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Hemicorporectomy
14
Transcript
Hemicorporectomy
- Known as trans-lumbular amputation
- a radical surgery in which the body below the waist is amputated, transecting the lumbar spine.
The process
The Team
Who needs it
anesthesiologist (keeps patient comfortable and pain free)
neurosurgeon ( specializes in surgeries involving the nerves in the body)
orthopaedic surgeon (specializes in diagnosing and treating diseases and injuries of the musculoskeletal system)
urologist (specializes in specializes in diseases of the urinary tract and the male reproductive system
reconstructive surgeon
surgical oncologist (specializes in treatments of tumors)
- This process is a last resort surgery
- It primarily has to take place within a person who has with potentially fatal illnesses such as certain cancers or complications from ulcers in the pelvic region that cannot otherwise be contained.
NEXT SLIDE CONTAINS VERY GRAPHIC PICTURES
Personal
The surgery
Complications
- Once met a man who had a hemicorporectomy
- People are very brave who do this
- I would have this done if it was a matter of life or death.
- People can live a very happy life.
- Need to adapt to their new bodies
- often require respitory support from a ventilator.
- Have to get used to disposing of their waste products in new ways
- The strategy for the surgical portion of the operation can be divided into three sections: soft tissue, bony and neural, and vascular.
- The surgical team first locates the tumors through a series of incisions along the inferior edge of the anterior abdominal wall at the level of the inguinal crease along the pubic bone to the pubic symphysis, and in a mirror image pattern on the contralateral side.
- Muscles are seperated from the bones and the arteries that are connected to it.
- They then explore the body to find where the tumor is and if it metastized
- They have to clamp off the veins and arteries to preserve blood flow.
- Depending on location of the tumor they cut in between the L4-L5 vertbrae ( More bleeding can occur so they must clamp off more arteries
- They then remove the lower portion of the body. Then they take the large flap of skin left and they sew it back up to the stomach region.
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