Forequarter amputation for malignant tumours of the upper extremity: Case report, techniques and indications

Forequarter (interscapulothoracic) amputation is a major ablative surgical procedure that was originally described to manage traumatic injuries of the upper extremity. Currently, it is most commonly used in the treatment of malignant tumours of the arm. With the advent of limb-sparing techniques, primary forequarter amputation is performed less frequently, but remains a powerful surgical option in managing malignant tumours of the upper extremity; therefore, surgeons should be familiar with this procedure. A classic case report of forequarter amputation, with emphasis on indications and surgical techniques, is presented.

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Forequarter amputation for malignant tumours of the upper extremity: Case report, techniques and indications

Plastic Surgery ◽

10.4172/plastic-surgery.1000512 ◽

2007 ◽

Vol 15 (2) ◽

Cited By ~ 3

Author(s):

Vanessa Dimas ◽

Jennifer Kargel ◽

John Bauer ◽

Peter Chang

Keyword(s):

Case Report ◽

Upper Extremity ◽

Malignant Tumours ◽

Forequarter Amputation

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Revision Peripheral Nerve Surgery of the Upper Extremity

Seminars in Plastic Surgery ◽

10.1055/s-0041-1727290 ◽

2021 ◽

Vol 35 (02) ◽

pp. 119-129

Author(s):

Rami P. Dibbs ◽

Kausar Ali ◽

Shayan M. Sarrami ◽

John C. Koshy

Keyword(s):

Peripheral Nerve ◽

Upper Extremity ◽

Preoperative Evaluation ◽

Surgical Techniques ◽

Nerve Compression ◽

Nerve Injuries ◽

Muscle Flaps ◽

Traumatic Injuries ◽

Ulnar Nerve Compression ◽

Advantages And Disadvantages

AbstractPeripheral nerve injuries of the upper extremity can result from a wide array of etiologies, with the two most common being compression neuropathy and traumatic injuries. These types of injuries are common and can be psychologically, functionally, and financially devastating to the patient. A detailed preoperative evaluation is imperative for appropriate management. Traumatic injuries can typically be treated with local burial techniques, targeted muscle reinnervation, and regenerative peripheral nerve interfaces. Median nerve compression is frequently managed with complete release of the antebrachial fascia/transverse carpal ligament and/or use of flap coverage such as the hypothenar fat pad flap and local muscle flaps. Ulnar nerve compression is commonly managed via submuscular transposition, subcutaneous transposition, neurolysis, and nerve wrapping. In this review, we discuss the preoperative evaluation, surgical techniques, and advantages and disadvantages of each treatment modality for patients with compressive and traumatic upper extremity nerve injuries.

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Pre prosthetic crown lengthening: an esthetic and functional procedure. A case report

Revista Estomatología ◽

10.25100/re.v18i2.5714 ◽

2017 ◽

Vol 18 (2) ◽

pp. 23-26

Author(s):

Carlos Bernardo Aguelo ◽

Juan Manuel Rico ◽

Pablo Emilio Molano

Keyword(s):

Case Report ◽

Surgical Procedure ◽

Clinical Case ◽

Surgical Techniques ◽

Daily Practice ◽

Great Frequency ◽

The Moment ◽

Crown Lengthening

Crown lengthening is a procedure widely used in periodontal practice, for esthetic procedures and also for pre-prosthetic ones; situation that is present with great frequency in the daily practice in periodontics. It is very important the knowledge of the anatomic structures of the periodontal anatomy in order to do a proper surgical procedure, preceded by a deep clinical and radiological exam and a pertinent treatment prosthetic plan. It is also important that the clinician knows all the surgical techniques, because not all the procedures need the same approach and there are certain anatomic and surgical characteristics that must be taken in concern at the moment of planning a surgical crown lengthening. In this article we present a clinical case where it is integrated the periodontal and prosthetic discipline.

