Pelvic exenteration

Don't let the peanut counters give up on your wife - there may be an
option of reconstruction that she's willing to live without, which
would shorten the length (or amount of ) surery/ies
Get CT scan and bone scan.
If either leans towards "maybe", buy a consult (outside the system)
that leans the other way

http://www.cancerbacup.org.uk/Cancertype/Cervix/Treatment/Surgery
Pelvic extenteration

If, after initial treatment, your cancer comes back in the pelvic
area, it may be possible to have an operation called a pelvic
extenteration. This is a major operation that involves removing all of
the structures in the pelvic area and can include the womb, cervix,
vagina, ovaries, bladder and the lower end of the large bowel
(rectum). This type of operation is only suitable for a small number
of women and you will need to have various investigations and scans to
see if it is possible.

Part of the operation involves the formation of two openings (stomas)
on the abdominal wall. These are needed because the operation removes
the bladder and the rectum and you will need two stoma bags: one to
collect your bowel motions and one for urine. These stomas are known
as a colostomy and a urostomy. Before the operation you will see a
nurse who specialises in the care of people with stomas (a stoma
nurse). The nurse will explain all about stomas and how to look after
them and can answer any questions you may have. The stoma nurse will
also visit you after the operation to help you begin to care for your
new stomas.

The operation also involves the formation (reconstruction) of a new
vagina.

A pelvic exenteration is a big operation, and many women find that
recovery can be difficult, both physically and emotionally. It is
important that you understand exactly how the operation may affect you
so it is a good idea to talk to your surgeon or specialist nurse. They
should be able to support you to make the right decision for you.


Locations/names gynaecology
http://www.esht.nhs.uk/eastbournedgh/
http://www.sesa.org.uk/sesa_hospitals.htm
http://society.guardian.co.uk/nhsplan/story/0,7991,864896,00.html
http://www.esht.nhs.uk/eastbournedgh/consultants.htm
http://www.olah.co.uk/cervix2.htm

http://www.nhscareers.nhs.uk/nhs-knowledge_base/data/5464.html
Royal College of Obstetricians & Gynaecologists
27 Sussex Place
London
NW1 4RG
Tel: 0207 772 6200
Website: www.rcog.org.uk


Book
<http://www.rcog.org.uk/index.asp?PageID=73&BookCategoryID=4&BookTypeID=23&BookDetailsID=1075>

<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8018644&dopt=Abstract>

: Br J Obstet Gynaecol. 1994 Jun;101(6):529-31. Related Articles,
Links
Pelvic exenteration: a review of the Gateshead experience
1974-1992.
Robertson G, Lopes A, Beynon G, Monaghan JM.
Department of Gynaecological Oncology, Queen Elizabeth Hospital,
Gateshead, Tyne, UK.
OBJECTIVE: To examine morbidity and survival among women treated
by pelvic exenteration for gynaecological malignancy. DESIGN:
Retrospective review by analysis of case records. SETTING: Department
of Gynaecological Oncology, Queen Elizabeth Hospital, Gateshead, UK.
SUBJECTS: Eighty-three consecutive patients referred from within the
UK from 1974 to 1992 for initial treatment of advanced gynaecological
malignancy or management of recurrent disease following unsuccessful
initial therapy. RESULTS: Overall five year actuarial survival was
41%, falling to 36% at 10 years. Serious morbidity was low, and there
were only three peri-operative deaths. CONCLUSIONS: For patients with
limited options for treatment of advanced primary or recurrent cancer,
exenteration offers a reasonable prospect of survival with good
quality of life.

PMID: 8018644 [PubMed - indexed for MEDLINE

See if email here is valid and ask for name of surgeon
http://www.communigate.co.uk/wilts/gynaec/forum.phtml?action=message&phpforum_id=3075

This woman had numerous surgeries after radiation therapy
http://www.eyesontheprize.org/stories/nellien.html

Archived links/info
http://www.talkaboutsupport.com/group/alt.support.cancer/messages/92925.html

http://www.hystersisters.com/vb2/showthread.php?threadid=113533
the first one here had it done after Cisplatin and RT -
one kidney failed and new mass found within one year, unfortunately.

They can remove the vaginal wall...

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