Pelvic-Exenteration

Health and Wellness » Gynecological Surgeries in India»Pelvic-Exenteration

Pelvic exenteration is a surgical removal of all organs from a person’s pelvic cavity. In this procedure several organs of the lower abdomen are removed. Pelvic exenteration is very intricate surgery because it involves elaborate reconstructive surgery. This surgery is performed to remove the cancer and to prevent it from recurring. It is a radical surgical procedure in which urinary bladder, urethra, anus and rectum are removed. In women ovaries, fallopian tubes, vagina, uterus, and cervix are removed whereas in men the prostate and various duct glands are removed.

Several tests are performed before pelvic exenteration surgery for evaluation. Detailed physical examination with rectal and pelvic examination, endorectal ultrasound, computed tomography scans (CT scans) and Magnetic resonance imaging (MRI), ocular ultrasound examination and angiography are usually performed before pelvic exenteration. The surgical procedure performed on patient depends on the type of pelvic exenteration. There are three types of pelvic exenteration total exenteration, anterior exenteration and posterior exenteration.

Types of pelvic exenteration:

  1. Total pelvic exenteration:In this procedure bladder, urethra, rectum, anus, and supporting muscles and ligaments and reproductive organs are removed. When there is no opportunity to perform less extensive then only total pelvic exenteration is performed.
  2. Anterior pelvic exenteration: In this surgery, organs toward the front of the pelvic cavity are removed. In this procedure, female reproductive organs, bladder, and urethra are removed. The operation in which male bladder and prostate are removed is known as cystoprostatectomy.
  3. Posterior pelvic exenteration: In this surgery, organs that are located in the back part of the pelvic cavity are removed. The reproductive organs, lower part of the bowel, bladder and urethra are kept intact.

This is a major surgery and performed under a general anesthesia. Before the surgery, the patient will be given a bowel prep to cleanse the colon and prepare it for pelvic exenteration surgery. This is performed to lower the level of intestinal bacteria. At times doctor advice antibiotics to decrease bacteria levels in the bowel.

Risk of pelvic exenteration:

At times there anesthesia can create complications at the time of surgery. This surgery can also cause wound infection, injury to adjacent organs or structures, hemorrhage that may require a blood transfusion, injury to the bowel, urinary tract infection and bowel obstruction.

Hospital for Pelvic exenteration in India:

  1. All India Institute of Medical Sciences, Delhi
  2. Sant Parmanand Hospital, Delhi
  3. Columbian Asia 21st Century Health Care, Bangalore
  4. Yashoda Hospital, Hyderabad
  5. Heritage Hospitals, Hyderabad
  6. Jaslok Hospital and Research centre, Mumbai
  7. Kokilaben Dhirubhai Ambani Hospital, Mumbai
  8. Mission of emrcy Hospital and research Centre, Kolkata
  9. Apollo Gleneagles Hospital, Kolkata
  10. Fortis Escorts Hospital, jaipur

Pelvic exenteration in India:

You can easily afford pelvic exenteration surgery in India. The cost of pelvic exenteration surgery in India is quite economical as compare to other countries of the world. India offers the personal yet inclusive care that every expectant mother and her family deserve. India is one of the best destinations for pelvic exenteration surgery.