Due to the morbidity associated with resection of portions of the jaw bones, such
extirpative procedures should only be reserved for large, aggressive, lesions involving the inferior border of the mandible and/or extending into the maxillary antrum and/or nasal cavities [11].
(7.) Kayem G, Davy C, Goffinet F, Thomas C, Clement D, Cabrol D: Conservative versus
extirpative management in cases of placenta accreta.
Moreover, gossypiboma may be misdiagnosed as a malignant tumor and lead to unnecessary invasive diagnostic procedures or extensive
extirpative surgery (as in our case) which may result in further complications (9).
Immediate Gore-Tex sling suspension for management of facial paralysis in head and neck
extirpative surgery.
During the study period there were no laid down standard conservative or
extirpative protocols for the management of morbidly adherent placenta.
The treatment of germ cell tumours has greatly evolved from
extirpative surgery only, to cisplatin-based chemotherapy, radiotherapy and retroperitoneal lymph node dissection.
Conservative versus
Extirpative Management of cases of placenta accreta.
As this is an
extirpative surgery, aside from the usual risks associated with surgery, specific risks of the procedure include increased risk of hypogonadism and infertility and this should be very carefully discussed with the patient and documented.
Regardless of whether conservative or
extirpative surgery is being performed, the ability to optimally position the uterus within the pelvis is critical to safe and efficient surgical dissection.
As gynecologists strive to incorporate more minimally invasive options, global endometrial ablation (GEA) technology is now providing an alternative to traditional surgical
extirpative management.
(1-4) Puncture may be performed (1) primarily at the time of
extirpative surgery or (2) secondarily after wounds have healed).
Whether preceded by a diagnostic fine needle aspiration or not,
extirpative surgery is undertaken.