CPT® Code 27290

An interpelviabdominal amputation, commonly known as a hindquarter amputation, hemipelvectomy, or transpelvic amputation, is a surgical procedure that entails the removal of half of the pelvis along with the leg on the same side. This complex and significant operation is typically reserved for extreme medical situations, such as severe trauma, life-threatening infections like gas gangrene, or aggressive malignant tumors, including Ewing's sarcoma, osteosarcoma, and chondrosarcoma, that affect the lower extremity and pelvic girdle. The procedure is characterized by its rarity, as it is only performed when absolutely necessary due to the serious nature of the conditions it addresses. The surgical approach involves careful planning and execution, beginning with the marking of incision lines on the skin over the pelvis, hip, and thigh. This meticulous preparation is crucial for ensuring the best possible outcomes for patients facing such dire circumstances.