28171 Radical resection of tumor; tarsal (except talus or calcaneus)

Name of the Procedure:

Radical resection of tumor; tarsal (except talus or calcaneus)

• Also known as: Tarsal tumor resection, Radical tarsal bone tumor removal

Summary

Radical resection of a tumor in the tarsal bones involves surgically removing a tumor from the small bones in the foot, excluding the talus and calcaneus. This procedure is typically performed to eliminate cancerous or benign growths that cannot be treated effectively with less invasive measures.

Purpose

• Medical Condition: Removal of malignant or benign tumors in the tarsal bones.
• Goals: Complete excision of the tumor to prevent its spread or recurrence, alleviate pain, and restore normal foot function.

Indications

• Persistent pain or swelling in the foot not responding to conservative treatments.
• Diagnostic imaging revealing a suspicious growth or tumor in tarsal bones excluding the talus and calcaneus.
• Biopsy results confirming malignancy or problematic benign growth.

Preparation

• Fasting: The patient may need to fast for 8-12 hours prior.
• Medications: Adjust or stop certain medications as advised by the physician.
• Diagnostics: Preoperative evaluations may include X-rays, MRI, CT scans, and blood tests.
• Other: Patient should arrange for post-procedure transportation and assistance.

Procedure Description

1. Anesthesia: General or regional anesthesia is administered.
2. Incision: A surgical incision is made over the affected area.
3. Tumor Removal: The tumor, along with a margin of healthy tissue, is carefully excised.
4. Reconstruction: Remaining tissue may be reconstructed to maintain foot function.
5. Closure: The incision is closed with sutures or staples, and a bandage is applied.

• Tools and Technology: Scalpel, surgical saw, imaging tools for guidance.
• Anesthesia: General or regional anesthesia ensures the patient is pain-free.

Duration

The procedure typically takes 2 to 4 hours depending on the complexity and size of the tumor.

Setting

Performed in a hospital or specialized surgical center.

Personnel

• Surgeon: Orthopedic or oncologic surgeon.
• Anesthesiologist: Manages anesthesia.
• Nursing staff: Assists during surgery and provides postoperative care.

Risks and Complications

• Common Risks: Infection, bleeding, pain at the surgical site.
• Rare Risks: Nerve damage, blood clots, complications with anesthesia, recurrence of the tumor.

Benefits

• Expected Benefits: Complete removal of the tumor, pain relief, and prevention of further complications.
• Timeline: Most benefits are realized within a few weeks to months after recovery.

Recovery

• Post-Procedure Care: Pain management, wound care, antibiotics to prevent infection.
• Recovery Time: Approximately 6-8 weeks, depending on the extent of surgery and individual healing rates.
• Restrictions: Limited weight-bearing activities, use of crutches or a boot.
• Follow-Up: Regular appointments for monitoring and physical therapy.

Alternatives

• Non-Surgical: Radiation therapy, chemotherapy, cryotherapy (depending on the tumor type).
• Pros and Cons:
  • Non-surgical options may have fewer immediate risks but may be less effective for complete tumor removal.
  • Surgery offers more definitive treatment but involves surgical risks and longer recovery.

Patient Experience

• During Procedure: The patient will be under anesthesia and should not feel pain.
• Post-Procedure: Some pain and discomfort managed with medications, possible use of crutches or walking aids.
• Pain Management: Medications, physical therapy, and regular follow-up for effective pain control.