Amputation - a surgical procedure in which the removal is carried out throughout the limb (legs or arms) or part thereof. It is performed usually for the treatment of cancers that have spread from the bone into the surrounding tissue, nerves and blood vessels.
Amputation of limbs may be configured as either a single surgery or after the previously conducted sparing surgery , the presence of serious infectious complications in bone or relapse cancer. Such radical surgical procedures are carried out only as a last resort when other treatments can not save the patient's life, but to keep the affected limb is not possible.
Before the operation of amputation many Israeli clinics, including Assuta provide comprehensive psychological support to patients, the patient can talk to an expert about all their fears and concerns, get help and valuable advice about the conduct of surgery and rehabilitation period, and possible changes in social communication. Patients can also chat with people who have already had surgery, and thus get the most useful practical advice. Doctors Israeli medical institutions understand how carrying out such a radical surgery can affect a person's psychological state, so it provides the most comfortable conditions, care and support.
Preparation for surgery
Prior to surgery, the patient must undergo a series of diagnostic tests to confirm the diagnosis and determine the appropriate level of amputation (MRI, blood tests, etc.), to preserve as much healthy tissue and to completely remove the cancer. In order to assess the patient's condition can be carried out:
- A thorough medical examination - assessment of the physical condition of the patient, as well as nutritional status, functioning of the intestine, bladder, cardiovascular and respiratory systems.
- A study of the status and functions of the healthy limb.
- Psychological evaluation - is needed to determine the impact of the amputation on the psychological and emotional health of the patient, as well as to find out whether he needs additional support.
Also, the patient should inform your doctor about the following factors:
- Allergic reactions to medications, anesthetics, latex.
- About pregnancy or suspected it.
- On reception of circulatory disorders and drugs affecting coagulability of blood - anticoagulants (aspirin). Most likely, before the procedure, the patient will need to stop taking blood-thinning medications.
Amputation of limbs - surgery for bone cancer
Surgery may be performed under general anesthesia and under epidural (spinal) anesthesia. During the operation, the patient is continuously monitored heart rate, blood pressure and respiration. It can also be accomplished bladder catheterization.
First the surgeon handles the surgical site with an antiseptic solution and makes an incision in the area of amputation, and then removes the affected area - a cancerous tumor and the surrounding healthy tissue. It is necessary to stop the disease process and prevent a possible recurrence of the disease.
After the surgeon has convinced the most complete removal of malignant cells, it smooths and shapes the bone sawdust stump to which the prosthesis will be fixed later. This creates a flap of muscle, skin and connective tissue that covers the end of the bone. Then the doctor stitches that remain for a month. Often used rigid bandage or plaster, warning limb edema.
Prosthetic limbs after amputation clinic Assuta
Following the operation, contrary to popular opinion, the patient is also able to move and perform normal daily activities. Israel has carried out prosthetic limb, so patients can not only walk and run normally, but also to engage in active sports. Selection of the most appropriate prosthesis is dependent on:
- Status and level of amputation.
- Specific life and psychological factors (environment, type of work, family and social status, motivation, emotional adaptation).
- Concomitant diseases and other physical disabilities.
- Endurance, muscle strength and coordination.
Most dentures today are made of metal and plastic. In the treatment of upper limb cancer doctor sometimes forced to carry out the isolation of the shoulder or upper limb amputation with extensive resection of the shoulder girdle, thereby making it more difficult or even making it impossible to install mechanized prosthesis. In this case, the alternative will be more expensive myoelectric prostheses, acting by means of electricity.
Every year the manufacturing processes prostheses improved and modernized in order to create maximum similarity to the remote end and enhance the functionality of synthetic substitutes.
Rehabilitation after amputation
For the first time after the operation patients can not eat or drink, so it is performed by intravenous infusion. In order to maintain normal breathing of the patient using an oxygen mask, and to control the excretion of urine - urinary catheter. To a wound can be carried out special drainage pipe is required to remove excess blood and liquids in a small container.
After operation amputation patient may also experience pain and phantom pain (as if emanating from the remote extremity).
For a speedy recovery the patient should undergo physical therapy and occupational therapy. A physical therapist visits the patient the day after surgery to show the basic exercises to maintain muscle near the amputated area. Within a few days, the patient learns to move around in a wheelchair or with crutches, then it starts to go to the gym to physiotherapy.
During the period of rehabilitation after amputation of limbs as the patient must deal with daily activities as soon as possible to learn, despite the limited opportunities (occupational therapy).
The high quality of care physicians provide you Assuta Hospital .