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Surgical correction of iatrogenic lesion of the median nerve after endoscopic decompression: Case report

10.5327/1516-3180.260 ◽

2021 ◽

Author(s):

Erlan Pércio Lopes Rufino ◽

Eduarda Silvestre Ribeiro da Costa Gomes ◽

Gabriela Silvestre Ribeiro da Costa Gomes ◽

João Guilherme Araújo Magalhães Neiva ◽

Maria Eduarda Queiroz de Albuquerque

Keyword(s):

Case Report ◽

Carpal Tunnel Syndrome ◽

Median Nerve ◽

Carpal Tunnel ◽

Surgical Procedure ◽

Surgical Techniques ◽

Motor Branch ◽

Left Hand ◽

Iatrogenic Lesion ◽

Tunnel Syndrome

Introduction: Carpal tunnel syndrome is neuropathy of compressive origin, surgical treatment can present complications that are difficult to solve, among them, painful neuromas of the peripheral nerves, affecting 2–60% of patients with nerve damage. There is no consensus on the ideal treatment for painful neuroma. Consequently, numerous modalities to treat neuroma pain are described. Case report: Female, 45 years old, presented with a left hand carpal tunnel syndrome clinic. There is a report of having undergone a surgical procedure for decompression of the carpal tunnel with endoscopy, progressing with worsening of symptoms. Another surgical procedure was performed (conventional open route) in the region of the left wrist with intra-op visualization of total nerve rupture. Neurorrhaphy of the median nerve was performed. Patient came to our service complaining of severe pain (VAS 9/10) in median nerve topography associated with paresis of the muscles innervated by the same. Neuroma resection and sural nerve grafting for the tenar motor branch, ulnar and radial median group and patient evolved with significant pain improvement (VAS of 2/10). Discussion: A wide variety of surgical techniques are described to treat painful neuroma. In this case, the success of the chosen tchnique is evidenced by the drop of 07 points in the VAS. Conclusion: It is evident that the endoscopic correction of carpal tunnel syndrome is not without complications and should be indicated with caution. It is necessary to carry out more studies that can evidence the best conduct for each case.

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Forequarter Amputation Following Pre-Operative Embolization to Treat Two Upper Extremity Malignancies in a Previously Irradiated Tissue Bed: A Case Report

Orthopedic & Muscular System ◽

10.4172/2161-0533.1000187 ◽

2015 ◽

Vol 04 (02) ◽

Author(s):

Michel Taylor David Pichora

Keyword(s):

Case Report ◽

Upper Extremity ◽

Forequarter Amputation

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Partial Vaginectomy, Complete Vaginectomy, Partial Vestibule-Vaginectomy, Vulvo-Vestibule-Vaginectomy and Vulvo-Vestibulectomy: Different Surgical Procedure in Order to Better Approach Vaginal Diseases

Animals ◽

10.3390/ani12020196 ◽

2022 ◽

Vol 12 (2) ◽

pp. 196

Author(s):

Daniele Zambelli ◽

Simona Valentini ◽

Giulia Ballotta ◽

Marco Cunto

Keyword(s):

Clinical Experience ◽

Surgical Procedure ◽

Congenital Abnormalities ◽

Perioperative Complications ◽

Surgical Techniques ◽

Clinical Findings ◽

Correct Identification ◽

Malignant Tumours ◽

Anatomical Nomenclature ◽

Vaginal Disease

Total or partial vulvo-vaginectomy or vaginectomy are not routinely performed due to the complexity of the techniques and because they are considered radical treatments. Little information can be found in the literature, as the same technique is often named in a different way by different authors, confusing the reader. Therefore, the aim of this essay is to describe five different surgical techniques: partial vaginectomy, complete vaginectomy, partial vestibule-vaginectomy, vulvo-vestibule-vaginectomy and vulvo-vestibulectomy. All techniques are described on the basis of the correct identification of the anatomical nomenclature related to structures involved in surgery, in order to give a more precise and unambiguous description and execution of surgical techniques. Moreover, possible intraoperative and perioperative complications and the authors’ clinical experience in 33 dogs are described. All techniques are well tolerated and could be curative in case of benign or malignant tumours that have not yet metastasized and palliative in other cases. Moreover, they are also useful for therapeutic purposes for chronic vaginitis, severe vaginal cysts or congenital abnormalities. It is our opinion that having five different available techniques to approach vaginal disease is useful to perform the best surgery according to the clinical findings, patient’s characteristics, technique invasiveness and whether it is palliative or not.

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