Total infralevator exenteration Total infralevator exenteration. The extent of the perineal resection is tailored to the degree of lower vaginal or vulvar involvement with tumor. Source: Pelvic Exenteration, Gynecologic Oncology: Clinical Practice and Surgical Atlas Citation: Karlan BY, Bristow RE, Li AJ. Gynecologic Oncology: Clinical Practice and Surgical Atlas; 2015 Available at: http://hemonc.mhmedical.com/DownloadImage.aspx?image=/data/books/1381/kar_ch32a_f007.png&sec=75546860&BookID=1381&ChapterSecID=75546806&imagename= Accessed: November 09, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved