February 1981

Surgery in Ovarian Cancer

Arch Surg. 1981;116(2):252. doi:10.1001/archsurg.1981.01380140096029

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To the Editor.—I read with great interest the recent update by Johannes Wijnen, MD, and Neil Rosenshein, MD, entitled, "Surgery in Ovarian Cancer." It is truly appropriate in this age of surgical subspecialization that a review of this subject be published for the benefit of general surgeons as well as gynecologic surgeons. I would like to suggest one brief addition to the primary surgical procedures that are mentioned: a needle catheter feeding jejunostomy.

As director of the nutrition support team at a large community hospital, I have been consulted frequently for intravenous hyperalimentation of postoperative patients with ovarian cancer who are to undergo radiotherapy or chemotherapy. Many times, their situation is not consistent with adequate oral intake. Therefore, it is highly advantageous to have a needle catheter jejunostomy placed at the time of surgery, as this adds little morbidity, mortality, or time to the original operation. Postoperative complications produced

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