Amputations and Hemipelvectomy

Yasser Alwabli

IntroductionRemoval of a diseased, injured or

no longer functional extremity

IntroductionDifficult decision

Reconstructive procedure

History of the procedure

Early procedure →

Hippocrates and ligatures →

Ambroise Paré → Introduction of tourniquet → Antiseptic technique

→ Chloroform and Ether →

Nowadays

Incidence > 300,000 in USNumbers are increasing90 % due to PVD

Indications Peripher

al vascular disease

Trauma

Infection Burn

Tumors

Surgical principles of amputations Technical aspects

◦Skin and muscles flap◦Nerves◦Hemostasis◦Bone

Surgical principles of amputations Postoperative care

◦Multidisciplinary approach◦Pain management◦Stump care◦Drains ◦Psychological well being

Surgical principles of amputations Complications:

◦Hematoma◦Infection◦Wound necrosis◦Contractures◦Pain◦Dermatologic problems

HEMIPELVECTOMY

External HemipelvectomyIndicationsTypes Complications Postop care

Internal HemipelvectomyIndicationsTypes