0
ARTICLE |

A Depressive Syndrome Following Pelvic Exenteration and Ileostomy

Norman J. Knorr, MD
Arch Surg. 1967;94(2):258-260. doi:10.1001/archsurg.1967.01330080096024.
Text Size: A A A
Published online

FOURTEEN patients with grade 3 or 4 carcinoma of the cervix who were treated surgically with pelvic exenteration and construction of an ileoureterostomy were followed postoperatively and through a period of convalescence for psychiatric study. The need for this evaluation was emphasized and requested by the surgical staff who felt that depression was complicating the recovery of some of these patients. Although a review of the literature did not reveal any study specific to this group, Lindemann1 reported post-operative depression more common with pelvic surgery than other abdominal procedures, and Hollender2 reported a greater incidence of psychiatric hospitalization following pelvic surgery than other operative procedures. There are several reports on colostomy patients and some of the underlying conflicts and disturbances in body concept reported are also present in the group under consideration.3 Depression is expected in varying degrees in cancer patients but must be evaluated and treated

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();