0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

HEMIPELVECTOMY FOR MALIGNANT DISEASE

Royce C. Lewis Jr., M.D.; William H. Bickel, M.D.
JAMA. 1957;165(1):8-12. doi:10.1001/jama.1957.02980190010002.
Text Size: A A A
Published online

The results of amputating an entire lower extremity with the corresponding half of the pelvis for malignant disease in 50 patients seen before the end of December, 1954, are reviewed for the purpose of assessing the therapeutic value of the operation and identifying the factors that affect immediate surgical mortality. No hospital deaths occurred, but in 1955 a hospital death followed operation. It resulted from pulmonary embolism on the seventh post-operative day. This extremely low mortality is ascribed to the relatively short duration of the operative procedure (which averaged 21/4 hours), to the general supportive care given to the patient, and to the replacement of lost blood. A tracheal tube was used by the anesthesiologist in every case. The surgeon must avoid seeding the wound with tumor cells, and transabdominal biopsies of tumors of the os coxae during exploratory laparotomy or through the incision made at the time of hemipelvectomy are strongly condemned. The life expectancy of the patient depended on the type of diseases that necessitated operation, and the best post-operative survival rate was in the group of patients with chondrosarcoma.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();