TY - JOUR
T1 - Hemicorporectomy
T2 - back to front
AU - Barnett, Carlton C.
AU - Ahmad, Jamil
AU - Janis, Jeffrey E.
AU - Lemmon, Joshua A.
AU - Morrill, Kevin C.
AU - McClelland, Robert N.
PY - 2008/12
Y1 - 2008/12
N2 - 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 Batson's 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.
AB - 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 Batson's 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.
KW - Decubitus ulcers
KW - Hemicorporectomy
KW - Musculocutaneous flap
KW - Paraplegia
KW - Pelvic osteomyelitis
KW - Translumbar amputation
UR - http://www.scopus.com/inward/record.url?scp=57649096251&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=57649096251&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2008.08.009
DO - 10.1016/j.amjsurg.2008.08.009
M3 - Article
C2 - 19095122
AN - SCOPUS:57649096251
SN - 0002-9610
VL - 196
SP - 1000
EP - 1002
JO - American journal of surgery
JF - American journal of surgery
IS - 6
ER -