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Hemicorporectomy for intractable decubitus ulcers

N W Pearlman, R H McShane, P R Jochimsen

Archives of Surgery (Chicago, Ill. : 1960)

|October 1, 1976

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Hemicorporectomy successfully treated severe decubitus ulcers, osteomyelitis, and cancer in one patient. This radical surgery may be a viable option for paraplegic patients with intractable pelvic issues.

Area of Science:

Surgical Oncology
Reconstructive Surgery

Background:

Intractable decubitus ulcers, osteomyelitis, and epidermoid cancer pose significant challenges.
Hemicorporectomy is a radical surgical procedure involving the removal of the lower half of the body.

Observation:

A 55-year-old male patient presented with intractable decubitus ulcers, osteomyelitis, and low-grade epidermoid cancer.
The patient experienced a marked reduction in pulmonary functions post-surgery.

Findings:

Hemicorporectomy was successfully employed to control the patient's complex conditions.
Meticulous postoperative fluid balance management facilitated a smooth convalescence.

Implications:

Hemicorporectomy may be a more suitable treatment for paraplegic patients with severe pelvic decubitus ulcers than for those with advanced pelvic tumors.

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Given the rising number of paraplegic individuals at risk, this surgical procedure warrants increased consideration.