Abstract
ABSTRACT
A retrospective review was carried out on 40 patients who underwent surgery for an intestinal complication that occurred in association with persistent or recurrent cervical cancer. All patients had previously received radiotherapy. Five patients had undergone prior exenterative surgery. Fourteen patients had a small bowel obstruction, and 18 had, as part of their problem, some type of fistula to the vagina or bladder. There were 2 postoperative deaths. The mean and median survivals for the remaining 38 patients were 9.5 months and 5.5 months, respectively. A detailed account of patient subgroups is given in the text. Management of this heterogeneous group of patients must be highly individualized. Major surgical intervention does appear to be reasonable in selected patients. (J GYNECOL SURG 10:63, 1994)
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