Abstract
Brunschwig and Barber (p 617) have made an important study of secondary and tertiary rediversion of the urinary tract in 72 patients, found among a group of 840 patients who had pelvic exenteration for advanced cancer performed in the last 20 years. They have shown that, if a five-year survival is achieved, the most frequent subsequent cause of death is deterioration of the diverted urinary tract. Also, at various shorter times following the initial exenteration, the diverted urinary tract may be the cause of major and indeed fatal complications, aside from any problem concerned with the cancer itself. This vigorous attack on female pelvic cancer made by Brunschwig at the Memorial Cancer Center represents a unique and brave effort. The specific emphasis on the importance of urinary tract diversion, the careful study of the complications, and the methods used to correct the morbidity deserve special commendation. The common immediate complications
Published Version
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