Hemipelvectomy for Fibrosarcoma

An improved prosthesis for hemipelvectomy.

Hemipelvectomy, or interinnomino-abdominal amputation, is an extensive surgical operation, usually for malignancy involving the upper femur, hip joint, pelvis, and the surrounding soft tissue. This operation was first performed by Billroth in 1891; 1 the patient survived only a few hours. Gordon-Taylor,2 in a review of 50 cases of hemipelvectomy performed at the Middlesex Hospital in England be...

[Traumatic hemipelvectomy].

With an incidence of only 0.6% of all pelvic injuries, traumatic hemipelvectomy is a rare event. It is defined as open or closed avulsion of one hemipelvis with occlusion or disruption of the main vessels and lengthening or disruption of the nerves, often complicated by urogenital or anorectal injuries. The mechanism of injury in this case is a typical one with extreme abduction and external ro...

Rehabilitation after Hemipelvectomy

This article presents two clinical cases of women ages 34 and 76, both of whom required internal hemipelvectomy to resect malignant bone tumors. Their clinical courses were radically different representing the extremes of uncomplicated and complicated clinical courses in patients undergoing major pelvic resections. These cases illustrate relevant and important issues that must be considered dur...

Extended external hemipelvectomy for sigmoid adenocarcinoma treatment.

Surgery is the most effective way of treating a locally advanced colorectal carcinoma and an extended en bloc resection is necessary to achieve the best overall survival rate. In this rare case, a multi-visceral resection was performed along with the entire lower left limb and left iliac bone for a sigmoid carcinoma. The T4N0M0 (B3) tumor involved the left iliac vessels, left pelvic wall, small...

A Hemipelvectomy Prosthesis.