Complications of Pelvic Exenteration

Pelvic exenteration is associated with significant morbidity and mortality. Approximately 60% to 90% of patients undergoing pelvic exenteration have some form of complication. Over the years, there has been a change in the type and frequency of such complications. Improvements in patient selection, perioperative care, and surgical technique have contributed to more favorable outcomes. This chapter aims to review the most frequent complications occurring after pelvic exenteration, with an emphasis on detection and management of these complications. We focus on the initial presentation, diagnostic tools, and, ultimately, options for management including medical and/or surgical approaches. Indications for consultation are also addressed.