brahmanand clinic

Capsule open and triquetrum being removed pre op xrays C arm photo of flexion Dorsal incision  Capsule being opened up Three proximal carpal bone Pre op flexion Dorsal incision line                                                                                                                                                                       30 year old male patient come to our clinic with wrist pain and restricted wrist motion. He was referred by a orthopedic colleague. Patient was offered proximal row carpectomy, he had no wrist flexion and around 15 degree wrist extension. Under block anesthesia through dorsal longitudinal incision carpal were exposed ,extensor retinaculum was opened through 3 and 4 compartment . Scaphoid , lunate and triquetrum were removed . A layer of capsule was interposed between proximal pole capitate and lunate fossa of radius. Terminal division  of posterior interoseous nerve is divi

measurements at first interview  Final result as compared to opposite leg per op photo  pre op photo Fasciectomy and debaulking in progress  Final wound closure Four layer crepe bandage Skin marking for autologous lymph node transfer Superficial lymph node transfer Vein marked Lymph node flap dissected Lymph node vessel connected lymph node flap with vessel connected lymph node insetted in groin First dressing change and result achieved 59 years old female presents with a leg swelling for past 15 years come to my clinic . She was suffering from primary lymphedema tarda. Clinical examination was done , limb measurements were done . MRI leg , lymphoscintigraphy and color doppler  were ordered . MRI leg revealed fluid filled spaces with dilated lymphatics, no lymph nodes. Lymphoscintigraphy revealed absent groin lymph nodes and color doppler was normal. Patient w