28173 Radical resection of tumor; metatarsal

Name of the Procedure:

Radical Resection of Tumor; Metatarsal (Commonly referred to as Metatarsal Tumor Resection)

Summary

Radical resection of a metatarsal tumor is a surgical procedure in which a tumor located in one of the metatarsal bones of the foot is completely removed. This may be necessary when the tumor is malignant (cancerous) or causes significant pain and functional impairment.

Purpose

This procedure addresses the presence of a tumor in the metatarsal bone. The goal is to remove the tumor entirely to prevent spread or recurrence, reduce pain, and restore functionality to the foot.

Indications

• Presence of a malignant tumor in the metatarsal bone
• Benign tumors causing pain or deformity
• Failure of other treatments to alleviate symptoms
• Impaired function or structural integrity of the foot due to the tumor

Preparation

• Patients may need to fast for several hours before surgery.
• Blood tests and imaging studies such as X-rays, MRI, or CT scans will be performed to assess the tumor.
• Medication adjustments may be required if the patient is on blood thinners or other drugs.
• Preoperative meeting with the surgical team to discuss the procedure, risks, and consent.

Procedure Description

1. Anesthesia: Administered general anesthesia or regional (spinal or epidural) anesthesia.
2. Incision: A surgical incision is made over the affected metatarsal bone.
3. Exposure: Soft tissues are carefully retracted to expose the tumor.
4. Resection: The tumor is excised, along with some surrounding healthy tissue to ensure clear margins.
5. Reconstruction: Bone grafts or other reconstructive methods may be used if a large portion of the bone is removed.
6. Closure: The incision is closed with sutures or staples, and a sterile dressing is applied.

Duration

The procedure typically takes between 1 to 3 hours, depending on the complexity and size of the tumor.

Setting

Performed in a hospital or specialized surgical center with appropriate facilities for orthopedic surgery.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurses
• Operating room technicians

Risks and Complications

• Infection
• Bleeding
• Nerve damage
• Blood clots
• Anesthetic complications
• Recurrence of the tumor
• A potential need for further surgery

Benefits

• Complete removal of the tumor
• Reduction or elimination of pain
• Prevention of tumor spread
• Restoration of foot function
• Improved quality of life

Recovery

• Postoperative monitoring in a recovery room
• Pain management with medications
• Instructions for wound care and follow-up appointments
• Gradual increase in weight-bearing activities as healing progresses
• Physical therapy might be required to restore mobility and strength
• Full recovery may take several weeks to months, depending on the extent of the surgery.

Alternatives

• Non-surgical treatments such as radiation or chemotherapy (especially for malignant tumors)
• Less invasive surgical options if the tumor is small or benign
• Pain management and palliative care if surgery is not feasible

Patient Experience

• The patient will be asleep or numb during the procedure experiencing no pain.
• Postoperative discomfort and swelling managed with medications.
• Physical therapy and gradual return to activities will be necessary.
• Clear and consistent communication with the healthcare team for concerns and recovery progress tracking.