Amputation
Date of Surgery -
Preop Diagnosis -
Postop Diagnosis - Same
Surgeon - Dr. Luk / Dr. Tran
Assistant Surgeon -
Anesthesia - General
Estimated Blood Loss - Minimal
Complication - none
Findings -
Specimen -
Procedure performed:
Left/Right
Above the Knee Amputation
Below the Knee Amputation
INDICATION:
Patient comes in with the above diagnosis and was consented for the above procedures. Risks, benefits, and alternatives were discussed with patient, which includes, but are not limited to, postoperative or chronic pain, bleeding, wound infection, hematoma,, or need for further procedures or workup. Other Complications may include deep vein thrombosis (blood clots), as well as other side effects affecting other organ systems such as the heart or lungs, and in rare circumstances, death as a result of the above complications. The patient understands and agrees to proceed with the proposed procedure.
The Patient was given preoperative antibiotics.
After consent was obtained, the patient was brought to the OR and underwent general anesthesia. The patient was prep and draped in the standard manner.
The affected leg was wrapped with stalking. A torniquet was insufflated.
For AKA, a fish-mouth incision was created using a scalpel.
For BKA, a posterior flap incision was made using a scalpel
After the skin incision was made, the electrocautery was used to divide the muscles.
When the bone(s) were reached, it was skeletonized and dissected below the anterior skin flap. The bone(s) were divided using the amputation saw.
The major vessels were identified and ligated using 2.0 silk sutures.
The nerve was identified and carefully divided
A rasp was used to bevel the bone so that no sharp edges were exposed.
One the affected limb was separated, then the remaining muscle was trimmed so that the flap closure was snug.
1 jp drain was placed in the wound bed and brough out through a small skin incision
The torniquet was de-sufflated. Hemostasis was obtained using either silk ligation or electrocautery.
Next, the skin flaps were closed using interrupted 2.0 vycryl sutures. The skin was stapled.
The stump was wrapped in the usual fashion
The patient overall tolerated the procedure well, transferred to recovery room in stable and satisfactory condition.