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Designed for patients with recurrent anal, cervical, or rectal cancers when first-line treatments don’t work. This is typically limited to the lower pelvis and perineum. The procedure uses abdominal wall tissue for reconstruction to lower complication risk and aid healing. We take a multidisciplinary and collaborative approach to this complex procedure to ensure the best outcomes for the patient.
Pelvic exenteration may cure recurrent cancer after other treatments fail.
We use healthy abdominal tissue for immediate reconstruction to significantly improve healing.
Studies show using non-radiated tissue cuts complication rates by over half compared to traditional approaches.
Our team delivers integrated care from removal to recovery, ensuring continuous support throughout treatment.
The type of pelvic exenteration recommended will depend on your imaging results, cancer location, and overall health. Dr. Moore and Dr. Cassileth will create a personalized surgical plan focused on removing disease while preserving function.
Total pelvic exenteration removes all pelvic organs and is used when cancer has spread throughout the pelvic region.
This approach removes the rectum, anus, and reproductive organs when cancer is mainly in the back of the pelvis.
This procedure removes the bladder, urethra, and reproductive organs in females, typically when cancer involves the front of the pelvis.
Preparation begins with a full evaluation, including imaging, labs, and consultations with Dr. Moore and Dr. Cassileth. You'll receive detailed pre-op instructions covering medications, diet, and activity. Most patients have leakage, wounds, or radiation injury—these do not disqualify you from surgery.
Pelvic exenteration is performed in a hospital setting under general anesthesia. The procedure typically involves two main phases. The entire procedure may take several hours, depending on the extent of the cancer and the complexity of the reconstruction required.
Dr. Beth Moore performs the cancer removal, precisely excising affected tissues and organs while preserving as much healthy tissue as possible.
Following cancer removal, Dr. Lisa Cassileth reconstructs the pelvis with healthy abdominal tissue to aid healing and reduce complications. The area is fully closed, usually with minimal waistline reduction and maintained function.
Recovery begins with a short hospital stay, where your care team will monitor progress and manage discomfort. Before discharge, you’ll receive clear at-home care instructions.
Candidates typically have recurrent anal, cervical, or rectal cancer unresponsive to treatment, with disease confined to the pelvis. Our team will evaluate if the procedure is right for you.
For more information or to schedule a consultation, contact our Beverly Hills office—proudly serving patients across Los Angeles and Southern California.
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