Response to Carboni et al.

Pelvic exenteration surgery for recurrence rectal cancer is especially challenging compared to locally advanced primary rectal cancer due to fibrosis, pelvic sepsis secondary to anastomotic leak, radiotherapy and the change in anatomical planes due to previous rectal dissection. The healing of the pelvic floor and skin can be also affected, especially with the empty pelvis after total exenteration. This is due to pelvic fluid accumulation, which has approximately 20-25% risk of infection from our data. This article is protected by copyright. All rights reserved.