Complete Pelvic Evisceration in the Male for Complicated Carcinoma of the Rectum

RADICAL excision of the pelvic viscera for advanced carcinoma of the female pelvic organs has been successfully accomplished by Brunschwig1 and Parsons.2 Brunschwig3 has also recently reported a case of radical pelvic surgery in a man with advanced carcinoma of the sigmoid colon invading the urinary bladder.Our experiences in dealing with complications following ureterointestinal anastomosis and pelvic evisceration have crystallized certain concepts regarding the preparation and management of such cases. Some of the complications commonly seen after this type of surgery are urinary-fecal fistulas, abdominal and perineal wound sepsis and chemical and electrolyte imbalance including the syndrome of acidosis . . .