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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1994-11-28
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pubmed:abstractText |
This is an evaluation of our experience with colorectal reanastomosis on a gynecologic oncology service. A retrospective review was carried out on all patients who underwent colorectal resection and reanastomosis on the gynecologic oncology service from October 1, 1987 to September 30, 1992. Thirty-nine procedures were performed: Nine patients underwent sigmoidectomy alone, 20 also underwent cytoreduction, and 10 also underwent exenteration. Thirty-eight percent of the patients had undergone prior radiotherapy. The level of anastomosis above the anal verge was 3-5 cm in 9 patients, 6-9 cm in 20 patients, and 10-14 cm in 10 patients. Sixteen had a protective colostomy which included 13 of the 15 patients with prior radiotherapy. Thirteen of the protective colostomies were taken down, although three of these required a second permanent colostomy. Three other patients required colostomy at a later date, one of whom developed a rectovaginal fistula 10 days following exenteration for postradiation recurrent carcinoma of the cervix. A total of 30 of the 37 evaluable patients (81%) had an ultimately functional colorectal reanastomosis. Problems related to colorectal function included stricture (4), fistula (4), chronic diarrhea (3), tenesmus (1), and fecal incontinence (1). Colorectal anastomosis is a worthwhile endeavor in selected patients with gynecologic cancer.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0090-8258
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
55
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
60-5
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7959269-Adult,
pubmed-meshheading:7959269-Aged,
pubmed-meshheading:7959269-Aged, 80 and over,
pubmed-meshheading:7959269-Anastomosis, Surgical,
pubmed-meshheading:7959269-Colon,
pubmed-meshheading:7959269-Colostomy,
pubmed-meshheading:7959269-Female,
pubmed-meshheading:7959269-Genital Neoplasms, Female,
pubmed-meshheading:7959269-Humans,
pubmed-meshheading:7959269-Intraoperative Complications,
pubmed-meshheading:7959269-Middle Aged,
pubmed-meshheading:7959269-Postoperative Complications,
pubmed-meshheading:7959269-Rectum,
pubmed-meshheading:7959269-Reoperation,
pubmed-meshheading:7959269-Retrospective Studies
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pubmed:year |
1994
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pubmed:articleTitle |
Colorectal anastomosis on a gynecologic oncology service.
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pubmed:affiliation |
Department of Obstetrics and Gynecology, University of South Florida, Tampa 33606.
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pubmed:publicationType |
Journal Article
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