Related Experiment Video
Updated: Jun 21, 2025
03:45
Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler
Published on: January 25, 2010
14.2K
[Traumatic hemipelvectomy : An uncommon case in trauma surgery]
F Pfalzgraf1, M Ecker2, Y Goßlau3
1Klinik für Unfallchirurgie, Orthopädie, Plastische und Handchirurgie, Universitätsklinikum Augsburg, Stenglinstraße 2, 86156, Augsburg, Deutschland. Frederik.Pfalzgraf@uk-augsburg.de.
Unfallchirurgie (Heidelberg, Germany)
|July 11, 2024
Summary
Traumatic hemipelvectomy presents complex challenges, including severe soft tissue defects and organ dysfunction. This case highlights the critical need for rapid intervention and multi-stage reconstruction in life-saving salvage procedures for pelvic trauma.
Area of Science:
- Trauma Surgery
- Orthopedic Surgery
- Emergency Medicine
Background:
- Traumatic hemipelvectomy is a severe injury with life-threatening consequences, including extensive tissue damage and organ dysfunction.
- Effective treatment demands rapid, targeted decisions to manage hemorrhagic shock, coagulopathy, and associated injuries.
Observation:
- A 34-year-old farmer sustained a Grade III open pelvic trauma with left leg ischemia and bladder injury after a machinery accident.
- Initial emergency surgery and pelvic stabilization were followed by deterioration, necessitating a left-sided hemipelvectomy as a life-saving measure.
Findings:
- The patient experienced multiorgan failure, requiring hemipelvectomy due to the severity of the pelvic trauma and associated complications.
- Subsequent management involved multiple revision surgeries and plastic reconstructions to address wound infections and soft tissue defects.
Implications:
- This case underscores the rarity and complexity of traumatic hemipelvectomy, emphasizing the lack of a universal treatment algorithm.
- Understanding the intricate interactions of organ systems is crucial for improving patient outcomes in such critical trauma cases.
