Pelvic exenteration

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Pelvic exenteration
Anesthesia type

General

Airway

ETT

Lines and access

2-3 Large bore IVs, Arterial line

Monitors

Standard

Primary anesthetic considerations
Preoperative
Intraoperative

Volume shifts and bleeding

Postoperative
Article quality
Editor rating
Unrated
User likes
0

 Pelvic exenteration is a large abdominal surgery utilized in treating advanced or recurrent pelvic carcinoma where all pelvic tissues, including the cervix, bladder, lymph nodes, rectum, uterus, and vagina, are resected along with vaginal reconstruction and colon and urinary diversions.

Preoperative management

Patient evaluation

System Considerations
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Labs and studies

Extend of tumor burden, vascular involvement of masses

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

ICU

Pain management

Potential complications

Procedure variants

Variant 1 Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications

References