Amputation According to Forbes

Forbes amputation is a surgical operation performed on a patient with gangrene caused by chronic arterial occlusion (for example, thrombosis, embolism, osteomyelitis or severe sclerotic changes in the arteries), in which the “amputation donor” (part of the limb) is removed and a new end vascular is created access, that is, a new case is formed by excision of soft tissues: skin, subcutaneous tissue, aponeurosis and muscles. According to its mechanism and tasks performed, amputation according to Forbes is a continuation of terminal fasciodecomyelolysis - an operation that ensures the preservation of the soft sheath and the independence of the limb from the blood circulation in it. In some cases, the sheath is left viable, as are the limbs. However, the most appropriate is the complete removal of viable tissue in the area of ​​the postoperative wound. In addition, one of the main indications for performing the operation includes the development of necrosis, if the cause is a chronic disturbance of the blood supply, there are no conditions for adequate revision of the problem segment, or regional sympathectomy is not performed. Amputation of this localization is often preceded by ischemic necrosis of the fingers, which is extremely difficult to treat by replantation or bathyanesthesia.

History of the term This term was proposed to be used by the American surgeon Andrew Forbes in his research at the end of the 19th century [1] [2]. At that time, in the presence of gangrene and muscle atrophy, amputation of the entire organ with extensive bone damage, without affecting the affected segment (Foy-Barrel syndrome), was proposed as a method of definitive treatment. However, Forbes found that this method is ineffective because it leads to shortening of the limb due to the proliferation of connective tissue at the distal end [3].

Forbes amputation is a type of operation that is performed for severe coronary heart disease and arterial thrombosis. This procedure may be performed as part of a coronary artery bypass graft procedure and can be used to improve blood flow to the heart, thereby increasing its function and reducing the risk of further complications.

The operation itself to remove the blood clot and restore blood flow is called Forbes amputation. This operation was developed in the 1970s by Dr. Lewis Forbes and is one of the most common heart surgeries. It involves doctors removing blood clots and replacing damaged sections of arteries with artificial materials, such as veins or arteries from a corpse or synthetic materials.

The purpose of this procedure is to restore normal blood flow to the heart and improve its function. The operation can be performed either on an open heart or