Amputations and hemipelvectomies involve the surgical removal of all or part of a limb or pelvis. Amputations have been performed since ancient times and are now commonly done to treat peripheral vascular disease, trauma, infection, tumors, or burns. The procedure involves creating skin and muscle flaps, controlling nerves and bleeding, and sometimes removing bone. Postoperative care requires a multidisciplinary approach including pain management, wound care, drains, and addressing psychological needs to prevent complications like hematoma, infection, or contractures. Hemipelvectomies can be external or internal and are indicated for certain tumors or sarcomas.

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
