About Hemipelvectomy
Key Highlights
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Potentially life-saving intervention for aggressive pelvic or proximal femoral malignancies.Aims to achieve complete removal of cancerous tissue with wide, clear margins.Can be performed as a limb-sparing (internal) procedure in select cases to preserve the leg.Performed by highly specialized orthopedic oncology surgeons.Multidisciplinary approach involving oncologists, radiologists, and rehabilitation specialists.
Who is this surgery for?
- Primary malignant bone tumors of the pelvis (e.g., osteosarcoma, Ewing's sarcoma, chondrosarcoma).
- Aggressive benign bone tumors of the pelvis that are unresponsive to other treatments.
- Metastatic cancer that has extensively invaded the pelvic bones from another primary site.
- Severe, uncontrollable infection (osteomyelitis) of the pelvis or hip joint.
- Massive, irreparable trauma to the pelvis and lower limb.
How to prepare
- Comprehensive imaging (MRI, CT, PET-CT) to precisely map the tumor's location and size.
- Biopsy to confirm the diagnosis and tumor type.
- Pre-operative counseling with the surgical team, oncologist, and a prosthetist.
- Nutritional optimization and possible pre-habilitation (physical therapy) to strengthen the upper body.
- Cardiac and pulmonary evaluation to ensure fitness for major surgery.
- Blood transfusions may be arranged in advance.
- Psychological support to prepare for the significant life changes post-surgery.
Risks & possible complications
- Significant blood loss requiring transfusion.
- Infection at the surgical site.
- Deep vein thrombosis (DVT) and pulmonary embolism.
- Nerve damage leading to sensation changes or phantom limb pain.
- Poor wound healing or flap failure (if tissue transfer is used).
- Herniation of abdominal contents into the surgical defect.
- Local recurrence of cancer if margins are not clear.
- Long-term functional limitations and mobility challenges.
Recovery & hospital stay
- Initial hospital stay in an intensive care or high-dependency unit for close monitoring.
- Aggressive pain management, often with patient-controlled analgesia (PCA).
- Early mobilization with assistance to prevent blood clots and pneumonia.
- Wound care and monitoring for signs of infection or flap viability.
- Comprehensive inpatient rehabilitation focusing on upper body strength, transfers, and wheelchair mobility.
- Outpatient physical and occupational therapy for adaptation to daily activities.
- Emotional and psychological counseling to cope with limb loss and body image changes.
- Fitting and training with a prosthetic limb, if applicable, typically begins several months post-surgery.
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Typical hospital stay: 14-21 days
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Expected recovery time: 6-12 months (for basic functional adaptation; ongoing)
Frequently Asked Questions
If you are considering hemipelvectomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for hemipelvectomy in India include Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Miot Hospital Chennai, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform hemipelvectomy. MediFyr helps you compare orthopedists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for hemipelvectomy compare across other countries where we have data.
Top hospitals for Hemipelvectomy in India
These partner hospitals in India have dedicated orthopedics teams and experience managing patients undergoing hemipelvectomy.
Anjali Joshi, a 42-year-old architect and...
Anjali Joshi, a 42-year-old architect and mother of two from Mumbai, had been experiencing persistent, deep pain in her left hip for over a year. Initially dismissed as a stubborn muscle strain, the pain became debilitating. Imaging revealed a large, aggressive chondrosarcoma (bone cancer) originating in her left ilium. After multiple failed rounds of targeted radiation and chemotherapy to shrink the tumor, her oncologist and orthopedic surgeon, Dr. Mehta, delivered the difficult news: a hemipelvectomy was the only curative option left to prevent the cancer from metastasizing. The prospect of losing her entire left leg and half of her pelvis was devastating. Anjali grappled with profound grief for the life she knew, her career, her ability to play with her children, her independence. The 12-hour surgery was successful in achieving clear margins. Her recovery at a specialized rehabilitation center was grueling; learning to use a prosthetic for this high-level amputation was a monumental challenge. A year later, Anjali walks with a prosthetic and a cane. While she had to close her architecture firm, she now consults remotely. The emotional journey was a crucible: from despair and anger to a hard-won acceptance. She focuses on what she has, her family, her life, and has become a resilient advocate for amputee support groups in India, finding purpose in her new reality.
Orthopedists for Hemipelvectomy
Explore experienced orthopedists who regularly perform hemipelvectomy and provide pre- and post-operative care in India.
- 48 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 25 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 15 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 11 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 14 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 9 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 15 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 20 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 19 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 18 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 15 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 30 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 28 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 26 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 14 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore