Hemipelvectomy is a highly invasive surgical procedure involving the removal of one half of the pelvis and the attached lower limb, including the leg, hip, and parts of the pelvic bone. This procedure is most commonly performed as a last resort for treating severe conditions such as advanced pelvic tumors, particularly sarcomas, or irreparable trauma that cannot be managed with other surgical interventions. The surgery is typically considered when the disease or injury is localized to one side of the pelvis and has not spread to other parts of the body. During a hemipelvectomy, the surgeon removes the affected portion of the pelvis along with the associated soft tissues, including muscles, blood vessels, and nerves. The remaining structures are then reconstructed or managed to ensure stability and facilitate rehabilitation. The procedure is complex and requires careful planning, often involving a multidisciplinary team including orthopedic surgeons, oncologists, and reconstructive surgeons.
Complications from hemipelvectomy can be significant and include infection, excessive bleeding, and wound healing issues. The removal of a large portion of the pelvis can also lead to profound functional and cosmetic changes, impacting mobility, balance, and daily activities. Patients may experience severe adjustments to their lifestyle and may require extensive rehabilitation, including the use of prosthetics, physical therapy, and psychological support. Despite these challenges, hemipelvectomy can be life-saving for patients with severe pelvic conditions and offers a chance for survival when other treatments are not viable.
