Pirogue Amputation

Pirogov amputation, also known as Pirogovsky amputation, is a surgical procedure developed by Russian surgeon Nikolai Ivanovich Pirogov in the mid-19th century. The operation was developed to treat complex fractures of the lower extremities that could not be repaired using traditional treatments.

Pirogov amputation consists of two main stages: the first stage is the amputation of the limb above the fracture site, and the second stage is the restoration of the limb using special prostheses and implants.

The operation was very complex and risky, as it required the surgeon to be highly qualified and experienced. However, thanks to its effectiveness, Pirogov amputation has become widely used in Russia and abroad.

Currently, Pirogov amputation is considered an outdated operation and is not used in modern medicine. However, its history and the experience gained during its implementation are still important for the development and improvement of modern methods of treating fractures and limb injuries.

Pirogov amputation is a surgical operation performed to stop bleeding from the femoral artery after it is damaged by trauma. The operation is named after the Russian surgeon N.I. Pirogov. The essence of the operation is to cross the artery high above the site of thrombosis with the tip of scissors or a special instrument (amputation knife). The manipulation is carried out under anesthesia (narcosis).

The operation is performed in case of the most common damage to the artery - high thrombosis at the branch point of its common vein with the femoral vein. These blood clots are easily identified clinically by the characteristic local signs of the disease - acute burning pain (“pulsating tourniquet”) in the area of ​​the knee joint when running, walking, when the limbs are in an elevated position. A thrombus located in the femoral or suppurative arteries obstructs blood flow and causes acute pain in the lower limb, which intensifies with movement. As a result of the “wear and tear” of a blood clot that has “surrounded” a significant space in the artery, a kind of sac is formed - an arterial infarction (“sac”).