abstract
ABSTRACT Objective: to identify the main complications arising from the pelvic exenteration surgery in gynecological cancer and the in-hospital death outcome after the surgical procedure. Method: an integrative literature review considering 23 articles published from 2012 to 2020 in the LILACS and IBECS databases. The descriptors used were the following: genital cancer, gynecological cancer, pelvic exenteration, exenteration, postoperative complications, surgical complications and death, combined by means of the AND or OR Boolean connectors. Results: surgical applicability was verified for cervical, uterine, ovarian, vaginal and vulvar cancer; age was associated with comorbidities (diabetes and hypertension); total pelvic exenteration was predominant; and there were high mean surgical and hospitalization times due to infections. Contributions to the area: this research enables improvements in the health care provided in the PE pre-, peri- and post-operative periods, as it elucidates the main problems resulting from this surgery, their stratifications and management options.
Reference31 articles.
1. Manual de Condutas em Oncologia Clínica;Revista da Sociedade Brasileira de Oncologia Clínica,2011
2. Total Pelvic Exenteration for Gynecologic Malignancies;Diver EJ;International Journal of Surgical Oncology,2012
3. Indicações e Complicações da Exenteração Pélvica no Câncer Ginecológico;Signorini Filho RC;Femina,2014
4. Pelvic exenteration for recurrent gynecologic malignancy: a study of 28 consecutive patients at a single institution;Jager L;International Journal of Gynecological Cancer,2013
5. Cultural adaptation and the Clavien-Dindo surgical complications classification translated to Brazilian;Moreira LF;Rev. Col. Bras. Cir,2016