Skip to main content
main-content

01.12.2012 | Review | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

En bloc resection of extra-peritoneal soft tissue neoplasms incorporating a type III internal hemipelvectomy: a novel approach

Zeitschrift:
World Journal of Surgical Oncology > Ausgabe 1/2012
Autoren:
Sanjay S. Reddy, Norman D. Bloom
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-10-222) contains supplementary material, which is available to authorized users.

Competing interest

The authors declare that they have no competing interest.

Authors’ contributions

All patients presented to NDB for operative planning. SSR conducted the retrospective analysis and drafted the manuscript. All authors read and approved the final manuscript.

Abstract

Background

A type III hemipelvectomy has been utilized for the resection of tumors arising from the superior or inferior pubic rami.

Methods

In eight patients, we incorporated a type III internal hemipelvectomy to achieve an en bloc R0 resection for tumors extending through the obturator foramen or into the ischiorectal fossa. The pelvic ring was reconstructed utilizing marlex mesh. This allowed for pelvic stability and abdominal wall reconstruction with obliteration of the obturator space to prevent herniations.

Results

All eight patients had an R0 resection with an overall survival of 88% and with average follow up of 9.5 years. Functional evaluation utilizing the Enneking classification system, which evaluates motion, pain, stability and strength of the affected extremity, revealed a 62% excellent result and a 37% good result. No significant complications were associated with the operative procedure. Marlex mesh reconstruction provided pelvic stability and eliminated all hernial defects.

Conclusion

The superior and inferior pubic rami provide a barrier to a resection for tumors that arise in the extra-peritoneal pelvis extending through the obturator foramen or ischiorectal fossa. Incorporating a type III internal hemipelvectomy with a simple marlex mesh reconstruction allows for complete tumor resection without functional compromise, acute infectious issues, obturator or abdominal hernia defects.
Zusatzmaterial
Authors’ original file for figure 1
12957_2012_1186_MOESM1_ESM.pdf
Authors’ original file for figure 2
12957_2012_1186_MOESM2_ESM.jpeg
Authors’ original file for figure 3
12957_2012_1186_MOESM3_ESM.pdf
Authors’ original file for figure 4
12957_2012_1186_MOESM4_ESM.pdf
Authors’ original file for figure 5
12957_2012_1186_MOESM5_ESM.jpeg
Authors’ original file for figure 6
12957_2012_1186_MOESM6_ESM.jpeg
Authors’ original file for figure 7
12957_2012_1186_MOESM7_ESM.jpeg
Authors’ original file for figure 8
12957_2012_1186_MOESM8_ESM.jpeg
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2012

World Journal of Surgical Oncology 1/2012 Zur Ausgabe

Neu im Fachgebiet Chirurgie

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Chirurgie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise