PROBLEMS AND PITFALLS IN PELVIC RECONSTRUCTIVE SURGERY

• Main Author: Paul A. Riss
• Format: Article
• Language: English
• Published: Slovenian Medical Association 2003-12-01
• Series: Zdravniški Vestnik
• Subjects: pelvic floor reconstructive surgery; anatomy; surgical approach; complications
• Online Access: http://vestnik.szd.si/index.php/ZdravVest/article/view/2218

<p>Background. Pelvic reconstructive surgery requires a solid understanding of the anatomy of the small pelvis and the pelvic floor, in particular to avoid complications during and after pelvic reconstructive surgery.</p><p>Methods. Possible complications of the pelvic floor reconstructive surgery are analised. There are 2 typical surgical problems encountered in pelvic reconstructive surgery: lesion of adjacent structures (rectum, bladder, ureter, small bowel) and hemorrhage.</p><p>Results. Postoperatively there is always a risk of pain, stenosis and dyspareunia, erosion of allograft, voiding problems, incontinence and prolapse.</p><p>Conclusions. These complications can be reduced by insisting on an exact preoperative diagnosis and by choosing the correct procedure, by having a good knowledge of anatomy and by using meticulous surgical technique.<br /><br /></p>