amputations and hemipelvictomy
TRANSCRIPT
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Amputations and Hemipelvectomy
Yasser Alwabli
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IntroductionRemoval of a diseased, injured or
no longer functional extremity
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IntroductionDifficult decision
Reconstructive procedure
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History of the procedure
Early procedure →
Hippocrates and ligatures →
Ambroise Paré → Introduction of tourniquet → Antiseptic technique
→ Chloroform and Ether →
Nowadays
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Incidence > 300,000 in USNumbers are increasing90 % due to PVD
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Indications Peripher
al vascular disease
Trauma
Infection Burn
Tumors
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Surgical principles of amputations Technical aspects
◦Skin and muscles flap◦Nerves◦Hemostasis◦Bone
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Surgical principles of amputations Postoperative care
◦Multidisciplinary approach◦Pain management◦Stump care◦Drains ◦Psychological well being
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Surgical principles of amputations Complications:
◦Hematoma◦Infection◦Wound necrosis◦Contractures◦Pain◦Dermatologic problems
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HEMIPELVECTOMY
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External HemipelvectomyIndicationsTypes Complications Postop care
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Internal HemipelvectomyIndicationsTypes
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