Empty pelvis syndrome: a systematic review of reconstruction techniques and their associated complications

Johnson, Yj Yanika L; West, Malcolm; Gould, Laura E.; Drami, Id Ioanna; Behrenbruch, Corina; Burns, E.; Mirnezami, A.; Jenkins, J. J.

doi:10.1111/codi.15956

Cited by 31 publications

(30 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Admittedly, there is an absence of strong evidence proposing the superiority of one strategy over another in addressing the empty pelvis syndrome, with variations in practice across centres [10, 14]. However, in comparison to other techniques, BioA mesh is a relatively simple and straightforward strategy that requires little additional management considerations.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Long‐term results of mesh pelvic floor reconstruction to address the empty pelvis syndrome

et al. 2022

View full text Add to dashboard Cite

Pelvic exenteration has evolved into an accepted treatment for advanced pelvic malignancies that were traditionally deemed incurable.However, in performing radical excision of soft tissue and bony compartments of the pelvis, the physical implications are immediately evident in the simultaneous creation of an empty space in the pelvis.This space has the potential to fill with fluid or bowel with subsequent development of complications including pelvic collections, bowel obstruction, fistula and perineal wound breakdown. This so-called "empty pelvis syndrome" presents a constant challenge for the exenteration surgeon; balancing the benefits of improved survival by obtaining a clear surgical margin while contending with the morbidity resulting from pelvic complications which can be acute to chronic and longstanding.In 2018, we originally described a novel technique using a synthetic biodegradable GORE BIO-A mesh (WL Gore & Assoc) addressing the empty pelvis syndrome through a case series of 10 patients at our institution over a 1-year period [1]. Since the routine implementation of this practice, we have had further patients

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Long‐term results of mesh pelvic floor reconstruction to address the empty pelvis syndrome

et al. 2022

View full text Add to dashboard Cite

show abstract

“…reconstruction, consisting of four case series (84)(85)(86)(87), two single case reports (88,89), three technical notes (90)(91)(92), two experimental studies (87,93), a review (94) and a letter to editor (95).…”

Section: Pros Consmentioning

confidence: 99%

The deep inferior epigastric artery perforator flap: a narrative review on its various uses in non-breast reconstruction

Guinier¹,

Clermont-Tonnerre²,

Tay³

et al. 2023

Ann Transl Med

View full text Add to dashboard Cite

Background and Objective: The deep inferior epigastric artery perforator (DIEP) flap was first described by Koshima and Soeda in 1989 and is now well-established as the gold standard in breast reconstruction. Lately, this issue has been explored in the context of head and neck reconstruction, highlighting growing interest in the use of the DIEP flap beyond breast reconstruction, but its usage in other anatomical regions appears elusive. Nevertheless, DIEP flap reconstruction may be a viable choice for complex, three-dimensional head and neck deformities while upholding the criteria of minimal donor site morbidity, according to a recent review. To determine whether the DIEP flap may be used successfully in other types of reconstruction, we conducted a review on the use, applications, and outcomes of the DIEP flap in non-breast reconstruction. This is, as far as we are aware, the first comprehensive analysis of all applications of the DIEP flap other than for breast reconstruction.Methods: A literature review was performed using PubMed to include all relevant articles in English or French published up to February 2022. Keywords included "DIEP flap" and "deep inferior epigastric perforator flap". Key Contents and Findings: A total of 1,299 articles were identified with 105 on the use of the DIEP flap in non-breast reconstruction. This suggests increasing recognition of the DIEP flap as a feasible option for reconstruction of most anatomical regions, especially in lower limb and head and neck reconstruction, followed by gynecological reconstruction. The DIEP flap was also utilized in the reconstruction of upper limb, thigh and hip defects. Less commonly, it has been used for penoscrotal, groin, sternal, buttock and abdomen reconstruction. Conclusions:The scientific body of evidence showed the robustness and versatility of the DIEP flap in non-breast reconstruction, with its relative pros and cons at different anatomical regions.

show abstract

“…Reconstructive methods include myocutaneous flap reconstruction, omental flaps and mesh reconstruction. There is currently insufficient evidence in the literature to support the use of one reconstructive method over another [ 100 ].…”

Section: Contemporary Management Strategiesmentioning

confidence: 99%

Contemporary Management of Locally Advanced and Recurrent Rectal Cancer: Views from the PelvEx Collaborative

Collaborative¹

2022

Cancers

View full text Add to dashboard Cite

Pelvic exenteration is a complex operation performed for locally advanced and recurrent pelvic cancers. The goal of surgery is to achieve clear margins, therefore identifying adjacent or involved organs, bone, muscle, nerves and/or vascular structures that may need resection. While these extensive resections are potentially curative, they can be associated with substantial morbidity. Recently, there has been a move to centralize care to specialized units, as this facilitates better multidisciplinary care input. Advancements in pelvic oncology and surgical innovation have redefined the boundaries of pelvic exenterative surgery. Combined with improved neoadjuvant therapies, advances in diagnostics, and better reconstructive techniques have provided quicker recovery and better quality of life outcomes, with improved survival This article provides highlights of the current management of advanced pelvic cancers in terms of surgical strategy and potential future developments.

show abstract

Empty pelvis syndrome: a systematic review of reconstruction techniques and their associated complications

Cited by 31 publications

References 39 publications

Long‐term results of mesh pelvic floor reconstruction to address the empty pelvis syndrome

Long‐term results of mesh pelvic floor reconstruction to address the empty pelvis syndrome

The deep inferior epigastric artery perforator flap: a narrative review on its various uses in non-breast reconstruction

Contemporary Management of Locally Advanced and Recurrent Rectal Cancer: Views from the PelvEx Collaborative

Contact Info

Product

Resources

About