Clinical and anatomical reasoning of peritoneum pelvic plastical surgery at patients with locally advanced pelvic cancer while performing multivisceral resection and expanded surgery

The basis of investigation is 186 patients with locally advanced pelvic cancer. Pelvic evisceration was in 63 cases. Indications for plastical surgery peritoneum pelvic were: total infralitoral pelvic evisceration (9 patients), dorsal infralitoral pelvic evisceration (11 cases) and expanded abdominoperineal rectum extirpation (34 patients). Plastic surgery with autogenouse tissues was performed to 43 patients, with reticulate explants - to 11 patients. The rate of postoperative complications was 40, 2 %. 41 patients (22, 0 %) had pyoin-flammatory complications, 36 (19, 4%) of them had festering of postsurgical wound, 5 (2,7 %) had festering of perineum. Commissural enteric impassability evolved at 3 patients. Plastic surgery of peritoneum pelvic after total and dorsal infralitoral pelvic evisceration and expanded abdominoperineal rectum extirpation indicated in all cases. The easiest method is plastical surgery with big omentum or peritoneum pelvic. Plastical surgery with reticulate explants is performed when autoplastic is impossible.