POSTOPERATIVE COMPLICATIONS ASSOCIATED WITH PELVIC EXENTERATION IN WOMEN WITH GYNECOLOGICAL CANCER: AN INTEGRATIVE REVIEW
DOI:
https://doi.org/10.1590/ce.v28i0.91239Keywords:
Neoplasms in the Female Genitals, Pelvic Exenteration, Postoperative Complications, Oncology, Comorbidity.Abstract
Objective: to identify the main complications arising from the pelvic exenteration surgery in gynecological cancer and the in-hospital death outcome after the surgical procedure.
Method: an integrative literature review considering 23 articles published from 2012 to 2020 in the LILACS and IBECS databases. The descriptors used were the following: genital cancer, gynecological cancer, pelvic exenteration, exenteration, postoperative complications, surgical complications and death, combined by means of the AND or OR Boolean connectors.
Results: surgical applicability was verified for cervical, uterine, ovarian, vaginal and vulvar cancer; age was associated with comorbidities (diabetes and hypertension); total pelvic exenteration was predominant; and there were high mean surgical and hospitalization times due to infections.
Contributions to the area: this research enables improvements in the health care provided in the PE pre-, peri- and post-operative periods, as it elucidates the main problems resulting from this surgery, their stratifications and management options.
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