Bone cancer is a malignant tumor that arises from the cells that make up the bones of the body. There is a mass of unusual cells growing in a bone. Bone cancer surgery involves removal of the tumor and some surrounding healthy tissue during an operation. It involves a wide of excision of the tumor. Surgery is based on the damage done by the tumor. Some of the surgical options are:
1. Limb salvage surgery - the main aim of limb salvage surgery is to remove all of cancer without affecting the function of the body part. Most patients are able to salvage their limb although it is a highly complex surgery. The challenge is to remove the entire tumor while still saving the nearby tendons, nerves, and vessels. In this surgery, a bone graft or an endoprosthesis is used to replace the bone that is lost to cancer.remaining cancer cells. It makes possible to perform less extensive surgery often preserving the arm or leg.
After the physical assessment, you shall be medically investigated for your bone problem. Once investigations and medical assessment are completed your surgery shall be planned.
You would be encouraged to ask any questions you may have regarding surgery, stay recovery and activities after surgery
You and / or your relative has explained the procedure in detail and consent is undertaken. Pre-anaesthesia checkup (PAC) is done. The intravenous line (IV) is given to provide fluids. You are shifted to OT for the procedure. You are given anesthesia before surgery. Post-procedure, you will be moved to Post Anaesthesia Care Unit (PACU) and once fully awake, you will be moved to Intensive Care Unit for overnight observation.
In the follow-up visit, the doctor will see the healing process. When the knee has healed, physical therapies will be suggested to improve your mobility. You will also be able to perform normal activities.You are shifted to the regular room. You may have pain, fever and may not feel like eating anything, which is ok for post-surgical day 2 to say 4. You are monitored in the room and shall be given appropriate medication including pain relievers. You may have Patient Controlled Analgesia (PCA) pump. You would have a drain in your back (Hemovac) and a catheter to help you pee.
You would be slowly mobilized by rehabilitation team. You will also undergo mild physiotherapy. Your pain should have decreased by now. Your catheter would be removed and you would be encouraged to use a regular washroom.
Follow up and Recovery
Your incision would be inspected and if the wound has healed, stitches or staples shall be removed. You shall continue to have a bandage for another day.
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