What is amputation


  • Amputation
  • From the history...
  • The main points of the amputation operation
  • What happens after amputation
  • Possible complications after amputation

  • Amputation

    Amputation is a surgical operation aimed at removing
    limbs or its part that interferes with the normal function of healthy
    limbs and, moreover, causes unknown pain and or danger
    Distribution of infection. Amputation is applied as the last tool
    in treatment.

    Indications to amputation may be severe damage or
    tumor, but most often cause amputation is peripheral disease
    Arteries due to atherosclerosis. When atherosclerosis, blood flow is broken
    In the tissues in view of the narrowing of the vacation lumen. this leads to
    tissue cells are not sufficiently oxygen and nutritious
    Substances. The strongest such deficit is manifested in the most distant
    From the hearts of areas - fingers and legs. Necrosis of tissues begins precisely
    from these parts of the body. At the same time, the pallor appears first,
    Folding fingers. Next appears a small yazelka that quickly
    Strengthens and blacks. There are necrosis fabrics. Jointing
    infection worsens fabric condition. As a result, the question arises about
    need amputation, since changes in tissues become
    irreversible and delay with operation fraught with formidable complications.

    From the history...

    What is amputation
    Amputation - one of the most ancient operations. Hippocrates conducted
    amputation within the dead fabrics, later Celsius proposed her
    capturing healthy fabrics, which was more appropriate, but in the middle
    century all this was forgotten. In the XVI century, the pair suggested the dressing of the vessels
    instead of calene iron or lowering in boiling oil, then
    Louis Pet began to cover the crop of the skin, and in the XIX century the pies offered
    bone-plastic surgery.

    Most often, an amputation operation is carried out in vascular diseases of limbs, tumors and severe injuries.

    Vascular diseases of the limbs - a leading cause
    ammputations in people aged 50 years and older, and takes 90% of all
    Ammputations. Typically, the treatment of complicated vascular diseases is
    appointment of antibiotics, removal of infected tissues, purpose
    vascular preparations (for example. anticoagulants), and operational
    Treatment lies in operations such as angioplasty, shunting,
    Stenting. However, when the listed events cannot help
    achieve the desired result, the surgeon has to resort to amputation
    as a saving measure.

    In addition, vessel damage can occur and
    severe (swollen, crushed) injuries, deep burns. IN
    The result of this is also observed the absence of blood supply to tissues
    limbs and their necrosis. If you do not remove the necrotized fabric, then this
    fraught with the distribution throughout the body products of rotting and

    Amputation is used in the treatment and malignant tumors, such as osteogenic sarcoma and t.D.

    The main points of the amputation operation

    • Disproving skin - aponeurotic flap
    • Muscles dissected with a knife
    • Treatment of periosteum
    • Pumping
    • Treatment of bone opila.
    • Nerve treatment: the tip is cut down below the ligature of the razor blade
    • Revision of the cult, excision of non-visual muscles (not reduced, colors of boiled meat).
    • Separate dressing of arteries and veins
    • Seam on muscles (except heavy ischemia, firearms, anaerobic infection)

    All amputation, for no reason they are not performed, produced in four stages:

    • Dissection of skin and soft tissues
    • Cut bones
    • Wassel processing, vascular bandage, truncation of nerves
    • Wounding

    What happens after amputation

    Depending on the situation after amputation, the patient remains from 5 to
    14 days. Seams are deleted on the 7-8th day after surgery. Appointed
    Antibiotics, painkillers and preparations aimed at treatment
    Atherosclerosis. After a while, the medicinal gymnastics is appointed.
    Usually after amputation arises about prosthetics. Approximate deadlines
    prosthetics are within 10 - 14 days, but ultimately
    it depends on situation.

    Possible complications after amputation

    • Usually after amputation in the remote limb there are so
      called phantom pain. This means that the patient begins
      feel your remote limb, she begins to hurt, appears
      Desire to scratch it.
    • Skin necrosis in the area of ​​cult. This is found under the condition of unsatisfactory blood supply to the tissues of the cult.
    • Keloid scars. These are perverted-rude broad scars.
      The occurrence of their envy is mostly not from the quality of the operating
      Surgeon, and from predisposition.
    • Angiotroid element - this state occurs when damaged
      nerves during amputation. At the same time there are pains in the scar.

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