Reference no: EM133560249

Question

The patient has a diagnosis of recurrent cervical carcinoma with metastatic disease to the uterus, ovaries, fallopian tubes, and urinary bladder. After discussing surgical risks, the patient consented to pelvic exenteration, which included an abdominal hysterectomy. An incision was made at the pubic area. The fascia and muscle were retracted. The cervix, uterus, ovaries, and fallopian tubes were identified and excised. The bladder was found to have numerous lesions; it was also removed. The ureters were transplanted to the skin to allow for urine flow. An ileal urinary conduit, in which the ureters are implanted into a segment of small bowel, was done. Patient also underwent placement of needles into pelvic organs in preparation for subsequent interstitial radioelement application, which will be scheduled postoperatively.