Intestinal perforation in gynecologic oncology: do all patients benefit from surgical management?

ABSTRACT:

Objective

To identify those patients with gynecologic cancers and intestinal perforation in whom conservative management may be appropriate.

Methods

A retrospective review was performed of all gynecologic oncology patients with intestinal perforation at our institution between 1995 and 2011. The Kaplan-Meier method and Cox proportional hazards models were used to analyze factors influencing survival.

Results

Forty-three patients met the study criteria. The mean age was 59 years (range: 38-82 years). A large number of patients had peritoneal carcinomatosis and history of bowel obstruction. Surgery was performed in 28 patients, and 15 were managed conservatively. Overall mortality at 1, 3, 6, and 12 months was 26%, 40%, 47%, and 59%, respectively. Only cancer burden at

SUBMITTER: Garg G 

PROVIDER: S-EPMC3992286 | biostudies-literature | 2013 Jun

REPOSITORIES: biostudies-literature