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Vascular complications following cancer surgery of the pelvis and groin
Author(s) -
Bryan Iii H. Neel,
Ketcham Alfred S.,
Hammond William G.,
Joseph William L.
Publication year - 1970
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(197009)26:3<669::aid-cncr2820260328>3.0.co;2-3
Subject(s) - medicine , surgery , groin , pelvis , thrombosis , hemipelvectomy , vein , pulmonary embolism , pelvic exenteration
Ten vascular complications associated with radical cancer surgery of the pelvis and groin in 9 patients are reported. Case analyses and illustrative vascular studies are presented to stress early recognition and treatment which lead to a satisfactory outcome. Seven complications were venous in origin; 3 were arterial. Obvious vessel injury at the primary operation occurred in only 2 instances. In 5 cases, immediate thrombectomy, thromboendarterectomy, or bypass grafting resulted in relief of symptoms. Three instances of venous thrombosis were treated conservatively; 2 made a satisfactory recovery, but one died of pulmonary embolism 4 days after direct vein wall injury at operation. In another case, direct lysis of cicatrix around a narrowed femoral vein resulted in partial resolution of lower leg edema 2 1/2 years after total pelvic exenteration.