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This was considered a more extensive pelvic injury and therefore was excluded.
Our findings support the ongoing use of distilled water lavage to achieve hemostasis after extensive pelvic surgery.
After extensive pelvic surgery, e.g. oncological operations or surgery for endometriosis, the surgeon can be confronted with a raw, oozing area in the pelvis.
We review here our experience in the computer-aided design and manufacture and implantation of custom-made hemipelvic prostheses in 10 patients who underwent internal hemipelvectomy for extensive pelvic lesions.
Proximal tubal occlusion was done in 4 patients due the presence of extensive pelvic adhesions.
These drainage patterns necessitate extensive pelvic and para-aortic lymphadenectomy to stage the patient's disease.
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The CT scan revealed extensive retroperitoneal, pelvic, and bilateral inguinal adenopathy [figure 1].
Surgery is contraindicated in the presence of circumferential or extensive lateral pelvic side wall involvement, involvement of the iliac vessels, bilateral ureteric obstruction, sciatic nerve involvement and periaortic lymph node metastases[,, 62 64].
There is extensive hyperdense free pelvic fluid representing hemorrhagic ascites (black arrow).
In general, a trend to more extensive surgery including pelvic exenteration and partial resection of sacral bone was seen over time.
Revision of the failed acetabular component remains challenging due to migration of the implant during loosening and procedures to remove the primary implant often result in an extensive loss of pelvic bone.
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