ABSTRACT
Figure 5.2. Pelvic mass. Shown here is a mass filling the pelvis that was thought to be isolated and completely resectable; therefore, a total pelvic exenteration was performed.
Figure 5.3. Lateral approach. For a patient with a sidewall recurrence, a lateral approach may be considered. The patient shown here had a recurrent tumor involving the obturator internus muscle. In order to protect the sciatic nerve and to gain control of the gluteal vessels, a posterior thigh incision was made to perform a sciatic neuroplasty. After fully mobilizing the sciatic nerve, the thigh was closed and the patient was placed in a dorsal lithotomy position to perform the pelvic exenteration.
