Journal of Orthopedic and Spine Trauma (Aug 2023)

Hemicorporectomy; Describing a Single-Stage Surgical Technique: A Case Report

  • Yousef Fallah,
  • Seyyed Hossein Shafiei,
  • Pejman Pourfakhr,
  • Parham Talebiyan,
  • Mohammad Soleimani,
  • Ehsan Pendar

DOI
https://doi.org/10.18502/jost.v9i2.12631
Journal volume & issue
Vol. 9, no. 2

Abstract

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Background: Hemicorporectomy is a life-saving operation to maintain the survival of patients with severe and irreversible pelvis and lower extremities injuries. In the typical procedure, removing lower extremities and pelvic viscera in the two stages might result in hemodynamic instability, intraoperative and postoperative morbidities, and more deficient patients' survival. In this study, we aim to describe our experience with a new technique for one-stage hemicorporectomy, which minimizes surgical time and intraoperative bleeding. Case Report: A 77-year-old male patient with lower limb gangrene after previous vascular surgery for an abdominal aortic aneurysm in an unstable situation underwent hemicorporectomy in one step. Conclusion: We believe that achieving a one-step procedure, especially in non-malignant cases or in the absence of severe trauma lesions, may be a viable option in emergency surgery cases or hemodynamic instability. However, there is still a need to modify the single-stage surgical technique in later experiments.

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