[5][6] With the removal of almost half of the circulatory system, cardiac function needs to be closely monitored while a new blood pressure set-point develops.
Designing a prosthesis for the removed body parts is difficult, as there is generally no remaining pelvic girdle musculature (unless this has been spared expressly).
Individuals sustaining a severe bisection injury that is essentially a de facto hemicorporectomy rarely reach a hospital before dying.
[8] The National Association of EMS Physicians (NAEMSP) and the American College of Surgeons Committee on Trauma (COT) have also released similar position statements and policy allowing on-scene personnel to determine if patients are to be considered unresuscitatable.
[9] In one case documented by the Archives of Emergency Medicine in 1989, a woman who sustained a complete corporal transection (hemicorporectomy) after being struck by a train arrived at a hospital in a "fully conscious" state and "was aware of the nature of her injury and wished for further treatment."
As B. E. Ferrara stated in his summative article on hemicorporectomy, Lessons learned from battlefield injuries quickened innovative treatment of congenital and acquired conditions ... [the general surgeon] devised extensive cancer operations including extended radical mastectomy, radical gastrectomy and pancreatectomy, pelvic exenteration, the 'Commando Operation' (tongue, jaw and neck dissection), bilateral back dissection, hemipelvectomy, and then hemicorporectomy or translumbar amputation, referred to as the most revolutionary of all operative procedures.