Pelvic sarcoma surgery (literature review)

Authors

DOI:

https://doi.org/10.15674/0030-598720221-2123-132

Keywords:

Pelvic tumor surgery, pelvic resection, hemipelvectomy

Abstract

for management and to achieve good functional results. About 10–15 % of all primary malignant tumors are localized in
the pelvic bones. Objective. To perform a literature review to identify key historical scientific and practical achievements that
have influenced the stages of the development of pelvic sarcoma surgery. Methods. To study the publications at Google search
engine, electronic databases PubMed, Google Scholar, archives of specialized journals and other sources of scientific and medical information. Results. The history of the development and improvement of the treatment pelvic bone tumor patients has more than 125 years. Important stages in the formation of this oncologic orthopedics area are improvement of anesthesia and resuscitation methods, study and understanding of mesenchymal tumors biology, modernization of neoplastic imaging methods, development of polychemotherapy (PCT) and radiotherapy protocols, the possibility of 3D-modeling of surgical interventions, creation of various artificial and biomaterials for bone defects replacement, critical view on oncological, functional outcomes and complications assessment. Today, the majority of patients with local pelvic bone sarcomas have the opportunity to perform limb salvage surgery. However, the issue of reconstruction of pelvic bone defects after massive resections remains incompletely understood. Reconstruction often provides a better functional result at a price of greater complications, and it influences the choice of the applied method. Conclusions. Despite of significant advances that was achieved since the first attempted of hemipelvectomy in 1891, a number of problematic issues in pelvic tumor surgery remains unresolved. Therefore, the search for a more adequate, less traumatic and functionally beneficial method of postresection pelvic bone defects reconstruction using biological materials and various types of custom-made/serial prosthetics keeps going, especially when the acetabulum is involved.

Author Biographies

Roman Malyk, Kharkiv Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine

PhD in Traumatology and Orthopаedics

Yanina Golovina, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

PhD in Traumatology and Orthopaedics

Oleg Vyrva, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD, Prof. in Traumatology and Orthopаedics

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Malyk, R. ., Golovina, Y. ., & Vyrva, O. . (2023). Pelvic sarcoma surgery (literature review). ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (1-2), 123–132. https://doi.org/10.15674/0030-598720221-2123-132

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No. 1-2 (2022)

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