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Amputation

2,387 bytes added, 11:55, 6 October 2020
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{{Top|author1=[[User:Mikael Häggström|Mikael Häggström]]|author2=}}This article deals with surgical (non-traumatic) amputations: {{Comprehensiveness|otherlegend=yes}} ==More specific guidelines==*[[toe]] ==Gross processing==Either before or after a general inspection, fix the body part in formalin, such as overnight for digits, and then leaving it for 5-6 hours in a relatively strong '''decalcifying''' solution. *Measure '''length''' and average '''diameter'''*Determine the anatomic '''location''' of the cut.*Ink the surgical margins differently for soft tissue and bony margin, where samples are to be taken. '''Sections''' for microscopy are taken as follows: For amputations disarticulated at the joint:*Perpendicular sections of articular cartilage and adjacent bone. State which bone in key of sections Gangrene: *Submit cross sections of each bone with associated gangrene if appropriate, generally sagittal/longitudinal. State what bone in the key of sections. For amputations resected by cutting across bone:*Ink the bone at the proximal margin, submit perpendicular section of bony margin.*Skin and soft tissues at proximal margin.:*If margin is close to gangrene- perpendicular sections:*If far, submit enface ===Gross report===Example:{|class=wikitable| {{Moderate-begin}}A. Labeled - ___. The specimen is received in formalin and consists of an amputated __.{{Moderate-end}} It measures ___ cm in length and ___ cm in average diameter. It is resected ___ {{Comment-begin}}location{{Comment-end}}. {{Finding-begin}}The proximal ___ cm of the specimen is not covered by skin and soft tissue.{{Finding-end}} The skin and soft tissue margins appear <viable / necrotic>. The skin surface appears ___ {{Finding-begin}}and displays an (ulcerated/necrotic/gangrenous) lesion, cm from the cutaneous margin{{Finding-end}}. The nail(s) is/are <color/thickened/absent/necrotic>. The soft tissue surgical margin is inked blue {{Comment-begin}}for example{{Comment-end}}, and the bony surgical margin of the ___ {{Comment-begin}}specific bone involved{{Comment-end}} is inked green {{Comment-begin}}for example{{Comment-end}}. On cut sections, the bone subjacent to the ulcer shows no gross abnormalities. Representative sections are submitted for microscopic examination in ___ cassettes following decalcification.|} ==See also==*[[ToeSoft tissues]]{{Bottom}}

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