![]() Apart from the very low likelihood of surviving such an injury, even an operative hemicorporectomy is unlikely to be successful unless the patient has "sufficient emotional and psychological maturity to cope" and "sufficient determination and physical strength to undergo the intensive rehabilitation". Individuals sustaining a severe bisection injury that is essentially a de facto hemicorporectomy would rarely reach a hospital before dying. Designing a prosthesis for the removed body parts is difficult, as there is generally no remaining pelvic girdle musculature (unless this has been spared expressly). A return to mobility will generally involves the use of a wheelchair and potentially a prosthetic. Rehabilitation Įxtensive physiotherapy and occupational therapy are necessary after the procedure. ![]() Similarly, calculated measurements of renal function (such as the Cockcroft-Gault formula) are unlikely to reflect actual activity of the kidney, as these calculations were developed for patients in whom the circulatory system correlates with the body weight this relation is lost in a post-hemicorporectomy patient. Removal of large parts of the colon can lead to loss of electrolytes. With the removal of almost half of the circulatory system, cardiac function needs to be closely monitored while a new blood pressure set-point develops. The second stage is the amputation at the lumbar spine. The first stage is the discontinuation of the waste functions by performing a colostomy and ileal conduit in the upper abdominal quadrants. The surgical procedure is typically done in two stages, but it is possible to conduct the surgery in one stage. It is used in cases wherein even pelvic exenteration would not remove sufficient tissue. Other reasons may include trauma affecting the pelvic girdle (" open-book fracture"), uncontrollable abscess or ulcers of the pelvic region (causing sepsis) or other locally uncontainable conditions. The operation is performed to treat spreading cancers of the spinal cord and pelvic bones. By 2009, 66 cases have been reported in medical literature. It is a major procedure recommended only as a last resort for people with severe and potentially fatal illnesses such as osteomyelitis, tumors, severe traumas and intractable decubiti in, or around, the pelvis. This removes the legs, the genitalia (internal and external), urinary system, pelvic bones, anus, and rectum. ![]() Hemicorporectomy is a radical surgery in which the body below the waist is amputated, transecting the lumbar spine.
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