Abstract:
Objective This work aims to investigate the method and significance of postoperative restitution after pelvic exenteration on female rectal cancer patients.
Methods Since 1996, 49 cases of female rectal cancer underwent posterior pelvic exenteration in the Chongqing Cancer Institute. These patients received plastic operation of the vagina that was constituted from the sigmoid flexure. The pre-sacral space was simultaneously filled by the greater omentum. Primary suture of the perineum was performed in 34 out of 49 cases.
Results The reconstructed vaginas have a width of two fingers, a depth between 8 and 10 cm, and a smooth, soft, and lustrous quality. Their shape and localization were the same as those of the original vaginas, and the patients revealed they have satisfied sexual life and improved bladder function without dysuresia.
Conclusion mThe structural defect of the vagina was eliminated after posterior pelvic exenteration and plastic operation. The sexual function of the vagina was maintained, and the quality of life of the patients improved.