Tragic results of suboptimal gynecologic cancer operations

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dc.contributor.authorKuyumcuoglu, U.
dc.contributor.authorKale, A.
dc.date.accessioned2024-04-24T17:39:59Z
dc.date.available2024-04-24T17:39:59Z
dc.date.issued2008
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: The goal of this study was to analyze gynecological cancer patients Who underwent Suboptimal or failed surgeries with unsatisfactory and undesired results. Study design: During 1997-2007, 74 women were referred to our gynecological oncology service after suboptimal or failed surgeries for ovarian, cervix, endometrium and vulvar cancers. Medical records were evaluated retrospectively to determine the reasons of suboptimal surgery. Results: Optimal cytoreduction was achieved in ten women (21.7%), 32 women (69.5%) had suboptimal surgical cytoreduction and four women (8.6%) had failed surgery, Seven patients were recurrences (3 had liver metastasis, 2 had pelvic metastasis. 2 had bladder metastasis): two patients died due to bladder metastasis, one patient died six days after Surgery due to a Pulmonary embolism in the suboptimal cytoreduction group. and one patient died due to ascites in the failed surgery group. Optimal surgery was achieved in three women (27.2%) and eight women (72.7% had suboptimal surgery in the cervical cancer population. One patient had a recurrence with pelvic metastasis in the suboptimal group. Sub-optimal Surgery was achieved in one woman with vulvar cancer. Optimal surgery was achieved in seven women (43.7%) and nine women (56.2%) had suboptimal surgery in the endometrial cancer population. One patient died 11 days after surgery due to sepsis ill the Optimal surgery group. One patient died 21 months after primary surgery and the other patient had a recurrence with paraaortic lymph nodes, ascites and omental thickening ill file Suboptimal surgery group. The prognosis of 30 (65.2%) women in the ovarian cancer population, eight (72.7%) women in the cervical cancer group, 11 (68.7%) women in the endometrial cancer group. and one woman (100%) in the vulvar cancer population was unknown. The unknown cases of all genital cancers were missed during follow-up and we Could not reach them Using their phone or address information. Conclusion: If a gynecologist does not have enough experience or expertise about gynecological cancer operations. tic or she must consider the possible harm that any Surgical intervention might do, as the latin phrase primum non nocere means and should refer patients to a gynecological oncology center without performing all Surgery. Optimal gynecologic surgery call only be carried out correctly when education becomes available throughout the world. Thus postgraduate fellowship programs should be considered urgently to extend the general gynecologists' Surgical experience and expertise in developing and Undeveloped Countries.en_US
dc.identifier.endpage627en_US
dc.identifier.issn0392-2936
dc.identifier.issue6en_US
dc.identifier.pmid19115691
dc.identifier.scopus2-s2.0-56749125265
dc.identifier.scopusqualityN/A
dc.identifier.startpage620en_US
dc.identifier.urihttps://hdl.handle.net/11468/21494
dc.identifier.volume29en_US
dc.identifier.wosWOS:000260301200013
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherI R O G Canada, Incen_US
dc.relation.ispartofEuropean Journal of Gynaecological Oncology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGynecological Canceren_US
dc.subjectOptimal Cytoreductionen_US
dc.subjectSuboptimal Surgeryen_US
dc.subjectOptimal Surgeryen_US
dc.titleTragic results of suboptimal gynecologic cancer operationsen_US
dc.titleTragic results of suboptimal gynecologic cancer operations
dc.typeArticleen_US

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