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Depends on tumour site, reconstruction and adjuvant therapy."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any surgical complication within 90 days, mainly wound problems; higher after radiotherapy or bone reconstruction."},"contraindications":["Unresectable tumour with unacceptable margins","Widespread uncontrolled metastatic disease","Unfit for general anaesthesia","Active uncontrolled infection","Severe uncorrected coagulopathy"],"days_in_clinic":{"min":10,"max":21,"unit":"nights","qualifier":"Includes local stay until wound check and fitness to fly; longer with flap or complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":12,"max":26,"unit":"weeks","qualifier":"Light activity first; impact or contact sport depends on bone healing and reconstruction type."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Functional recovery plateau; oncological outcome confirmed by surveillance imaging over years."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"After wound check, mobility and thrombosis risk assessment; adjuvant therapy timing may influence."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound review and drain or dressing check"},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":14,"max":21,"unit":"days","qualifier":"Depends on site and wound healing"},"requirement":"routine"},{"purpose":"result_review","after":{"min":14,"max":28,"unit":"days","qualifier":"Final histology and margin status discussion"},"requirement":"routine"},{"purpose":"rehabilitation","after":{"min":42,"max":90,"unit":"days","qualifier":"Functional review and weight-bearing progression"},"requirement":"routine"},{"purpose":"assessment","after":{"min":84,"max":120,"unit":"days","qualifier":"Surveillance MRI and chest imaging"},"requirement":"routine"}],"indications":["Biopsy-proven resectable localized bone or soft-tissue sarcoma (Ewing, osteosarcoma, rhabdomyosarcoma)","Tumour responding to neoadjuvant chemotherapy or radiotherapy","Selected resectable metastatic disease (e.g. limited lung metastases)","Local recurrence that is still resectable"],"main_risks":["Bleeding and need for transfusion","Wound infection, wound breakdown or delayed healing, especially after radiotherapy","Nerve or vessel injury with loss of function","Positive or close surgical margins with risk of local recurrence","Functional limitation, limb-length discrepancy in growing children, or implant/reconstruction failure","Lymphoedema and venous thromboembolism","Need for amputation in some cases","Anaesthetic and general perioperative risks"],"pain":"Postoperative pain is moderate to severe initially and is managed with multimodal analgesia, sometimes regional catheters; it generally decreases over weeks, with variation by site and extent.","preparation":["Staging imaging and image-guided biopsy at the treating sarcoma centre","Multidisciplinary tumour board planning of margins and reconstruction","Preoperative anaesthetic assessment and blood tests","Discussion of function, fertility and rehabilitation expectations","Smoking cessation and nutritional optimisation where relevant"],"recovery_timeline":[{"phase":"Hospital stay","description":"Pain control, drain management, early mobilisation and wound monitoring.","restrictions":["Limited weight-bearing"]},{"phase":"Weeks 1-3","description":"Wound healing and initial physiotherapy; travel home once cleared.","restrictions":["No heavy lifting","Protect wound and reconstruction","No long travel before clearance"]},{"phase":"Weeks 3-12","description":"Staged weight-bearing, range-of-motion and strengthening; adjuvant treatment may start.","restrictions":["Walking aids","No impact activity"]},{"phase":"Months 3-12","description":"Progressive strengthening and return to normal activities with surveillance imaging.","restrictions":["Avoid high-impact load until cleared"]}],"rehabilitation_days":{"min":90,"max":270,"unit":"days","qualifier":"Ordinary functional recovery; longer for bone reconstruction, endoprosthesis or amputation with prosthesis."},"result_longevity":"Local tumour control is judged by long-term surveillance, typically 5-10 years. 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