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Anesthetic management of allograft reconstruction following hemipelvectomy: A series of 12 cases
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Original Article
VOLUME: 53 ISSUE: 2
P: 362-368
2020

Anesthetic management of allograft reconstruction following hemipelvectomy: A series of 12 cases

Acta Haematol Oncol Turc 2020;53(2):362-368
DOI: 10.5505/aot.2020.53215
Tugba Aşkın 1
Süheyla Ünver 1
Mensure Kaya 1
Dilek Kalaycı 1
Kübra Kutay Yazıcı 2
Ahmet Fevzi Kekeç 3
Bedii Şafak Güngör 4
1. Dr.abdurrahman Yurtaslan Ankara Oncology Training And Research Hospital, Departments Of Anesthesiology And Reanimation
2. Bagcilar Training And Research Hospital, Departments Of Anesthesiology And Reanimation
3. Dortyol State Hospital, Departments Of Orthopedics And Travmatology
4. Dr.abdurrahman Yurtaslan Ankara Oncology Training And Research Hospital, Departments Of Orthopedics And Travmatology
5.
No information available.
No information available
Received Date: 2019-08-06T13:18:58
Accepted Date: 2020-09-04T11:40:20
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Abstract

INTRODUCTION

There are not many reports encountered regarding anesthesia management of hemipelvectomy in the literature. We would like to call attention to anesthetic management of allograft reconstruction following hemipelvectomy with this study, which is rarely performed.

METHODS

The records of patients who underwent internal hemipelvectomy between December 2010 and February 2014 were retrospectively evaluated. The age, gender, ASA, comorbidity, anesthesia method applied, hemoglobin values, intraoperative amount of bleeding, amount of intraoperatively administered fluid and blood transfusion, duration of operation, intensive care stay and hospitalization, mortality and morbidity rates were analyzed.

RESULTS

12 patients were evaluated in this study. The mean age of all patients was 37,5 ± 14,6 (range between 10 and 57). The anesthetic management was provided by general anesthesia for ten patients and combined spinal-epidural (CSE) anesthesia for two patients. The mean intraoperative amount of bleeding was 2346 ± 1504 ml. With regards to fluid management, 3916 ± 1673 ml crystalloids, 812 ± 441 ml colloids, 1479 ± 856 ml erythrocyte suspension, and 350 ± 302 ml fresh frozen plasma were infused during intraoperative period. The mean duration of surgery, intensive care stay and hospitalization were 273.8 ± 69 minutes, 38.0 ± 34.6 hours and 25.4 ± 21.4 days, respectively. Five patients out of 12 were died a few months after the surgery, but the anesthetic management was not found to related with the mortality.

DISCUSSION AND CONCLUSION

We recommend a perfect pre-anesthetic visit and close follow up including whole perioperative period for the patients undergoing allograft reconstruction surgery following hemipelvectomy.