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Pelvic resection: current concepts.

Joel L Mayerson, Adam N Wooldridge, Thomas J Scharschmidt

    The Journal of the American Academy of Orthopaedic Surgeons
    |March 27, 2014
    PubMed
    Summary
    This summary is machine-generated.

    Pelvic resection, historically internal hemipelvectomy, surgically removes parts of the pelvic girdle. This complex procedure, mainly for pelvic tumors, requires extensive rehabilitation and multidisciplinary care.

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    Area of Science:

    • Surgical Oncology
    • Orthopedic Surgery
    • Reconstructive Surgery

    Background:

    • Pelvic resection, previously termed internal hemipelvectomy, involves the surgical removal of portions of the pelvic girdle.
    • Historically, hemipelvectomy specifically denotes a resection that includes the ipsilateral limb.

    Purpose of the Study:

    • To describe the indications, surgical techniques, and reconstructive considerations for pelvic resection.
    • To highlight the necessity of a multidisciplinary approach and comprehensive preoperative counseling for patients undergoing pelvic resection.

    Main Methods:

    • Review of surgical techniques for pelvic resection based on tumor histology and lesion location.
    • Discussion of reconstruction strategies determined by the extent of resection and remaining pelvic structures.

    Main Results:

    • Primary malignant pelvic tumors are the main indication for pelvic resection.
    • Metastatic lesions, infection, and trauma are less common indications for this procedure.

    Conclusions:

    • Pelvic resection is a specialized surgical procedure demanding tailored reconstruction and technique.
    • Effective management necessitates a multidisciplinary team and thorough preoperative counseling regarding significant morbidity, rehabilitation, and prognosis.