n | Age (years) | Primary Carcinoma | Stage at diagnosis | Initial Therapy | Time to recurrence | Surgery | Pelvic Reconstruction | Complications | Adjuvancy | Follow-up (months) | Status |
1 | 43 | Squamous Cervical Carcinoma G1 | IIB | Radical hysterectomy and Bilateral PL Adjuvant RT. | 27 years | Total Supralevator Pelvic Exenteration by laparotomy bilateral PL Paraaortic lymph-node sampling | Biological Mesh | Abdominopelvic Abscess Abdominal wall dehiscence Urinary tract obstruction | Perioperative Interstitial Brachytherapy | 10.9 | Deceased (local relapse before one year since exenteration) |
2 | 73 | Endometrial Stromal Sarcoma G1 | IVA | Two procedures for local exeresis | 7 months | Total Supralevator Pelvic Exenteration by laparotomy | Bilateral Gracilis Myocutaneous Flap + Biological Mesh | Abdominal Abscess Abdominal wall dehiscence Abdominal wall Cellulitis Pneumonia Septic Shock and MOF PTE | No | Deceased of postoperative complications | Deceased |
3 | 63 | Squamous Vaginal Carcinoma G3 | II | RT | 20 years | Total Infralevator Pelvic Exenteration by laparotomy Bilateral PL VulvectomÃa Simple | Epiploplasty + Biological Mesh | Femoral nerve neuropathy (L2-L3-L4 lumbar plexus) | CT | 2 | Free of disease |
4 | 46 | Squamous Vaginal Carcinoma | I | RT | 24 months | Laparo-assisted Total Infralevator Pelvic Exenteration Radical Vulvovaginectomy | Bilateral Gracilis Myocutaneous Flap + Biological Mesh + Neovagina | Flap ischemia Abdominopelvic Abscesses | Not possible because of postoperative complications | 13.3 | Deceased (local relapse and metastatic disease before one year since exenteration) |
5 | 67 | Squamous Cervical Carcinoma G2 | IB1 | RT | 32 years | Total Supralevator Pelvic Exenteration by laparotomy Bilateral PL Para-aortic lymphnode sampling Radical Vulvo-vaginectomy | Biological Mesh | Femoral nerve neuropathy (L2-L3-L4 lumbar plexus) | RT | 9.5 | Free of disease |
6 | 44 | Urothelial Carcinoma Undifferentiated | T4N0M0 | Initial suspicion of gynecologic sarcomatoid tumor type with involvement of the anterior pelvis and associated deep pelvic endometriosis. | No relapse | Laparo-assisted Anterior Supralevator Pelvic Exenteration End-to-End Ileocecal Anastomosis Bilateral PL | Epiploplasty + Biological Mesh | Evisceration Abdominopelvic Abscesses Urinary infection Bilateral Nephrostomy due to Bricker obstruction Adynamic ileus Pleural effusion | CT | 7 | Free of disease |