SURGICAL-MANAGEMENT OF BOWEL OBSTRUCTION IN ADVANCED OVARIAN-CARCINOMA

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  • 1 January 1983
    • journal article
    • research article
    • Vol. 61  (3) , 327-330
Abstract
The surgical management of 118 instances of bowel obstruction associated with advanced ovarian cancer in 98 patients is reviewed. In 12% of the treatment episodes, patients were found to have inoperative disease at laparotomy. Surgical correction of the intestinal obstruction was associated with an operative mortality of 12%. In 35% of the cases, patients did not benefit from surgical treatment, as they died within 8 wk of the operation. Patients'' age, nutritional status, tumor spread, presence of ascites and the type and amount of prior chemotheray and/or radiation therapy correlate well with the patients'' prognosis. A simple prognostic index based upon these 6 criteria is suggested as a means of predicting the possible benefit from surgical intervention.

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