Amputations and hemipelvictomy

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  • 1. Amputations and Hemipelvectomy Yasser Alwabli
  • 2. Introduction  Removal of a diseased, injured or no longer functional extremity
  • 3. Introduction  Difficult decision  Reconstructive procedure
  • 4. History of the procedure Early procedure →Hippocrates and ligatures → Ambroise Paré → Introduction of tourniquet → Antiseptic technique → Chloroform and Ether → Nowadays
  • 5. Incidence > 300,000 in US  Numbers are increasing  90 % due to PVD 
  • 6. Indications Peripheral vascular disease Trauma Infection Tumors Burn
  • 7. Surgical principles of amputations  Technical aspects ◦ ◦ ◦ ◦ Skin and muscles flap Nerves Hemostasis Bone
  • 8. Surgical principles of amputations  Postoperative care ◦ ◦ ◦ ◦ ◦ Multidisciplinary approach Pain management Stump care Drains Psychological well being
  • 9. Surgical principles of amputations  Complications: ◦ ◦ ◦ ◦ ◦ ◦ Hematoma Infection Wound necrosis Contractures Pain Dermatologic problems
  • 10. HEMIPELVECTOMY
  • 11. External Hemipelvectomy Indications  Types  Complications  Postop care 
  • 12. Internal Hemipelvectomy Indications  Types 