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
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Skin and muscles flap
Nerves
Hemostasis
Bone

8. Surgical principles of
amputations

Postoperative care
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Multidisciplinary approach
Pain management
Stump care
Drains
Psychological well being

9. Surgical principles of
amputations
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Complications:
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Hematoma
Infection
Wound necrosis
Contractures
Pain
Dermatologic problems

10. HEMIPELVECTOMY

11. External Hemipelvectomy
Indications
 Types
 Complications
 Postop care


12. Internal Hemipelvectomy
Indications
 Types
