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February 1967

A Depressive Syndrome Following Pelvic Exenteration and Ileostomy

Author Affiliations

From the Psychiatric Institute, Psychiatric Liaison Service, University of Maryland School of Medicine, Baltimore. Dr. Knorr is presently with the Psychiatric Liaison Service and Department of Surgery, Johns Hopkins Hospital and School of Medicine, Baltimore.

Arch Surg. 1967;94(2):258-260. doi:10.1001/archsurg.1967.01330080096024

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

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