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

Yousef Fallah; Seyyed Hossein Shafiei; Pejman Pourfakhr; Parham Talebian; Mohammad  Soleimani; Ehsan Pendar

doi:10.18502/jost.v9i2.12631

Yousef Fallah Assistant Professor, Orthopedics Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
Seyyed Hossein Shafiei Assistant Professor, Orthopedics Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
Pejman Pourfakhr Associate Professor, Department of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Tehran, Iran
Parham Talebian Orthopedic Spine Surgeon, Orthopedics Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
Mohammad Soleimani Orthopedic Assistant, Orthopedics Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
Ehsan Pendar Assistant Professor, Orthopedics Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jost.v9i2.12631

Keywords: Aorta; Aortic Aneurysm; Gangrene; Surgical Procedures; Operative Procedures

Abstract

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.