Amputation Wound Care Series What is it? Amputation is an operation to remove one part of the body such as a toe, foot or leg. It is performed to remove diseased tissue or relieve pain. What happens before the operation? You will be admitted at least one day before your surgery. You will also undergo a series of tests to ensure that you are fit for the surgery. These tests include: •
X-ray or ultrasound blood vessels (arteries) to confirm the blockage location
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Chest X-ray
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Blood test
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Electrocardiogram
What happens after the operation? •
You will be given pain killers by injection, or through a tube on
your back, or via a machine which you can control the dosage by pressing a button. •
Fluids are given by a drip through your veins till you are well enough to sit up to eat.
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A small tube is normally placed in your wound to drain off blood and fluid that builds up after surgery. This will usually be removed on the third day after your operation.
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Your amputated stump will be bandaged to reduce swelling and to control the shape of the stump.
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Your stitches will usually be removed between 14 to 21 days after your operation.
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You may still feel pain on the leg that has been removed. This is known as a ‘phantom limb pain’. Medication and exercises can help to reduce this sensation.
What should I do after the operation? •
Keep your wound dressing clean and dry. Cover it with a plastic bag when bathing.
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Raise your amputated stump on a stool or cushion to reduce swelling.
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Prevent falls by taking time to get ready before getting up or transferring to a chair.
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Wear appropriate footwear with non-slip soles to prevent falling.
How soon will I get up after rehabilitation? Rehabilitation will start as soon as you are medically stable. This can be the first day after operation. Early rehabilitation is important to prevent other disabilities.
You will also be taught on muscle strengthening exercises to prepare you for moving around and the fitting of prosthesis (artificial limb) at a later stage. How do I cope with my amputation? It is normal to feel loss, anxious and helpless after your amputation. Share your feelings with your family and seek their help and support. If you need further assistance, make an appointment with your doctor or a psychologist.
Your physiotherapist will teach you various positions and exercises to prevent stiff ness in your joints.
Yishun Health is a network of medical institutions and health facilities of the National Healthcare Group. Admiralty Medical Centre • (65) 6807 8000 • www.admiraltymedicalcentre.com.sg Khoo Teck Puat Hospital • (65) 6555 8000 • www.ktph.com.sg Yishun Community Hospital • (65) 6807 8800 • www.yishuncommunityhospital.com.sg The information is correct at the time of printing and subject to revision without further notice.
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