Record number :
Title of article :
Hemicorporectomy: back to front
Author/Authors :
Carlton C. Barnett Jr.، نويسنده , , JAMIL AHMAD QURESHY، نويسنده , , Jeffrey E. Janis، نويسنده , , Joshua A. Lemmon، نويسنده , , Kevin C. Morrill، نويسنده , , Robert N. McClelland، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2008
Pages :
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Abstract :
Hemicorporectomy involves amputation of the pelvis and lower extremities by disarticulation through the lumbar spine with concomitant transection of the aorta, inferior vena cava, and spinal cord, as well as creation of conduits for diversion of the urinary and fecal streams. A review of the literature reveals that the surgical technique has been relatively unchanged since 1960. The standard anterior to posterior approach is associated with significant blood loss and morbidity, likely contributing to lengthy hospital stay. Herein, we describe our back-to-front approach to hemicorporectomy, involving early division of the vertebral structures and spinal cord, pre-empting engorgement of Batsonʹs plexus, thus minimizing blood loss. In addition, this approach greatly improves exposure of the pelvic vessels, allowing for a technically less challenging and safer procedure.
Keywords :
Decubitus ulcers , musculocutaneous flap , Paraplegia , Hemicorporectomy , Translumbar amputation , Pelvic osteomyelitis
Journal title :
The American Journal of Surgery
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Link To Document :