Vascular control for a forequarter amputation of a massive fungating humeral osteosarcoma

Vascular control for a forequarter amputation of a massive fungating humeral osteosarcoma

Forequarter amputation is a radical operation performed for treatment of malignant neoplasms of the shoulder girdle not amenable to limb salvage. Traditional approaches involve bone and soft tissue resection, followed by ligation of the axillary vessels. We describe a technique to minimize blood los...

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Bibliographic Details
Main Authors: Aleksandra Policha, MD, Melissa Baldwin, MD, Timothy Rapp, MD, Dean Smith, MD, Vishal Thanik, MD, Mikel Sadek, MD
Format: Article
Language:English
Published: Elsevier 2016-06-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2352667X16300054
Description
Summary:Forequarter amputation is a radical operation performed for treatment of malignant neoplasms of the shoulder girdle not amenable to limb salvage. Traditional approaches involve bone and soft tissue resection, followed by ligation of the axillary vessels. We describe a technique to minimize blood loss whereby control of the subclavian vessels is performed before amputation of a large tumor associated with extensive venous congestion. A 34-year-old man presented with proximal humeral osteosarcoma. Surgery involved claviculectomy to facilitate vascular control of the subclavian vessels, followed by guillotine amputation at the proximal upper arm level and completion of the amputation as conventionally described.
ISSN:2468-4287

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