Amputations and hemipelvictomy
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Transcript of Amputations and hemipelvictomy
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