Hemipelvectomy

Question 1

What is a hemipelvectomy?

Answer 1

A hemipelvectomy is an amputation of the entire leg and
ipsilateral pelvis.
Molnar R, Emery G, Choong PF. Anaesthesia for
hemipelvectomy–a series of 49 cases. Anaesth Intensive Care.
2007 Aug;35(4):536-43.

Question 2

What are the most common reasons for performing a

hemipelvectomy?

Answer 2

Reasons for performing a hemipelvectomy include severe
trauma, osteosarcoma, chondrosarcoma, or Ewing’s sarcoma.
Molnar R, Emery G, Choong PF. Anaesthesia for
hemipelvectomy–a series of 49 cases. Anaesth Intensive Care.
2007 Aug;35(4):536-43.

Question 3

What are the major anesthetic implications for a

patient undergoing a hemipelvectomy?

Answer 3

The primary anesthetic concerns in these patients involve the
extensive trauma, blood loss, and postoperative pain
associated with the procedure. A study in Australia reported
that the mean crystalloid requirement was 8500 mL with an
average of 7 units of blood transfused. A combination of
epidural/general anesthesia is often implemented. Fluid and
forced air warmers are a necessity and the patient can be
expected to recover in the intensive care unit.
Molnar R, Emery G, Choong PF. Anaesthesia for
hemipelvectomy–a series of 49 cases. Anaesth Intensive Care.
2007 Aug;35(4):536-43.