All American operation
A coinage from Dr Brunchwig’s pelvic surgery service at Memorial Sloan-Kettering Cancer Institution–NYC, for radical surgery of a “frozen pelvis”, which consists of total pelvic exenteration with en bloc resection of the bladder, urethra, rectum, anus, and supporting muscles and ligaments, together with the reproductive organs. A urinary stoma and a colostomy stoma are created to collect waste.
Indications It is performed when there is no option for a lesser procedure, because of the location and size of the cancer, e.g., stage IV cancer of the uterine cervix, urinary bladder or colorectum
Synonyms All-American operation, total pelvic exenteration