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Author: Janos P Ertl, MD; Chief Editor: Jason H Calhoun, MD, FACS more...

Updated: Apr 1, 2014

Lower-extremity amputation is one of the oldest known surgically performed


procedures.[1, 2] The original surgical principles as described by Hippocrates
remain true today. Refinements of surgical technique such as hemostasis,
anesthesia, and improved perioperative conditions have occurred, but only
relatively small technical improvements have been made.
Amputation is still often viewed as a failure of treatment. The responsibility for
performing an amputation may even fall on the most junior member of the surgical
team. Whatever the reason for performing an extremity amputation, it should not
be viewed as a failure of treatment. Amputation can be the treatment of choice for
severe trauma, vascular disease, and tumors. Patients and family members must
be aware of their options and have realistic expectations of surgical outcomes in
order to make informed decisions regarding amputation.[3, 4]
Next Section: History of the Procedure

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