DR A MANOJ (POSTGRADUATE ANESTHESIA),DR HARISHKUMAR (ASSISTANT PROFESSOR ANESTHESIA),DR NIRANJINI (ASSISTANT PROFESSOR ANESTHESIA),DR LAKSHMI R (HOD ANESTHESIA)
DOI: https://doi.org/Introduction
Hemipelvectomy, or the hindquarter amputation, is a well-known radical surgical procedure performed for the purpose of extensive malignant tumors, such as that of soft tissue sarcomas, that cannot be well managed with that of limb-sparing techniques. The procedure carries some of the significant risks, including that of massive blood loss, fluid shifts, as well as postoperative complications, therefore needing proper preoperative planning, intraoperative monitoring, as well as structured postoperative care.
Case Report
A 43-year-old male with a particular history of soft tissue sarcoma of that of the thigh, initially diagnosed in 2017, presented with some of the large recurrent tumor (23 cm × 33 cm) in 2023.
Given the tumor's progression as well as the size, an elective hindquarter amputation was planned.
Preoperative evaluation within the showed stable vitals, normal cardiac function, as well as the adequate coagulation parameters. The actual surgery involved general anesthesia with that of the epidural analgesia for the pain management. Significant intraoperative blood loss (-2100 mL) changed into controlled using the massive Transfusion Protocol (MTP), administering PRBCs, sparkling frozen plasma, and platelets in a balanced ratio. The affected person remained hemodynamically stable, was successfully extubated postoperatively, and became transferred to the ICU for monitoring and rehabilitation.
Discussion
Hemipelvectomy presents various challenges related to the blood loss, hemodynamic stability as a long-term rehabilitation. The use of that of the MTP, tranexamic acid, as well as calcium supplementation performed a vital position in preventing coagulopathy and retair balance. Epidural analgesia decreased opioid dependency and facilitated early mobilizati Postoperative management covered improved recovery protocols, physiotherapy. psychological aid to enhance the affected person's first-class of life.
Conclusion
This case highlights the importance of ate actual multidisciplinary approach in the process of managing complex forms of limb amputations. Advances in surgical strategies, anesthesia, postoperative care have stepped forward affecting personal outcomes. A based recovery plan, su as ache control and rehabilitation, is essential for reinforcing survival and functional variati following hemipelvectomy.
