27049 Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm

Name of the Procedure:

Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm

Summary

In a Radical Resection of a Tumor, a specialized surgery is performed to remove a cancerous tumor from the soft tissues in the pelvis and hip area. This procedure specifically targets tumors smaller than 5 centimeters in size.

Purpose

The procedure is designed to treat cancerous tumors (e.g., sarcomas) located in the soft tissues of the pelvis and hip. The goal is to completely remove the tumor along with some surrounding healthy tissue to prevent the cancer from spreading or recurring.

Indications

• Presence of a diagnosed soft tissue sarcoma or other malignancies in the pelvis or hip area
• Tumors that are less than 5 cm in size
• Symptoms such as pain, swelling, or functional impairment due to the tumor

Preparation

• Patients may be required to fast for at least 8 hours before the procedure.
• Medication adjustments might be necessary, particularly with blood thinners.
• Preoperative diagnostic tests such as MRI, CT scans, and biopsy results will be reviewed.

Procedure Description

1. The patient is given general anesthesia to ensure they are asleep and pain-free during the surgery.
2. An incision is made over the tumor site in the pelvic or hip area.
3. The surgeon carefully dissects and removes the tumor along with some surrounding healthy tissue to ensure clear margins.
4. The wound is then examined for any remaining cancer cells.
5. The incision is closed with sutures or staples.
6. A drain may be placed to remove excess fluids.
7. The patient is observed for a short period before being moved to the recovery room.

Duration

The procedure typically takes between 1 to 3 hours, depending on the tumor’s size and location.

Setting

The procedure is performed in a hospital’s surgical operating room.

Personnel

• Surgical oncologist or orthopedic surgeon specialized in tumor removal
• Anesthesiologist
• Surgical nurses
• Surgical technicians

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma formation
• Damage to surrounding nerves, blood vessels, or tissues
• Recurrence of the tumor
• Adverse reactions to anesthesia
• Scar tissue formation

Benefits

• Complete removal of the tumor to reduce the risk of cancer spreading
• Relief from symptoms caused by the tumor
• Improved function and quality of life
• Favorable prognosis with early intervention

Recovery

• Patients may need to stay in the hospital for a few days post-surgery for monitoring.
• Pain management will be provided through medications.
• Instructions on wound care and activity limitations will be given.
• Physical therapy might be recommended to regain mobility.
• Full recovery can take several weeks, with follow-up appointments for monitoring the healing process.

Alternatives

• Radiation therapy or chemotherapy
• Less invasive surgical options if applicable
• Palliative care for symptom management if surgery is not feasible
• Each alternative has its own set of potential benefits and drawbacks which should be discussed with the healthcare provider.

Patient Experience

During the procedure, patients will be under general anesthesia and will not feel pain. After the surgery, there may be discomfort or pain controlled with medications. Patients can expect a recovery period with limitations on physical activity, and some might experience fatigue or soreness. Pain management and supportive care measures ensure comfort during the recovery phase.