Amputation of the body below the waist
Hemicorporectomy Pronunciation Other names Translumbar amputation, corporal transection, hemisomato-tmesis, halfectomy ICD-10-PCS S38.3 MeSH D006428
Hemicorporectomy is a radical surgery in which the body below the waist is amputated, transecting the lumbar spine . This removes the legs , the genitalia (internal and external), urinary system , pelvic bones, anus , and rectum .[1] [2] It is a major procedure recommended only as a last resort for people with severe and potentially fatal illnesses such as osteomyelitis , tumors , severe traumas and intractable decubiti in, or around, the pelvis .[3] By 2009, 66 cases had been reported in medical literature.[4]
^ Ferrara, Bernard E. (December 1990). "Hemicorporectomy: A Collective Review". Journal of Surgical Oncology . 45 (4): 270–278. doi :10.1002/jso.2930450412 . PMID 2250478 . S2CID 35307193 .
^ Shields, Richard K.; Dudley-Javoroski, Shauna (March 2003). "Musculoskeletal Deterioration and Hemicorporectomy After Spinal Cord Injury" . Physical Therapy . 83 (3): 263–275. doi :10.1093/ptj/83.3.263 . PMC 4042312 . PMID 12620090 . Archived from the original on June 27, 2004.
^ Porter-Romatowski, Tracy L.; Deckert, M. M. Johanna (April 1998). "Hemicorporectomy: a case study from a physical therapy perspective". Archives of Physical Medicine and Rehabilitation . 79 (4): 464–468. doi :10.1016/S0003-9993(98)90152-6 . PMID 9552117 .
^ Janis, Jeffrey E; Ahmad, Jamil; Lemmon, Joshua A; Barnett Jr, Carlton C; Morrill, Kevin C; McClelland, Robert N (October 2009). "A 25-year experience with hemicorporectomy for terminal pelvic osteomyelitis" . Plastic and Reconstructive Surgery . 124 (4): 1165–76. doi :10.1097/PRS.0b013e3181b61169 . PMID 19935300 . S2CID 19312510 .