Affiliation:
1. Major Trauma Ward, St Mary’s Hospital, London, UK
Abstract
Cryoamputation is a little known method of delaying a surgical amputation by rapid freezing of the affected limb to prevent further derangement of systemic physiology – hence its historical name of ‘physiologic amputation’. Rapid cryoamputation allows for a period of optimisation before surgical amputation in unstable patients. There is limited published literature on the technique and a systematic review was undertaken to identify the techniques, potential indications, complications and potential relevance to current practice and related novel developments. A literature review produced 15 relevant papers that were reviewed; all were either case reports or case series. Cryoamputation can be a lifesaving procedure in a cohort of patients at a high risk of mortality. It is a historical damage control technique and whilst it is unlikely to be used regularly, it is an effective, rapid and simple technique that should not yet be forgotten.
Subject
Critical Care and Intensive Care Medicine,Emergency Medicine,Surgery
Cited by
3 articles.
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